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December 11, 2018Cardiovascular ResearchOpen Access

Hypothermia and cardiac electrophysiology: a systematic review of clinical and experimental data

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Why the study?

Hypothermia is used therapeutically and occurs accidentally, with ventricular arrhythmias causing high mortality, prompting a review of the effect of hypothermia on cardiac electrophysiology.

What is the effect of hypothermia on cardiac electrophysiology in clinical and experimental settings?

Population

Clinical and experimental literature on the effect of hypothermia on cardiac electrophysiology

Comparison

Hypothermia vs normothermia or progressive cooling

Design

Systematic review

Authors

EDErik Sveberg DietrichsOslo University HospitalTTTorkjel TveitaUniversity Hospital of North NorwayGSGodfrey L. SmithElectrophysiology

Discussion

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Overview

Severe hypothermia promotes ventricular arrhythmias; leaves open optimal temperature targets in therapeutic protocols.

Structured PICO

What is the effect of hypothermia on cardiac electrophysiology in clinical and experimental settings?

P
Population
Clinical and experimental literature assessing the effect of hypothermia on cardiac electrophysiology
I
Intervention
Hypothermia (moderate therapeutic, surgical, or accidental)
O
Outcome
Changes in cardiac electrophysiology (including QT interval, QRS interval, arrhythmias, and J-waves)surrogate

Hypothermia progressively alters cardiac electrophysiology, notably prolonging the QT interval and increasing the risk of severe ventricular arrhythmias, suggesting QT-prolonging drugs should be avoided.

Cite This Study

Dietrichs et al. (2018) studied this question.

synapsesocial.com/papers/6a720c5dc2d7c3090827286ahttps://doi.org/10.1093/cvr/cvy305
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ELECTROCARDIOGRAPHIC CHANGES IN HYPOTHERMIA1960 · 10 citations
  2. 2Osborn wave in patients with ST-elevation myocardial infarction undergoing mild therapeutic hypothermia after cardiac arrest2014 · 7 citations
  3. 3Effect of Temperature on the Heart Rate, Electrocardiogram and Certain Myocardial Oxidations of the Rat1958 · 25 citations
  4. 4ELECTROCARDIOGRAPHIC CHANGES IN INDUCED HYPOTHERMIA IN MAN1957 · 46 citations