Onda de Osborn asociada a hipotermia sin bradicardia presente. A propósito de un caso / Osborn´s wave associated to hypothermia without the presence of bradycardia. A propos of a case
Rev. medica electron
;
39(3): 561-566, may.-jun. 2017.
Article
in Spanish
| LILACS, CUMED
| ID: biblio-902199
RESUMEN
La onda J de Osborn es una deflexión que se inscribe en el electrocardiograma (ECG) entre el complejo QRS y el inicio del segmento ST. La onda J tiene una alta sensibilidad y especificidad en la hipotermia, aunque no es patognomónica. Se han descrito casos en la hemorragia subaracnoidea, la hipercalcemia, la isquemia cardíaca aguda y la hipotermia severa. Se presenta el caso de un paciente masculino, alcohólico, encontrado en situación de bajo nivel de conciencia por sobredosificación de alcohol, que desarrolló un cuadro de hipotermia con la presencia de una onda de Osborn en el electrocardiograma sin bradicardia asociada (AU).
ABSTRACT
The Osborn´s J wave is a deflection inscribed in the electrocardiogram (ECG) between the QRS complex and the beginning of the ST segment. The J wave shows a high sensibility and specificity in the hypothermia, although it is not patognomonic. Cases have been described in subarachnoid hemorrhage, hypercalcemia, acute cardiac ischemia and severe hypothermia. The case of an alcoholic, male patient is presented. He was found in a situation of a low awareness level due to alcohol overdoses, and developed hypothermia with the presence of an Osborn´s wave in the electrocardiogram without associated bradycardia (AU).
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Electrocardiography
/
Hypothermia
Type of study:
Diagnostic study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. medica electron
Journal subject:
Medicine
Year:
2017
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Filial Universitaria de Ciencias Médicas Dr. Eusebio Hernández Pérez/CU
/
Hospital Docente Territorial Dr. Mario Muñoz Monroy/CU
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