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Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological insult • Medications • Ventricular fibrillation Clinical • Most prominent in the precordial leads • Size of wave correlates with degree of hypothermia • Usually resolves with warming • No prognostic value #Osborn #JWave #Diagnosis #Differential #Cardiology #EKG #ECG #Hypothermia