Detecting Subtle Osborn Waves in Hypothermia: A Case Report

Detecting Subtle Osborn Waves in Hypothermia: A Case Report

J waves, or Osborn waves, are a notable EKG finding in hypothermia, often appearing as prominent deflections but sometimes manifesting subtly. We report a 78-year-old female with moderate hypothermia (87.9°F) presenting with sinus bradycardia and subtle J waves on her EKG. After rewarming, these J w...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e67090
Hauptverfasser: Batikyan, Ashot, Kolli, Shiny Teja, Sakellakis, Minas, Khachatryan, Aleksan, Harutyunyan, Hakob, Tamazyan, Vahagn
Format: Artikel
Sprache:eng
Schlagworte:
Acidosis
Cardiac arrest
Cardiac arrhythmia
Cardiology
Cardiopulmonary resuscitation
Case reports
CPR
Dementia
Heart rate
Hypothermia
Internal Medicine
Laboratories
Medicine
Patients
Potassium
Schizophrenia
Sinuses
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Beschreibung
Zusammenfassung:J waves, or Osborn waves, are a notable EKG finding in hypothermia, often appearing as prominent deflections but sometimes manifesting subtly. We report a 78-year-old female with moderate hypothermia (87.9°F) presenting with sinus bradycardia and subtle J waves on her EKG. After rewarming, these J waves resolved. Hypothermia management should prioritize gentle handling to avoid arrhythmias and ensure rapid rewarming during cardiopulmonary resuscitation. Continuous monitoring is crucial, as J waves can indicate a higher risk of ventricular fibrillation and cardiac arrest.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.67090