Table 1.

The SILC (Suspicious Index in Lyme Carditis) score (Besant et al., 2018). 0–2 points indicate low probability of Lyme carditis in a patient presenting with high‐degree AV block and it should be treated as per standard management 3–6 intermediate risk and 7–12 high risk for Lyme carditis. We proposed patients with intermediate‐high risk scores to quickly obtain Lyme serology, start antibiotic treatment, and to use temporary–permanent pacing if bradycardia is symptomatic (see text)

Variable	Value
Age <50	1
Male	1
Outdoor activity/Endemic area	1
Constitutional symptoms	2
Tick bite	3
Erythema migrans	4