SavedAdd your journal

Journals / Türkiye Acil Tıp Dergisi / 2014 / Cilt: 14 - Sayı: 1

Suda Boğulma Sonrası Gelişen Hipotermiye Bağlı EKG Değişiklikleri: Olgu Sunumu

ECG Changes Due to Hypothermia Developed After Drowning: Case Report

Sabiye YILMAZ
Mehmet Akif ÇAKAR
Mehmet Bülent VATAN
HARUN KILIÇ
Nurgül KESER
Pages
37–40
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Mortality is very high, so early resuscitation and aggressive treatment of cardiovascular and respiratory problems are important for life

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Drowning is one of the fatal accidents frequently encountered during the summer and is the most common cause of accidental death in the world.
📊
Key Findings & Data:A 16-year-old male patient who was admitted to our hospital’s emergency service with drowning is presented in this article.
💡
Conclusion & Impact:Mortality is very high, so early resuscitation and aggressive treatment of cardiovascular and respiratory problems are important for life
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Drowning is one of the fatal accidents frequently encountered during the summer and is the most common cause of accidental death in the world. Anoxia, hypothermia, and metabolic acidosis are mainly responsible for morbidty. Cardiovascular effects may occur secondary to hypoxia and hypothermia. Atrial fibrillation, sinus dysrhythmias (rarely requiring treatment), and, in serious cases, ventricular fibrillation or asystole may develop, showing as rhythm problems on electrocardiogram and Osborn wave can be seen, especially during hypothermia. A 16-year-old male patient who was admitted to our hospital’s emergency service with drowning is presented in this article. In our case, ventricular fibrillation and giant J wave (Osborn wave) associated with hypothermia developed after drowning was seen. We present this case as a reminder of ECG changes due to hypothermia that develop after drowning. Response to cardiopulmonary resuscitation after drowning and hypothermia is not very good. Mortality is very high, so early resuscitation and aggressive treatment of cardiovascular and respiratory problems are important for life

Özet

Suda boğulmalar özellikle yaz aylarında sıkça karşılaştığımız ölümcül kazalardandır, dünyada kaza ile ölümlerin en sık sebeplerinden biridir. Boğulmalardaki morbiditeden esas olarak anoksi, hipotermi ve sonucunda gelişen metabolik asidoz sorumludur. Kardiyovasküler etkiler hipoksi ve hipotermiye sekonderdir. Elektrokardiyografide (EKG) atriyal fibrilasyon, sinüs disritmileri (nadiren tedavi gerektirir), ciddi olgularda ventriküler fibrilasyon ya da asistol gibi ritim problemleri ve özellikle hipotermi sırasında sık karşılaşılan osborn dalgaları izlenebilinir. Bu yazıda soğuk suda boğulma sonrasında acil servise getirilen 16 yaşında erkek hasta sunuldu. Olguda boğulma sonrası gelişen hipotermi ile ilişkili ventriküler fibrilasyon ve dev J dalgaları (Osborn dalgası) izlendi. Bu olguyu sunmamızın nedeni suda boğulma sonrası gelişen hipotermiye bağlı EKG değişikliklerini hatırlatmaktı. Suda boğulma ve hipotermi sonrası kardiyopulmoner resüsitasyona cevap çok iyi değildir. Mortalite oldukça yüksektir, erken resüsitasyon, agresif kardiyovasküler ve respiratuvar tedavi sağkalım için önemlidir

🔖

Cite This Article

YILMAZ, S., ÇAKAR, M. A., VATAN, M. B., KILIÇ, H., KESER, N. (2014). Suda Boğulma Sonrası Gelişen Hipotermiye Bağlı EKG Değişiklikleri: Olgu Sunumu. Türkiye Acil Tıp Dergisi, Cilt: 14 - Sayı: 1, 37–40. https://ajindex.com/articles/409024

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Hwang V, Shofer FS, Durbin DR, Baren JM. Prevalence of traumatic injuries in drowning and near drowning in children and adolescents. Arch Pediatr Adolesc Med 2003;157:50-3
  2. Bessen HA. Hypothermia. In: Tintinalli JE, Kelen GD, Stapczynski JS, editors. Emergency medicine. A comprehensive study guide. 6th ed. New York: McGraw-Hill; 2003. p.1231-5
  3. 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
  4. Ibsen LM, Koch T. Submersion and asphyxial injury. Crit Care Med 2002;30:402-8
  5. Holzer M, Behringer W, Schörkhuber W, Zeiner A, Sterz F, Laggner AN, et al. Mild hypothermia and outcome after CPR. Hypothermia for Cardiac Arrest (HACA) Study Group. Acta Anaesthesiol Scand Suppl 1997;111:55-8
  6. Fiser DH. Near-drowning. Pediatr Rev 1993;14:148-51
  7. Alhaddad IA, Khalil M, Brown EJ Jr. Osborn waves of hypothermia. Circulation 2000;101:E233-44
  8. Wollenek G, Honarwar N, Golej J, Marx M. Cold water submersion and cardiac arrest in treatment of severe hypothermia with cardiopulmonary bypass. Resuscitation 2002;52:255-63
  9. Vassallo SU, Delaney KA, Hoffman RS, Slater W, Goldfrank LR. A prospective evaluation of the electrocardiographic manifestations of hypothermia. Acad Emerg Med 1999;6:1121-6
  10. OSBORN JJ. Experimental hypothermia; respiratory and blood pH changes in relation to cardiac function. Am J Physiol 1953;175:389-98
  11. Patel A, Getsos JP, Moussa G, Damato AN. The Osborn wave of hypothermia in normothermic patients. Clin Cardiol 1994;17:273-6
  12. Martínez Martínez JA. Postoperative pericarditis and Osborn wave. [Article in Spanish] Medicina (B Aires). 1998;58:428. [Abstract] 13. Abbott JA, Cheitlin MD. The nonspecific camel-hump sign. JAMA 1976;235:413-4
  13. Yalçın M, Işılak Z, Uz Ö, Doğan M. Hipokalemi ve hipotermi ile ilişkili dev J dalgası (Osborn dalgası). Anadolu Kardiyoloji Dergisi 2012;12:698-703.