Should testing for Lyme disease be a routine part of work-up for new-onset high-degree AV block prior to PPM implantation, regardless of patient age or exposure history?

Should testing for Lyme disease be a routine part of work-up for new-onset high-degree AV block prior to PPM implantation, regardless of patient age or exposure history?

• Yes, but only to endemic areas
• No, unless there's exposure history
• Yes, regardless of exposure history
• Other