Hypothermia: Brain Death
Report:
Sinus rhythm 57/min
Early transition
J waves consistent with hypothermia
Prolonged QT interval 0.55â
QTc 0.54â
Borderline ST segment elevation
Comment:
The rate is relatively fast and there is no evidence of tremor: the patient was brain-dead. Her temperature at the time of the ECG recording was 31oC. It is noteworthy that cerebral damage can produce J waves in the absence of hypothermia192. Prolonged QT interval is itself commonly due to cerebral injury, like in Case 258. Little in ECGs is specific.
She was warmed up to 36oC and pronounced dead â âwarm and deadâ.
261. 72 year old lady with congestive cardiomyopathy, recently started on sotalol for VT
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