Cor Vasa 2007, 49(5):183-187 | DOI: 10.33678/cor.2007.067

Cardiovascular manifestations and ECG findings in hypothermia.

Pavol Brunclík1, Juraj Payer1, Zdenko Vlček2, Aktham Yaghi2
1 V. interná klinika
2 Klinika akútnej a intenzívnej medicíny, Lekárska fakulta Univerzity Komenského a Fakultná nemocnica s poliklinikou, Bratislava, pracovisko Ružinov, Slovenská republika

The authors report the first cases in Slovakia of ECG-documented Osborne wave associated with hypothermia. They present a review of Osborne wave definitions in the literature and discuss its clinical significance in various clinical settings. They explain the cellular and ionic mechanisms underlying the development of J-wave elevation, and the electrophysiological, ECG, and cardiovascular changes caused by hypothermia.

Keywords: Hypothermia; Osborne wave; J-wave elevation

Published: May 1, 2007  Show citation

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Brunclík P, Payer J, Vlček Z, Yaghi A. Cardiovascular manifestations and ECG findings in hypothermia. Cor Vasa. 2007;49(5):183-187. doi: 10.33678/cor.2007.067.
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References

  1. Hurst JW. Abnormalities of the S-T segment, part I. Clin Cardiol 1997;20:511-520. Go to original source... Go to PubMed...
  2. Hurst JW. Abnormalities of the S-T segment, part II. Clin Cardiol 1997;20:595-600. Go to original source... Go to PubMed...
  3. Gussak I, Bjerregaard P, Egan TM, Chaitman BR. ECG phenomenon called the J wave: history, pathophysiology, and clinical significance. J Electrocardiol 1995;28:49-58. Go to original source... Go to PubMed...
  4. Clements SD, Hurst JW. Diagnostic value of ECG abnormalities observed in subjects accidentally exposed to cold. Am J Cardiol 1972;29:729-34. Go to original source... Go to PubMed...
  5. Eagle K. Osborn waves of hypothermia. New Engl J Med 1994;10:680. Go to original source... Go to PubMed...
  6. Okada M, Nishimura F, Yoshino H, Kimura M, Ogino T. The J wave in accidental hypothermia. J Electrocardiol 1983;16:23-8. Go to original source... Go to PubMed...
  7. Emslie-Smith D. Accidental hypothermia (a common condition with a pathognomonic electrocardiogram). Lancet 1958;1:492-5. Go to original source... Go to PubMed...
  8. Schwab R, Lewis D, Killough J, Templeton J. Electrocardiographic changes occurring in rapidly induced deep hypothermia. Am J Med Sci 1964;248:290-303. Go to original source... Go to PubMed...
  9. Jain U, Wallis DE, Shah K, Blakeman BM, Moran JF. Electrocardiographic J waves after resuscitation from cardiac arrest. Chest 1990;98:1294-6. Go to original source... Go to PubMed...
  10. Sridharan MR, Horan LG. Electrocardiographic J wave of hypercalcemia. Am J Cardiol 1984;54:672-3. Go to original source... Go to PubMed...
  11. Hersch C. Electrocardiographic changes in head injuries. Circulation 1961;23:853-60. Go to original source... Go to PubMed...
  12. De Sweit J. Changes simulating hypothermia in the electrocardiogram in subarachnoid hemorrhage. J Electrocardiol 1972;5:93-5. Go to original source... Go to PubMed...
  13. Hugenholtz PG. Electrocardiographic changes typical for central nervous system disease after right radical neck dissection. Am Heart J 1967;74:438-41. Go to original source... Go to PubMed...
  14. Yanowitz R, Preston JB, Abildskov JA. Functional distribution of right and left stellate innervation to the ventricles: production of neurogenic electrocardiographic changes by unilateral alteration of sympathetic tone. Circ Res 1966;18:426-8. Go to original source... Go to PubMed...
  15. Maruyama M, Atarashi H, Ino T, Kishida H. Osborn waves associated with ventricular fibrillation in a patient with vasospastic angina. J Cardiovasc Electrophysiol 2002;13:486-9. Go to original source... Go to PubMed...
  16. Aizawa Y, Tamura M, Chinushi M, et al. Idiopathic ventricular fibrillation and bradycardia-dependent intraventricular block. Am Heart J 1993;126:1473-4. Go to original source... Go to PubMed...
  17. Takeuchi T, Sato N, Kawamura Y, et al. A case of a short-coupled variant of Torsades de Pointes with electrical storm. PACE 2003;26:632-6. Go to original source... Go to PubMed...
  18. Kalla H, Yan GX, Marinchak R. Ventricular fibrillation in a patient with prominent J (Osborn) waves and ST segment elevation in the inferior electrocardiographic leads: a Brugada syndrome variant? J Cardiovasc Electrophysiol 2000;11:95-8. Go to original source... Go to PubMed...
  19. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome: a multicenter report. J Am Coll Cardiol 1992;20:1391-6. Go to original source... Go to PubMed...
  20. Osborn JJ. Experimental hypothermia: Respiratory and blood pH changes in relation to cardiac function. Am J Physiol 1953;175:389-98. Go to original source... Go to PubMed...
  21. Abbott JA, Cheitlin MD. The nonspecific camel-hump sign. JAMA 1976;235:413-4. Go to original source... Go to PubMed...
  22. Litovsky SH, Antzelevitch C. Rate dependence of action potential duration and refractoriness in canine ventricular endocardium differs from that of epicardium: role of the transient outward current. J Am Coll Cardiol 1989;14:1053-66. Go to original source... Go to PubMed...
  23. Hugo N, Dormehl I, van Gelder A. A positive wave at the J-point of electrocardiograms of anaesthetized baboons. J Med Primatol 1988;17:347-52. Go to original source... Go to PubMed...
  24. Litovsky SH, Antzelevitch C. Transient outward current prominent in canine ventricular epicardium but not endocardium. Circ Res 1988;62:116-26. Go to original source... Go to PubMed...
  25. Litovsky SH, Antzelevitch C. Differences in the electrophysiological response of canine ventricular subendocardium and subepicardium to acetylcholine and isoproterenol: A direct effect of acetylcholine in ventricular myocardium. Circ Res 1990;67:615-27. Go to original source... Go to PubMed...
  26. Emslie-Smith D, Salden GE, Stirling GR. The significance of changes in the electrocardiogram in hypothermia. Br Heart J 1959;21:343-51. Go to original source... Go to PubMed...
  27. Yan GX, Antzelevitch C. Cellular basis for the electrocardiographic J wave. Circulation 1996;93:372-9. Go to original source... Go to PubMed...
  28. Vassallo SU, Delaney KA, Hoffman RS, Slater W, Goldfrank LR. A prospective evaluation of the electrocardiographic manifestations of hypothermia. Acad Emerg Med 1999;6:1121-6. Go to original source...
  29. Kiyosue T, Arita M, Muramatsu H, Spindler AJ, Noble D. Ionic mechanisms of action potential prolongation at low temperature in guinea-pig ventricular myocytes. J Physiol 1993;468:85-106. Go to original source... Go to PubMed...
  30. Solomon A, Barish RA, Browne B, Tso E. The electrocardiographic features of hypothermia. J Emerg Med 1989;7:169-73. Go to original source...
  31. Bashour TT, Gualberto A, Ryan C. Atrioventricular block in accidental hypothermia: a case report. Angiology 1989;40:63-6. Go to original source... Go to PubMed...
  32. Southwick FS, Dalglish PH. Recovery after prolonged asystolic cardiac arrest in profound hypothermia. JAMA 1980;243:1250-3. Go to original source... Go to PubMed...
  33. Lloyd EL, Mitchell B. Factors affecting the onset of ventricular fibrillation in hypothermia: an hypothesis. Lancet 1974;2:1294-6. Go to original source...
  34. Thomas R, Cahill CJ. Successful defibrillation in profound hypothermia (core body temperature 25.6 degrees C). Resuscitation 2000;47:317-20. Go to original source... Go to PubMed...
  35. Graham CA, McNaughton GW, Wyatt JP. The electrocardiogram in hypothermia. Wilderness Environ Med 2001;12:232-5. Go to original source...




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