{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T18:08:18Z","timestamp":1781114898242,"version":"3.54.1"},"reference-count":7,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,6]]},"abstract":"Lyme disease is the most prevalent tick-borne disease in the United States. It is caused by the spirochete Borrelia burgdorferi<\/jats:italic>. Cardiac involvement is seen in 4% to 10% of patients with Lyme disease. The principal manifestation of Lyme carditis is self-limited conduction system disease, with predominant involvement of the atrioventricular node. On rare occasions, Lyme carditis patients present with other conduction system disorders such as bundle branch block, intraventricular conduction delay, and supraventricular or ventricular tachycardia. We report the unusual case of a 59-year-old man who presented with new-onset symptomatic sinus pauses one month after hiking in upstate New York. To our knowledge, this is the first case report from North America that describes the relationship between symptomatic sinus pause and Lyme carditis.<\/jats:p>","DOI":"10.14503\/thij-14-4126","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T17:14:07Z","timestamp":1434042847000},"page":"248-250","source":"Crossref","is-referenced-by-count":16,"title":["Sinus Pause in Association with Lyme Carditis"],"prefix":"10.14503","volume":"42","author":[{"given":"A. Afsin","family":"Oktay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer R.","family":"Dibs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harvey","family":"Friedman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"2","key":"i0730-2347-42-3-248-b1","series-title":"Infect Dis Clin North Am","first-page":"275","article-title":"Lyme carditis","volume":"22","year":"2008","unstructured":"Fish\n A. E., \n \n Pride\n Y. B., \n \n Pinto\n D. S.\n \n \n Lyme carditis. Infect Dis Clin North Am2008;22(2):275\u201388."},{"issue":"11","key":"i0730-2347-42-3-248-b2","series-title":"J Am Coll Cardiol","first-page":"976","article-title":"AHA\/ACC\/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Endorsed by the International Society for Computerized Electrocardiology","volume":"53","year":"2009","unstructured":"Surawicz\n B., \n \n Childers\n R., \n \n Deal\n B. J., \n \n Gettes\n L. S., \n \n Bailey\n J. J., \n \n Gorgels\n A., \n \n et al. AHA\/ACC\/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Endorsed by the International Society for Computerized Electrocardiology. J Am Coll Cardiol2009;53(11):976\u201381."},{"issue":"5","key":"i0730-2347-42-3-248-b3","series-title":"Ann Intern Med","first-page":"339","article-title":"Lyme carditis: an important cause of reversible heart block","volume":"110","year":"1989","unstructured":"McAlister\n H. F., \n \n Klementowicz\n P. T., \n \n Andrews\n C., \n \n Fisher\n J. D., \n \n Feld\n M., \n \n Furman\n S.\n \n \n Lyme carditis: an important cause of reversible heart block. Ann Intern Med1989;110(5):339\u201345."},{"issue":"22","key":"i0730-2347-42-3-248-b4","series-title":"Cas Lek Cesk","first-page":"729","article-title":"Borrelia burgdorferi as a cause of sick sinus syndrome [in Czech]?","volume":"135","year":"1996","unstructured":"Bartunek\n P., \n \n Nemec\n J., \n \n Mrazek\n V., \n \n Gorican\n K., \n \n Zapletalova\n J.\n \n \n Borrelia burgdorferi as a cause of sick sinus syndrome [in Czech]?\n Cas Lek Cesk\n 1996;135(22):729\u201331."},{"issue":"12","key":"i0730-2347-42-3-248-b5","series-title":"Z Kardiol","first-page":"1029","article-title":"Lyme carditis and symptomatic sinus node dysfunction [in German]","volume":"92","year":"2003","unstructured":"Franck\n H., \n \n Wollschlager\n H.\n \n \n Lyme carditis and symptomatic sinus node dysfunction [in German]. Z Kardiol2003;92(12): 1029\u201332."},{"key":"i0730-2347-42-3-248-b6","series-title":"Clinical arrhythmology and electrophysiology: a companion to Braunwald's heart disease","first-page":"164","article-title":"Sinus node dysfunction","year":"2012","unstructured":"Issa\n Z.\n \n \n Sinus node dysfunction. In: IssaZ., MillerJ. M., ZipesD. P., editors. Clinical arrhythmology and electrophysiology: a companion to Braunwald's heart disease. 2nd ed.Philadelphia: Elsevier Saunders; 2012. p. 164\u201374."},{"issue":"9","key":"i0730-2347-42-3-248-b7","series-title":"Clin Infect Dis","first-page":"1089","article-title":"The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America [published erratum appears in Clin Infect Dis 2007;45(7):941]","volume":"43","year":"2006","unstructured":"Wormser\n G. P., \n \n Dattwyler\n R. J., \n \n Shapiro\n E. D., \n \n Halperin\n J. J., \n \n Steere\n A. C., \n \n Klempner\n M. S., \n \n et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America [published erratum appears in Clin Infect Dis 2007;45(7):941]. Clin Infect Dis2006;43(9):1089\u2013134."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/42\/3\/article-p248.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/42\/3\/248\/2325056\/thij-14-4126.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/42\/3\/article-p248.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/42\/3\/article-p248.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:31:51Z","timestamp":1730993511000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/42\/3\/article-p248.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":7,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.14503\/thij-14-4126","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}