Osborn wave in a patient with intraparenchymal hemorrhage
Keywords:
catecholamines, hemorrhagic stroke, ion channels.Abstract
Introduction: The Osborn wave was described in situations of hypothermia and other clinical conditions, which alter ventricular repolarization. Despite its benign nature, in generally young populations, its presence is associated with a worse prognosis.Objective: Present a clinical case that relates the presence of a hemorrhagic stroke to the appearance of the Osborn wave.
Clinical Case: 59-year-old patient with a personal history of high blood pressure; with manifestations of loss of consciousness and muscle strength, who was diagnosed with intraparenchymal hemorrhage. During the patient hospitalization, the state of consciousness deteriorated and the electrocardiogram confirmed the presence of an Osborn wave in leads DI, DII, DIII, aVF, V2-V6, without concomitant elevation of the ST segment.
Conclusions: Elevated levels of catecholamines and myocardial damage in the context of cerebrovascular disease cause alterations in repolarization, including the J wave, and worsen the patient's prognosis.
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References
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3. Di Diego JM, Antzelevitch C. J wave syndromes as a cause of malignant cardiac arrhythmias [Internet]. Pacing Clin Electrophysiol. 2018; 41(7):684-99. DOI: 10.1111/pace.13408
4. Antzelevitch C, Yan GX, Ackerman MJ, Borggrefe M, Corrado D, Guo J, et al. J-Wave syndromes expert consensus conference report: Emerging concepts and gaps in knowledge [Internet]. Europace. 2017; 19(4):665-94. DOI: 10.1093/europace/euw235
5. Fonseca LM de la T, Cedeño RA, Pérez AMB. Fenocopia de Brugada en el contexto de una infección severa por COVID-19 [Internet]. Rev Cuba Cardiol Cir Cardiovasc. 2021 [acceso: 15/10/2023]; 27(4):1180. Disponible en: https://revcardiologia.sld.cu/index.php/revcardiologia/article/view/1180
6. de-la-Torre-Fonseca L, Wang L, Alarcón-Cedeño R, Plaza-Roque H, Barreda-Pérez A. Onda J en paciente con afección grave por COVID-19. [Internet]. CorSalud 2022 [acceso: 11/6/2024]; 14(3):[aprox. 3 p.]. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/788
7. Okada JI, Fujiu K, Yoneda K, Iwamura T, Washio T, Komuro I, et al. Ionic mechanisms of ST segment elevation in electrocardiogram during acute myocardial infarction [Internet]. J Physiol Sci. 2020; 70(1):36. DOI: 10.1186/s12576-020-00760-3
8. Fonseca LM de la T, Wang L, Cedeño RA, Roque HP, Pérez AMB. Onda J en paciente con afección grave por COVID-19 [Internet]. CorSalud. 2022 [acceso: 15/10/2023]; 14(3):293-6. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/788
9. de la Torre-Fonseca Luis M, Loor-Cedeño F, Alarcón-Cedeño R, Barreda-Pérez AM, Reyes-Mora AD. Alteraciones electrocardiográficas en pacientes hospitalizados con COVID-19 [Internet]. Rev Colomb Cardiol. 2022; 29(6):640-7. DOI: 10.24875/rccar.22000029
10. Sachdeva GS, Bhagat A, Singh K, Verma L, Neki NS. Electrocardiographic changes in acute stroke patients [Internet]. Int J Curr Res Med Sci. 2018; 4(2):36-42. DOI: 10.18203/2320-6012.ijrms20161979
11. Cabrera Rego J, del Busto Mesa A, Munguía Rodríguez J, Yanes Quintana A. Caracterización de los hallazgos electrocardiográficos y su relación con la mortalidad en la enfermedad cerebrovascular aguda [Internet]. CorSalud. 2019 [acceso: 15/10/2023]; 11(3):196-202 Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/405
12. Khairullin AT, Kutlubaev MA, Zagidullin NS, Rakhmatullin AR. Elektrokardiograficheskie prediktory neblagopriyatnogo iskhoda gemorragicheskogo insul'ta [Internet]. Zh Nevrol Psikhiatr Im S S Korsakova. 2022; 122(8. Vyp. 2):61-4. DOI: 10.17116/jnevro202212208261
13. Tomson TT, Arora R. Modulation of Cardiac Potassium Current by Neural Tone and Ischemia [Internet]. Card Electrophysiol Clin. 2016; 8(2):349-60. DOI: 10.1016/j.ccep.2016.01.007
Published
2024-07-05
How to Cite
1.
de la Torre Fonseca LM, Fernández Garcia A, Pucha Pesántez RE, Castañeta Palmer WG. Osborn wave in a patient with intraparenchymal hemorrhage. Rev Cubana Med Milit [Internet]. 2024 Jul. 5 [cited 2025 Apr. 3];53(3):e024026059. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/26059
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