This article is an answer to ECG Case 187
- Rate: 30/min
- Rhythm:
- Irregular
- No P waves visible
- Axis: Normal (+20 deg)
- Intervals:
- PR – no p waves visible
- QRS – prolonged (160ms)
- QT – 720-760ms (QTc Bazette 570-600 ms)
- Segments: Inferior ST sagging
- Additional:
- Right bundle branch block
- Terminal QRS Notching – J wave
Interpretation
- Bradycardia
- Slow atrial fibrillation
- J waves (Osborn wave)
- QT Prolongation
ECG Findings consitent with hypothermia. Patient’s core temperature was 28C (82F).
READ MORE: Hypothermia Algorithm
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