J wave

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J wave labelled as Osborn wave. 81-year-old male with BP 80/62 and temperature 31.9 C (89.5 F).
Atrial fibrillation and J wave in a person with hypothermia

A J wave — also known as Osborn wave, camel-hump sign, late delta wave, hathook junction, hypothermic wave,

electrocardiogram finding.[2]

J waves are positive deflections occurring at the junction between the QRS complex and the ST segment,[3][4] where the S point, also known as the J point, has a myocardial infarction-like elevation.

Causes

They are usually observed in people suffering from

ECG are frequent during targeted temperature management (TTM) after cardiac arrest, particularly in patients treated with 33 °C.[6] Osborn waves are not associated with increased risk of ventricular arrhythmia, and may be considered a benign physiological phenomenon, associated with lower mortality in univariable analyses.[6]

History

The prominent J deflection attributed to hypothermia was first reported in 1938 by Tomaszewski. These waves were then definitively described in 1953 by John J. Osborn (1917–2014) and were named in his honor.[7] Over time, the wave has increasingly been referred to as a J wave, though is still sometimes referred to as the Osborn wave in most part due to Osborn's article in the American Journal of Physiology on experimental hypothermia.[8]

References

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