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The Clinical Picture

Hypothermia and severe first-degree heart block

Kevin Bryan Uy Lo, MD and Alison Nelson, MD
Cleveland Clinic Journal of Medicine January 2018, 85 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.85a.17003
Kevin Bryan Uy Lo
Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA
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  • For correspondence: [email protected]
Alison Nelson
Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA
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    Figure 1

    The initial electrocardiogram showed sinus bradycardia with first-degree atrioventricular block, a PR interval of 704 ms (blue arrow), a mildly increased QRS interval, a mildly prolonged corrected QT interval, and evidence of Osborn waves in leads II and V5 (red arrows). Leads aVF and aVL seemed reversed.

  • Figure 2
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    Figure 2

    After 3 hours of resuscitation and rewarming, the electrocardiogram showed a near-normal PR interval of 216 ms (blue arrow). Q waves noted in leads III and aVF (red arrows) suggested an old inferior wall infarction.

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Cleveland Clinic Journal of Medicine: 85 (1)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 1
1 Jan 2018
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Hypothermia and severe first-degree heart block
Kevin Bryan Uy Lo, Alison Nelson
Cleveland Clinic Journal of Medicine Jan 2018, 85 (1) 10-11; DOI: 10.3949/ccjm.85a.17003

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Hypothermia and severe first-degree heart block
Kevin Bryan Uy Lo, Alison Nelson
Cleveland Clinic Journal of Medicine Jan 2018, 85 (1) 10-11; DOI: 10.3949/ccjm.85a.17003
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