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2. [Electrocardiographic changes in accidental hypothermia].

Author

Sgobba G, Nassisi G, Giannelli F, Cellamare G, Poppa E, Spada VL, and Bianco G

Subjects
Accidents, Home, Acidosis etiology, Aged, Bradycardia etiology, Dehydration etiology, Female, Humans, Hypothermia complications, Atrial Fibrillation physiopathology, Electrocardiography, Hypothermia physiopathology
Abstract

An 83-year-old woman was found unconscious several hours after she had fallen and fractured her lower limbs in a very cold cellar. On admission she was in shock and had metabolic acidosis, anemia and hypokalemia; her axillary and rectal temperature was 23 degrees C. Her initial ECG showed atrial fibrillation with slow ventricular response and a prominent J wave on the left precordial leads. These changes reverted to normal when body temperature returned to 37 degrees C. Moreover a transient, hypothermia-associated increase of QRS voltage was noted.

Published
1982

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