8 deadly ECG patterns NOT to miss -- Part 2, the occlusion version. These patients require immediate cardiology referral for emergent reperfusion therapy.
The Osborn wave (J wave) is a positive deflection at the J point (negative in aVR and V1). It is usually most prominent in the precordial leads and most commonly associated with hypothermia.
In patients with AF and pre-excitation, the presence of an accessory pathway allows for rapid AV conduction, with a risk of degeneration into VT and VF
The average Emergency Clinician is interrupted every 6 minutes. When busy, it can be tempting to quickly “sign off” an ECG. These are the patterns not to miss.