Atrioventricular block in accidental hypothermia--a case report

The finding of second-degree and high-grade atrioventricular block in a patient with severe accidental hypothermia is described. Additional findings included atrial fibrillation, severe sinus bradycardia, and prominent J (Osborn) waves. This case represents, to the authors' knowledge, the first...

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Bibliographic Details
Published inAngiology Vol. 40; no. 1; p. 63
Main Authors Bashour, T T, Gualberto, A, Ryan, C
Format Journal Article
LanguageEnglish
Published United States 01.01.1989
Subjects
Aged
Atrial Fibrillation - etiology
Bradycardia - etiology
Electrocardiography
Female
Heart Block - diagnosis
Heart Block - etiology
Humans
Hypothermia - complications
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Summary:The finding of second-degree and high-grade atrioventricular block in a patient with severe accidental hypothermia is described. Additional findings included atrial fibrillation, severe sinus bradycardia, and prominent J (Osborn) waves. This case represents, to the authors' knowledge, the first report of advanced spontaneous AV block not induced by atrial pacing in severe accidental hypothermia. Reversal of the block, and other characteristic changes, suggest a relationship to low temperature.
ISSN:0003-3197
DOI:10.1177/000331978904000112