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Home | Top 100 | TOP 100 ECG | ECG Case 010

ECG Case 010

by Dr Ed Burns, last update March 19, 2019

90-year old patient found on the floor at home. 

TOP 100 ECG QUIZ LITFL 010

Describe and interpret this ECG

ECG ANSWER and INTERPRETATION

This ECG demonstrates classic features of hypothermia:

  • Bradycardia
  • Osborn waves (J waves) = notching at the J point seen in V2-6
  • Long QT interval (~ 600 ms)
  • Shivering artifact

The rhythm is probably sinus bradycardia — mapping out the RR intervals reveals a regular rhythm despite the obliteration of the baseline by the shiver artifact.

J waves Osborn Wave hypothermia temp 30°C


TOP 100 ECG SERIES


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About Dr Ed Burns

Emergency Physician in Prehospital and Retrieval Medicine in Sydney, Australia. He has a passion for ECG interpretation and medical education.

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