Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.
Korean Circ J. 2015 Jan;45(1):81-4. doi: 10.4070/kcj.2015.45.1.81. Epub 2015 Jan 26.
Therapeutic hypothermia (TH) has been used to protect neurological functions in cardiac arrest patient. Although Osborn wave is not pathognomonic of hypothermia, it is a well-known electrocardiogram finding of hypothermic patients. The cellular and ionic mechanisms of the Osborn wave have been suggested, and its relationship to tachyarrhythmias, such as ventricular tachycardia and ventricular fibrillation, is being explored. This case highlights the arrhythmogenic potential of Osborn wave and individual difference in response of TH.
治疗性低温（therapeutic hypothermia，TH）已被用于保护心脏骤停患者的神经功能。尽管 Osborne 波并非低温的特征性表现，但它是低温患者的一种众所周知的心电图表现。Osborne 波的细胞和离子机制已被提出，其与室性心动过速和心室颤动等快速性心律失常的关系正在被探索。本病例突出了 Osborne 波的致心律失常潜力和 TH 反应的个体差异。
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