低温状态下细微奥斯本波的检测：一例报告

Detecting Subtle Osborn Waves in Hypothermia: A Case Report.

作者信息

Batikyan Ashot, Kolli Shiny Teja, Sakellakis Minas, Khachatryan Aleksan, Harutyunyan Hakob, Tamazyan Vahagn

机构信息

Department of Internal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center/North Central Bronx Hospital, New York, USA.

Department of Cardiology, Icahn School of Medicine at Mount Sinai/Mount Sinai Hospital, New York, USA.

出版信息

Cureus. 2024 Aug 17;16(8):e67090. doi: 10.7759/cureus.67090. eCollection 2024 Aug.

DOI:10.7759/cureus.67090

PMID:39286707

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11405059/

Abstract

J waves, or Osborn waves, are a notable EKG finding in hypothermia, often appearing as prominent deflections but sometimes manifesting subtly. We report a 78-year-old female with moderate hypothermia (87.9°F) presenting with sinus bradycardia and subtle J waves on her EKG. After rewarming, these J waves resolved. Hypothermia management should prioritize gentle handling to avoid arrhythmias and ensure rapid rewarming during cardiopulmonary resuscitation. Continuous monitoring is crucial, as J waves can indicate a higher risk of ventricular fibrillation and cardiac arrest.

摘要

J波，即奥斯本波，是体温过低时显著的心电图表现，常表现为明显的偏移，但有时也表现得很隐匿。我们报告一例78岁女性，体温中度过低（87.9°F），心电图显示窦性心动过缓和隐匿性J波。复温后，这些J波消失。体温过低的处理应优先轻柔操作以避免心律失常，并确保在心肺复苏期间快速复温。持续监测至关重要，因为J波可能预示着更高的室颤和心脏骤停风险。