Complete Atrioventricular Block Smartwatch Enhanced Diagnosis in Lyme’s Carditis: A Case Report and an M-Health Utilization
Bibliographic record
Abstract
A 35-y old healthy sportsman complained paroxysmal dyspnea and migrating erythema some weeks after jogging in the woods.Non-invasive diagnostic tools excluded pathologic findings.A personal smartwatch was lent by his cardiologist, ondemand Remote ECG monitoring was started, and paroxysmal complete AV block was diagnosed.In Emergency Department AV block was confirmed.Empiric intravenous prednisolone 25 mg every 8 hours was administered in the suspicion of a hypersensitive milieu.AV block completely recovered in a few hours.Laboratory tests showed elevated C-reactive protein and neutrophilic leukocytosis.Serological screening highlighted anti-Borrelia burgdorferi antibodies, suggesting a Lyme's carditis related AV block.Oral Doxycycline led to complete clinical and laboratory parameters normalization in one week.1 year loop recorder monitoring showed no further AV block relapse with nocturnal sinus bradycardia only.To the best of our knowledge, this is the first report describing Smartwatch-enhanced complete AV block diagnosis; we noticed as well a sudden resolution of Lyme's carditis related av block parallelly to empiric Steroid therapy.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".