As a result of an increase of people suffering from Lyme disease, the numbers of people with cardiac arrhythmia caused by Lyme disease (known as Lyme carditis) has also increased. According to a recent assessment by the Dutch National Institute for Public Health and the Environment, RIVM among GPs, about 10 patients a year suffer from this in the Netherlands. A quick diagnosis of Lyme carditis is important in order to prevent cardiac arrhythmia from worsening or even becoming life-threatening.
Increase of the risk of heart conditions caused by Lyme disease
Over the last twenty years, the number of people suffering from
Lyme disease in the Netherlands has quadrupled to 25,000 a year.
Often, Lyme disease is limited to an expanding red ring or rash on
the skin after a tick bite, which usually disappears after
treatment. If the Borrelia bacteria, that causes the disease, is
allowed to spread through the body, it may cause complaints to the
skin, joints or nervous system. Cardiac arrhythmia may also rarely
occur, which sometimes requires the placement of a pacemaker.
Quick diagnosis is important
Heart conditions occur fairly often, as a result of which it is
difficult for physicians to identify the relatively rare cases of
cardiac arrhythmia caused by Lyme disease. Quick diagnosis is
important in order to prevent cardiac arrhythmia from worsening or
even becoming life-threatening.
Research into the cause of severe forms of Lyme disease
It is as yet unknown why some people suffer from serious
complaints caused by Lyme disease, while others do not. In
conjunction with the Lyme centres of the AMC, Radboudamc and Gelre
hospitals Apeldoorn, RIVM
is investigating whether the serious course of Lyme disease, which
includes Lyme carditis, can be explained by characteristics of the
immune system or the type of Lyme bacteria. People who start on
antibiotics for Lyme disease can register for this research project
through their GP or via www.tekenradar.nl.
The health of these people will be monitored for one year.
More information about Lyme carditis in the Netherlands in these articles from the Netherlands Heart Journal:
Tricky ticks: the importance of Lyme carditis recognition
General practitioner reported incidence of Lyme carditis in the Netherlands