Evertz R, Ramachandran K R, Herrman J P R, van der Wieken L R
Neth Heart J. 2005 Dec;13(12):461-463.
Hypothermia can cause several ECG changes which can be mistaken for other cardiac diseases, most importantly acute transmural ischaemia. These ECG changes correlate strongly with the degree of hypothermia and the prognosis of the patient. This brief report presents a 32-year-old male who was seen after a drowning accident. After resuscitation a 12-lead electrocardiogram showed changes typical for hypothermia: atrial fibrillation and Osborn waves. The ECG of the patient normalised after rewarming.
体温过低可导致多种心电图改变，这些改变可能被误诊为其他心脏疾病，其中最重要的是急性透壁性心肌缺血。这些心电图改变与体温过低的程度及患者的预后密切相关。本简短报告介绍了一名32岁男性，他在溺水事故后被送来就诊。复苏后，12导联心电图显示出体温过低的典型改变：心房颤动和奥斯本波。患者复温后心电图恢复正常。
