Korean J Med.  2000 Nov;59(5):561-564.

Cases of hypothermia with Osborne's J wave on ECG

Affiliations
  • 1Department of Internal Medicine, Seoul Adventist Hospital, Seoul, Korea.

Abstract

Authors report two cases of hypothermic patients with Osborne's J wave on electrocardiogram. A 46-year-old male with liver cirrhosis was brought to the emergency room by ambulance due to comatous mental status. On exammination, the body temperature was below 35 degree C. By rewarming using warm normal saline intravenous infusion and hot pack application on the chest, his body temperature rose up to 36 degree C and regained consciousness. Later, he expired with afterdrop phenomenon. Another 41-year-old stuporous quadriplegic male with post-traumatic cerebral palsy was brought to the emergency room by his family complaining weakness and vomiting. On exammination, the body temperature was below 35degree C. He was rewarmed using warm normal saline intravenous infusion and hot pack application on the chest. However, he could not regain his normal body temperature and expired due to irreversible shock.

Keyword

Hypothermia; Electrocardiography; Osborne's J wave

MeSH Terms

Adult
Ambulances
Body Temperature
Cerebral Palsy
Consciousness
Electrocardiography*
Emergency Service, Hospital
Humans
Hypothermia*
Infusions, Intravenous
Liver Cirrhosis
Male
Middle Aged
Rewarming
Shock
Stupor
Thorax
Vomiting
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