Abstract

The classic Osborn wave in the form of characteristic changes at the depolarization end or ventricular repolarization beginning is more often associated with hypothermia (body temperature below 35,6° C). Some researchers have noticed Osborn wave at normal body temperature, various pathological conditions and diseases: hypercalcemia, myocardial ischemia, postoperative pericarditis, with central nervous system, etc. We presented a case report of a 72-year-old female inpatient with moderate COVID-19, confirmed by polymerase chain reaction, and 48% lung damage. Before admission to the hospital, electrocardiogram had no Osborn wave, which first appeared at admission. There was a significant increase in serum C-reactive protein and a moderate increase in serum biomarkers and no changes in intervals and segments on the electrocardiogram. The appearance of Osborn wave may be associated with intramyocardial electrolyte imbalance, a consequence of antiviral and antibacterial therapy that violate intraventricular conduction.

Highlights

  • АГ — артериальная гипертензия, АСТ — аспартатаминотрансфераза, инфарктом миокарда (ИМ) — инфаркт миокарда, компьютерной томографии (КТ) — компьютерная томография, КФК — креатинфосфокиназа, ЛДГ — лактатдегидрогеназа, левого желудочка (ЛЖ) — левый желудочек, СРБ — С-реактивный белок, ФВ — фракция выброса, ЭКГ — электрокардиограмма, COVID-19 — новая коронавирусная инфекция, SpO2 — сатурация кислорода

  • The classic Osborn wave in the form of characteristic changes at the depolarization end or ventricular repolarization beginning is more often associated with hypothermia

  • We presented a case report of a 72-year-old female inpatient with moderate COVID-19, confirmed by polymerase chain reaction, and 48% lung damage

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Summary

Introduction

АГ — артериальная гипертензия, АСТ — аспартатаминотрансфераза, ИМ — инфаркт миокарда, КТ — компьютерная томография, КФК — креатинфосфокиназа, ЛДГ — лактатдегидрогеназа, ЛЖ — левый желудочек, СРБ — С-реактивный белок, ФВ — фракция выброса, ЭКГ — электрокардиограмма, COVID-19 — новая коронавирусная инфекция, SpO2 — сатурация кислорода. Ш. Случай выявления изменений электрокардиограммы в виде зубца Осборна при новой коронавирусной инфекции. Зубец Осборна на электрокардиограмме (ЭКГ) отражается в виде позднего положительного зубца, следующего за комплексом QRS.

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Conclusion

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