Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia

Osborn waves, or J waves, initially described by John Osborn in 1953 in hypothermic dog experiments, are highly sensitive and specific for hypothermia. Initially thought to be secondary to a hypothermia-induced “injury current,” they have more recently been attributed to a voltage differential betwe...

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Main Authors: Gregory Scott Troutman, Jason Salamon, Matthew Scharf, Jeremy A. Mazurek
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/5845839
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author Gregory Scott Troutman
Jason Salamon
Matthew Scharf
Jeremy A. Mazurek
author_facet Gregory Scott Troutman
Jason Salamon
Matthew Scharf
Jeremy A. Mazurek
author_sort Gregory Scott Troutman
collection DOAJ
description Osborn waves, or J waves, initially described by John Osborn in 1953 in hypothermic dog experiments, are highly sensitive and specific for hypothermia. Initially thought to be secondary to a hypothermia-induced “injury current,” they have more recently been attributed to a voltage differential between epicardial and endocardial potassium (Ito) currents. While the exact conditions required to induce such waves have been debated, numerous clinical scenarios of environmental and iatrogenic hypothermia have been described. Below, we report a novel case of hypothermia—that of neurosarcoidosis-induced central hypothermia with resultant Osborn waves and other associated findings found on electrocardiogram (ECG).
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publishDate 2019-01-01
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record_format Article
series Case Reports in Cardiology
spelling doaj-art-9feaefb56a294b0db721546dae46fb032025-02-03T05:53:45ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/58458395845839Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central HypothermiaGregory Scott Troutman0Jason Salamon1Matthew Scharf2Jeremy A. Mazurek3Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USADepartment of Medicine, Division of Cardiology, Morristown Medical Center, Atlantic Medical Group, Morristown, NJ, USADepartment of Medicine, Division of Sleep Medicine, Robert Wood Johnson University Hospital, New Brunswick, NJ, USADepartment of Medicine, Division of Advanced Heart Failure and Transplant Cardiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USAOsborn waves, or J waves, initially described by John Osborn in 1953 in hypothermic dog experiments, are highly sensitive and specific for hypothermia. Initially thought to be secondary to a hypothermia-induced “injury current,” they have more recently been attributed to a voltage differential between epicardial and endocardial potassium (Ito) currents. While the exact conditions required to induce such waves have been debated, numerous clinical scenarios of environmental and iatrogenic hypothermia have been described. Below, we report a novel case of hypothermia—that of neurosarcoidosis-induced central hypothermia with resultant Osborn waves and other associated findings found on electrocardiogram (ECG).http://dx.doi.org/10.1155/2019/5845839
spellingShingle Gregory Scott Troutman
Jason Salamon
Matthew Scharf
Jeremy A. Mazurek
Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia
Case Reports in Cardiology
title Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia
title_full Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia
title_fullStr Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia
title_full_unstemmed Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia
title_short Cold at the Core: Osborn Waves in Neurosarcoidosis-Induced Central Hypothermia
title_sort cold at the core osborn waves in neurosarcoidosis induced central hypothermia
url http://dx.doi.org/10.1155/2019/5845839
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