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Italian Journal of Emergency Medicine 2020 December;9(3):155-7

DOI: 10.23736/S2532-1285.20.00057-9

Copyright © 2020 THE AUTHORS

This is an open access article under the CC BY-NC-ND license

language: English

Osborne waves in hypothermia: the need for differential diagnosis in urgency

Antonella RUSSO 1 , Aldo LACQUANITI 2, Paolo DANIELE 1

1 Emergency Unit, Parodi Delfino Hospital, Colleferro, Rome, Italy; 2 Coronary Intensive Care Unit, Parodi Delfino Hospital, Colleferro, Rome, Italy



During hypothermia electrocardiogram shows decreasing pulse rate and wave abnormalities, predisposing to fatal complications, such as Osborn wave. Diagnosis and treatment of hypothermia in 88-year-old female, complicated by late delta wave also named J or Osborn wave at ECG, is reported. The presence of J wave requires early and aggressive management to prevent life threatening complications such as atrial and ventricular arrythmias.


KEY WORDS: Hypothermia; Arrhythmias, cardiac; Case reports

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