Osborn waves during therapeutic hypothermia in a young ST-ACS patient after out-of-hospital cardiac arrest.
A 37 year-old male patient was admitted to the intensive care unit after an out-of-hospital cardiac arrest due to ventricular fibrillation in a course of ST-segment elevation acute coronary syndrome. On admission, the patient was unconscious with a Glasgow Coma Scale (GCS) score of 5. A percutaneous coronary intervention and mild therapeutic hypothermia (HT), defined as maintaining body temperature between 32°C and 34°C, were performed. During HT on ECG, we observed Osborn waves, which resolved spontaneously after re-warming. After five days of recovery, the patient scored 15 on GCS and did not show any neurological deficits.
Department of Cardiology, Medical University of Warsaw, Poland. filip.szymanski@wum.edu.pl
Filip M
FM
Szymański
Grzegorz
G
Karpiński
Anna E
AE
Płatek
Grzegorz
G
Opolski
D054058:Acute Coronary Syndrome / Q000150:complications* / Q000628:therapy*; D000328:Adult; D004562:Electrocardiography; D015600:Glasgow Coma Scale; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007036:Hypothermia, Induced / Q000009:adverse effects; D008297:Male; D062645:Percutaneous Coronary Intervention; D014693:Ventricular Fibrillation / Q000150:complications