The Osborn Wave and Ethanol?
Abstract
The Osborn wave which is also known as the J wave in electrocardiogram (ECG) is most commonly detected in the cases with hypothermia. Furthermore, this wave may develop as secondary to many conditions such as hypercalcemia, hypoglycemia, brain damage, ischemic heart disease. The Osborn wave disappears when the underlying cause is recovered. As is known, alcohol is a substance made of ethyl alcohol which may cause severe cardiac problems such as cardiomyopathy, cardiac arrhythmia and cardiac arrest In the present case report, we wanted to address the association of a typical Osborn wave with high blood level of alcohol by presenting two cases whom Osborn wave was detected after cardiac arrest and hypothermia developed secondary to high alcohol level in the blood; and discuss the association between Osborn wave and high blood levels of alcohol.
Keywords
References
- 1. Gussak I, Bjerregaard P, Egan TM, Chaitman BR: ECG phenomenon called the J wave: history, pathophysiology, and clinical significance. J Electrocardiol 1995;28:49-58.
- 2. Osborn JJ. Experimental hypothermia; respiratory and blood pH changes in relation to cardiac function. Am J Physiol 1953;175:389-98.
- 3. Siniorakis E, Arvanitakis S, Roulia G, Voutas P, Karidis C. Myocardial damage after prolonged accidental hypothermia: a case report. J Med Case Rep. 2009;3:8459.
- 4. Maruyama M, Atarashi H, Ino T, KishidaH. Osborn waves associated with ventricular fibrillation in a patient with vasospastic angina. J Cardiovasc Electrophysiol 2002;13:486-9.
- 5. Randall CB. Disposition of toxic drugs and chemicals in man. 7th ed. Foster City (CA): biomedical Publications; 2004. p.411-13.
- 6. American Heart Association (2014) Alcohol and He¬art Health AHA Recommendation The web site: hhtp//www.heart.org.
- 7. Wijnandts PR., JAP Van der Sloot, WK Lagrand. "Osborn waves in hypothermia. Case report and clinical images." Netherlands journal of critical care 14 (2010):111-112.
Details
Primary Language
English
Subjects
Intensive Care
Journal Section
Case Report
Authors
Serkan Doğan
0000-0001-8923-2489
Türkiye
Utku Murat Kalafat
This is me
0000-0003-1749-8098
Rabia Birsen Tapkan
This is me
0000-0003-4242-3178
Büşra Bildik
This is me
0000-0002-1546-4612
Publication Date
April 26, 2020
Submission Date
August 27, 2019
Acceptance Date
October 7, 2019
Published in Issue
Year 2020 Volume: 2 Number: 1