Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Case of Recurrent Ventricular Fibrillations with Osborn Wave Developed during Therapeutic Hypothermia

  • Kim, Chang-Yeon (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Bae, Myung Hwan (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Kim, Nam Kyun (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Yang, Young Ae (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Kim, Kyu Yeun (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Lee, Jang Hoon (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Eun, Jung Su (Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Cho, Yongkeun (Department of Internal Medicine, Kyungpook National University Hospital)
  • Received : 2014.06.12
  • Accepted : 2014.07.14
  • Published : 2015.01.30
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Abstract

Therapeutic hypothermia (TH) has been used to protect neurological functions in cardiac arrest patient. Although Osborn wave is not pathognomonic of hypothermia, it is a well-known electrocardiogram finding of hypothermic patients. The cellular and ionic mechanisms of the Osborn wave have been suggested, and its relationship to tachyarrhythmias, such as ventricular tachycardia and ventricular fibrillation, is being explored. This case highlights the arrhythmogenic potential of Osborn wave and individual difference in response of TH.

Keywords

References

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