Patient's Query
Hello doctor,
Could you please review my ECG? I am on long-term Azithromycin and Minocycline for Lyme disease.
Hello,
Welcome to icliniq.com.
I have reviewed your ECG (electrocardiogram) results (attachments removed to protect the patient’s identity), and I can see evidence of a second-degree AV block (atrioventricular block), which is a common finding among patients with Lyme disease. Since you have already been placed on antibiotics, the ECG will improve and return to normal within weeks. There is no need to worry. Please ensure you complete all prescribed medications.
Take care.
Patient's Query
Hello doctor,
Thank you for the reply.
I have been on antibiotics for four weeks now for chronic Lyme disease. Should I be concerned about having a second-degree AV block? Additionally, a few months ago, I was treated with Doxycycline for four weeks, as it is the standard treatment. Could the second-degree AV block be due to Azithromycin?
Hello,
Welcome back to icliniq.com.
The AV block is not caused by Azithromycin; rather, it is due to Lyme disease itself, resulting from an inflammatory process that occurs in the heart as a consequence of the Lyme organisms in the heart tissue. In my experience with patients, antibiotic therapy typically lasts three to four weeks, and ECG symptoms usually resolve within a maximum of six weeks. If you develop flu-like symptoms, palpitations, shortness of breath, or a rash, please go to the hospital, as you may not be responding to treatment. However, in the absence of these symptoms, there is no cause for concern. You can repeat the ECG test after three weeks to monitor any changes. Hopefully, it should have resolved by then.
Thank you, and take care.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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