{"id":"https://openalex.org/W2087789698","doi":"https://doi.org/10.1111/j.1540-8159.1992.tb06492.x","title":"Prospective Evaluation of Heart Block Complicating Early Lyme Disease","display_name":"Prospective Evaluation of Heart Block Complicating Early Lyme Disease","publication_year":1992,"publication_date":"1992-03-01","ids":{"openalex":"https://openalex.org/W2087789698","doi":"https://doi.org/10.1111/j.1540-8159.1992.tb06492.x","mag":"2087789698","pmid":"https://pubmed.ncbi.nlm.nih.gov/1372717"},"language":"en","primary_location":{"id":"doi:10.1111/j.1540-8159.1992.tb06492.x","doi":"https://doi.org/10.1111/j.1540-8159.1992.tb06492.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1540-8159.1992.tb06492.x","pdf_url":null,"source":{"id":"https://openalex.org/S128634829","display_name":"Pacing and Clinical Electrophysiology","issn_l":"0147-8389","issn":["0147-8389","1540-8159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pacing and Clinical Electrophysiology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030672263","display_name":"David A. Rubin","orcid":"https://orcid.org/0000-0002-6388-7724","observed_orcids":["https://orcid.org/0000-0002-6388-7724"]},"institutions":[{"id":"https://openalex.org/I1321686444","display_name":"Westchester Medical Center","ror":"https://ror.org/03fcgva33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1321686444"]},{"id":"https://openalex.org/I181190671","display_name":"New York Medical College","ror":"https://ror.org/03dkvy735","country_code":"US","type":"education","lineage":["https://openalex.org/I181190671"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"DAVID A. RUBIN","raw_affiliation_strings":["Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla 10595"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla 10595","institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008580272","display_name":"Carmine A. Sorbera","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1321686444","display_name":"Westchester Medical Center","ror":"https://ror.org/03fcgva33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1321686444"]},{"id":"https://openalex.org/I181190671","display_name":"New York Medical College","ror":"https://ror.org/03dkvy735","country_code":"US","type":"education","lineage":["https://openalex.org/I181190671"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"CARMINE SORBERA","raw_affiliation_strings":["Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York","institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045738215","display_name":"PATRICIA NIKITIN","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1321686444","display_name":"Westchester Medical Center","ror":"https://ror.org/03fcgva33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1321686444"]},{"id":"https://openalex.org/I181190671","display_name":"New York Medical College","ror":"https://ror.org/03dkvy735","country_code":"US","type":"education","lineage":["https://openalex.org/I181190671"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"PATRICIA NIKITIN","raw_affiliation_strings":["Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York","institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061697539","display_name":"ANNEMARIE MCALLISTER","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1321686444","display_name":"Westchester Medical Center","ror":"https://ror.org/03fcgva33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1321686444"]},{"id":"https://openalex.org/I181190671","display_name":"New York Medical College","ror":"https://ror.org/03dkvy735","country_code":"US","type":"education","lineage":["https://openalex.org/I181190671"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"ANNEMARIE MCALLISTER","raw_affiliation_strings":["Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York","institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083815289","display_name":"Gary P. Wormser","orcid":"https://orcid.org/0000-0002-8743-0948","observed_orcids":["https://orcid.org/0000-0002-8743-0948"]},"institutions":[{"id":"https://openalex.org/I1321686444","display_name":"Westchester Medical Center","ror":"https://ror.org/03fcgva33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1321686444"]},{"id":"https://openalex.org/I181190671","display_name":"New York Medical College","ror":"https://ror.org/03dkvy735","country_code":"US","type":"education","lineage":["https://openalex.org/I181190671"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"GARY P. WORMSER","raw_affiliation_strings":["Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York","institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071811914","display_name":"Robert B. Nadelman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1321686444","display_name":"Westchester Medical Center","ror":"https://ror.org/03fcgva33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1321686444"]},{"id":"https://openalex.org/I181190671","display_name":"New York Medical College","ror":"https://ror.org/03dkvy735","country_code":"US","type":"education","lineage":["https://openalex.org/I181190671"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"ROBERT B. NADELMAN","raw_affiliation_strings":["Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology and Infectious Diseases, Westchester County Medical Center, New York Medical College, Valhalla, New York","institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5030672263"],"corresponding_institution_ids":["https://openalex.org/I1321686444","https://openalex.org/I181190671"],"apc_list":{"value":4170,"currency":"USD","value_usd":4170},"apc_paid":null,"fwci":1.8885,"has_fulltext":false,"cited_by_count":40,"citation_normalized_percentile":{"value":0.86846793,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"15","issue":"3","first_page":"252","last_page":"255"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lyme-carditis","display_name":"Lyme carditis","score":0.8140000104904175},{"id":"https://openalex.org/keywords/atrioventricular-block","display_name":"atrioventricular block","score":0.9829999804496765},{"id":"https://openalex.org/keywords/early-lyme-disease","display_name":"early Lyme disease","score":0.9850000143051147},{"id":"https://openalex.org/keywords/erythema-migrans","display_name":"erythema migrans","score":0.9900000095367432},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.8960000276565552},{"id":"https://openalex.org/keywords/electrocardiographic-changes","display_name":"electrocardiographic changes","score":0.7689999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9552736282348633},{"id":"https://openalex.org/C2777553296","wikidata":"https://www.wikidata.org/wiki/Q201989","display_name":"Lyme disease","level":2,"score":0.8445838689804077},{"id":"https://openalex.org/C2776661526","wikidata":"https://www.wikidata.org/wiki/Q1361515","display_name":"Heart block","level":3,"score":0.7940372228622437},{"id":"https://openalex.org/C2778570526","wikidata":"https://www.wikidata.org/wiki/Q653197","display_name":"Rash","level":2,"score":0.747610330581665},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.6377274990081787},{"id":"https://openalex.org/C2909371672","wikidata":"https://www.wikidata.org/wiki/Q2558634","display_name":"Erythema migrans","level":5,"score":0.581649124622345},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46679314970970154},{"id":"https://openalex.org/C2779906846","wikidata":"https://www.wikidata.org/wiki/Q2558634","display_name":"Erythema chronicum migrans","level":4,"score":0.4566594064235687},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.44151732325553894},{"id":"https://openalex.org/C2776307562","wikidata":"https://www.wikidata.org/wiki/Q15968355","display_name":"LYME","level":4,"score":0.43007978796958923},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4254527688026428},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.3480480909347534},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.33494627475738525},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.29582679271698},{"id":"https://openalex.org/C2779159148","wikidata":"https://www.wikidata.org/wiki/Q2723634","display_name":"Borrelia burgdorferi","level":3,"score":0.2137024998664856},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.09969073534011841},{"id":"https://openalex.org/C2993597950","wikidata":"https://www.wikidata.org/wiki/Q201989","display_name":"Lyme borreliosis","level":4,"score":0.09510359168052673},{"id":"https://openalex.org/C159654299","wikidata":"https://www.wikidata.org/wiki/Q79460","display_name":"Antibody","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D006327","descriptor_name":"Heart Block","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006327","descriptor_name":"Heart Block","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008193","descriptor_name":"Lyme Disease","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D008193","descriptor_name":"Lyme Disease","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D008193","descriptor_name":"Lyme Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009518","descriptor_name":"New York","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1540-8159.1992.tb06492.x","doi":"https://doi.org/10.1111/j.1540-8159.1992.tb06492.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1540-8159.1992.tb06492.x","pdf_url":null,"source":{"id":"https://openalex.org/S128634829","display_name":"Pacing and Clinical Electrophysiology","issn_l":"0147-8389","issn":["0147-8389","1540-8159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pacing and Clinical Electrophysiology","raw_type":"journal-article"},{"id":"pmid:1372717","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1372717","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pacing and clinical electrophysiology : PACE","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W1496324709","https://openalex.org/W1973203032","https://openalex.org/W1974917357","https://openalex.org/W2001142573","https://openalex.org/W2032350844","https://openalex.org/W2034589242","https://openalex.org/W2044139101","https://openalex.org/W2060516752","https://openalex.org/W2143262531","https://openalex.org/W3016385149","https://openalex.org/W4232462786","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W2546717477","https://openalex.org/W2091028367","https://openalex.org/W2032350844","https://openalex.org/W2011240864","https://openalex.org/W3023839386","https://openalex.org/W7026874514","https://openalex.org/W2394493225","https://openalex.org/W2947991913","https://openalex.org/W4376223498","https://openalex.org/W2408928220"],"abstract_inverted_index":{"Lyme":[0,16,30,104],"disease":[1,17,31,105],"is":[2],"a":[3,50,88],"recognized":[4],"cause":[5],"of":[6,11,36,46,59,64,77,116,122],"heart":[7,12,70,82,98,112,123],"block/carditis.":[8,124],"The":[9],"incidence":[10],"block":[13,83,99],"complicating":[14],"early":[15,29,103],"has":[18],"not":[19],"been":[20],"prospectively":[21,40],"evaluated.":[22],"In":[23],"this":[24],"study,":[25],"61":[26,47,65],"patients":[27,48,66,80],"with":[28,69,74],"documented":[32],"by":[33,111],"the":[34,78,120],"rash":[35],"erythema":[37],"migrans":[38],"were":[39],"evaluated":[41],"for":[42],"carditis.":[43],"Fifty":[44],"five":[45],"had":[49,87],"repeat":[51],"examination":[52],"3":[53],"to":[54,97,107],"4":[55],"weeks":[56],"after":[57,100],"initiation":[58],"antibiotic":[60],"therapy.":[61],"Only":[62],"one":[63],"(1.6%)":[67],"presented":[68],"block,":[71],"which":[72],"resolved":[73],"antibiotics.":[75,101],"None":[76],"54":[79],"without":[81],"on":[84],"initial":[85],"presentation":[86],"change":[89],"in":[90],"any":[91],"measured":[92],"electrocardiographic":[93],"parameter":[94],"or":[95],"progressed":[96],"Therefore,":[102],"appears":[106],"be":[108],"infrequently":[109],"complicated":[110],"block.":[113],"Early":[114],"administration":[115],"antibiotics":[117],"may":[118],"prevent":[119],"development":[121]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
