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Electrocardiographic Changes in Accidental Hypothermia

Electrocardiographic Changes in Accidental Hypothermia UNIQUE CHANGES in the electrocardiogram induced by hypothermia have been of interest in recent years. Prior to 1958, only an occasional case of accidental freezing with an ECG taken during hypothermia had been reported. Tomaszewski, cited by Emslie-Smith et al,1 published the first case in 1938, describing an accidentally frozen patient whose ECG showed a slowly inscribed deflection between the QRS complex and the early part of the ST segment. Only eight additional cases had been reported by 1958 when Emslie-Smith described accidental hypothermia and associated electrocardiographic changes in eight elderly patients in Great Britain.2 The ECGs showed a pattern pathognomonic of hypothermia in seven of these eight cases. Since that report by Emslie-Smith, at least 35 subsequent cases of accidental hypothermia have been reported, and all but one of these from Great Britain.3-6 Most of these revealed characteristic electrocardiographic changes. Reports of such cases in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Electrocardiographic Changes in Accidental Hypothermia

JAMA , Volume 193 (2) – Jul 12, 1965

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1965.03090020075025
Publisher site
See Article on Publisher Site

Abstract

UNIQUE CHANGES in the electrocardiogram induced by hypothermia have been of interest in recent years. Prior to 1958, only an occasional case of accidental freezing with an ECG taken during hypothermia had been reported. Tomaszewski, cited by Emslie-Smith et al,1 published the first case in 1938, describing an accidentally frozen patient whose ECG showed a slowly inscribed deflection between the QRS complex and the early part of the ST segment. Only eight additional cases had been reported by 1958 when Emslie-Smith described accidental hypothermia and associated electrocardiographic changes in eight elderly patients in Great Britain.2 The ECGs showed a pattern pathognomonic of hypothermia in seven of these eight cases. Since that report by Emslie-Smith, at least 35 subsequent cases of accidental hypothermia have been reported, and all but one of these from Great Britain.3-6 Most of these revealed characteristic electrocardiographic changes. Reports of such cases in the

Journal

JAMAAmerican Medical Association

Published: Jul 12, 1965

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