Michels G, Ney S, Hoffmann F, Brugada J, Pfister R, Brockmeier K, Sultan A
Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln, Kerpener Str. 62, 50937 Köln, Köln, Deutschland.
Cardiovascular Institute, Hospital Clínic Pediatric Arrhythmia Unit, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spanien.
Med Klin Intensivmed Notfmed. 2018 Apr;113(3):217-220. doi: 10.1007/s00063-017-0381-y. Epub 2017 Nov 14.
Hypothermia-induced J‑ or so-called Osborn waves can be detected under therapeutic hypothermia in approximately 20-40% of cases. The occurrence of J‑waves in the context of the targeted temperature management after cardiopulmonary resuscitation is characteristic, but not pathognomonic for hypothermia. An electrocardiographic diagnosis under hypothermia after cardiac arrest should always be done with caution due to the various hypothermia-associated electromechanical changes of the myocardium.
在治疗性低温情况下，约20%-40%的病例可检测到低温诱导的J波或所谓的奥斯本波。在心肺复苏后的目标温度管理背景下出现J波具有特征性，但并非低温所特有。由于低温相关的心肌各种机电变化，心脏骤停后低温状态下的心电图诊断应始终谨慎进行。
