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Reversible electrocardiographic changes in hypothermia

Reversible elektrokardiographische Veränderungen bei Hypothermie

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Zusammenfassung

Ein wohnsitzloser Patient zeigte nach starker nächtlicher Unterkühlung (33°C Körpertemperatur bei –2°C Außentemperatur) bei stationärer Aufnahme massive elektrokardiographische Veränderungen. Es konnten in diesem Falle alle Phänomene von EKG–Veränderungen bei Unterkühlung beobachtet werden: Sinusbradykardie, AV-Block 1.°, verbreiterter QRS–Komplex mit Osborne–Welle und eine QT–Verlängerung. Nach vorsichtiger und langsamer Erwärmung der Körpertemperatur bildeten sich alle diese Veränderungen langsam aber komplett zurück.

Summary

A homeless man with accidental hypothermia showed massive ECG changes on hospital admission. Including sinus bradycardia, AV–block 1.°, widened QRS complex with Osborne waves and QT prolongation. These changes were slowly but completely reversible after surface rewarming.

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Authors and Affiliations

  1. Department of Cardiology, University Hospital Schleswig-Holstein Campus Kiel, Schittenhelmstraße 12, 24105, Kiel, Germany

    Markus Lins,  Ben Petersen,  Andreas Tiroke &  Rüdiger Simon

Authors
  1. Markus Lins
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  2. Ben Petersen
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  3. Andreas Tiroke
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  4. Rüdiger Simon
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Correspondence to Markus Lins.

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Lins, M., Petersen, B., Tiroke, A. et al. Reversible electrocardiographic changes in hypothermia. Z Kardiol 93, 630–633 (2004). https://doi.org/10.1007/s00392-004-0110-4

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  • DOI: https://doi.org/10.1007/s00392-004-0110-4

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