{"id":"https://openalex.org/W3010341644","doi":"https://doi.org/10.1161/circulationaha.119.044164","title":"Irregular Tachycardia in a Patient With Cardiomyopathy","display_name":"Irregular Tachycardia in a Patient With Cardiomyopathy","publication_year":2020,"publication_date":"2020-03-02","ids":{"openalex":"https://openalex.org/W3010341644","doi":"https://doi.org/10.1161/circulationaha.119.044164","mag":"3010341644","pmid":"https://pubmed.ncbi.nlm.nih.gov/32119584"},"language":"en","primary_location":{"id":"doi:10.1161/circulationaha.119.044164","doi":"https://doi.org/10.1161/circulationaha.119.044164","is_oa":true,"landing_page_url":"https://doi.org/10.1161/circulationaha.119.044164","pdf_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.119.044164?download=true","source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.119.044164?download=true","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012947016","display_name":"Pooneh Nabavizadeh","orcid":"https://orcid.org/0000-0002-0928-9205","observed_orcids":["https://orcid.org/0000-0002-0928-9205"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pooneh Nabavizadeh","raw_affiliation_strings":["Department of Internal Medicine (P.N.), University of Cincinnati, OH","Pooneh Nabavizadeh Department of Internal Medicine (P.N.), University of Cincinnati, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine (P.N.), University of Cincinnati, OH","institution_ids":["https://openalex.org/I63135867"]},{"raw_affiliation_string":"Pooneh Nabavizadeh Department of Internal Medicine (P.N.), University of Cincinnati, OH","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080140941","display_name":"Srinivas Rajsheker","orcid":"https://orcid.org/0000-0003-0144-807X","observed_orcids":["https://orcid.org/0000-0003-0144-807X"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Srinivas Rajsheker","raw_affiliation_strings":["Division of Cardiovascular Health and Disease (S.R.), University of Cincinnati, OH","Srinivas Rajsheker Division of Cardiovascular Health and Disease (S.R.), University of Cincinnati, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Health and Disease (S.R.), University of Cincinnati, OH","institution_ids":["https://openalex.org/I63135867"]},{"raw_affiliation_string":"Srinivas Rajsheker Division of Cardiovascular Health and Disease (S.R.), University of Cincinnati, OH","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001501076","display_name":"Mehran Attari","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113060","display_name":"Sisters of Mercy Health System","ror":"https://ror.org/024zq6d87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210113060"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mehran Attari","raw_affiliation_strings":["Mercy Heart Institute. Fairfield, OH (M.A.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mercy Heart Institute. Fairfield, OH (M.A.)","institution_ids":["https://openalex.org/I4210113060"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.3764,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.57699783,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"141","issue":"9","first_page":"775","last_page":"780"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12600","display_name":"Eosinophilic Disorders and Syndromes","score":0.8720999956130981,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12600","display_name":"Eosinophilic Disorders and Syndromes","score":0.8720999956130981,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11112","display_name":"Viral Infections and Immunology Research","score":0.026000000536441803,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.016899999231100082,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cardiomyopathy","display_name":"cardiomyopathy","score":0.8840000033378601},{"id":"https://openalex.org/keywords/left-ventricular-dysfunction","display_name":"left ventricular dysfunction","score":0.5640000104904175},{"id":"https://openalex.org/keywords/atrial-tachycardia","display_name":"atrial tachycardia","score":0.828000009059906},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.8199999928474426},{"id":"https://openalex.org/keywords/endomyocardial-biopsy","display_name":"endomyocardial biopsy","score":0.7540000081062317},{"id":"https://openalex.org/keywords/eosinophil-infiltration","display_name":"eosinophil infiltration","score":0.9089999794960022},{"id":"https://openalex.org/keywords/immunosuppressive-therapy","display_name":"immunosuppressive therapy","score":0.7120000123977661},{"id":"https://openalex.org/keywords/azathioprine","display_name":"azathioprine","score":0.7250000238418579},{"id":"https://openalex.org/keywords/prednisolone","display_name":"prednisolone","score":0.9909999966621399},{"id":"https://openalex.org/keywords/implantable-cardioverter-defibrillator","display_name":"implantable cardioverter-defibrillator","score":0.8069999814033508},{"id":"https://openalex.org/keywords/sudden-cardiac-death","display_name":"sudden cardiac death","score":0.777999997138977},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.5529999732971191},{"id":"https://openalex.org/keywords/ecg-interpretation","display_name":"ECG interpretation","score":0.3659999966621399}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9686614274978638},{"id":"https://openalex.org/C2778797674","wikidata":"https://www.wikidata.org/wiki/Q847583","display_name":"Cardiomyopathy","level":3,"score":0.7366039752960205},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6515480279922485},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5932210683822632},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.524864912033081},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.2675013840198517}],"mesh":[{"descriptor_ui":"D000200","descriptor_name":"Action Potentials","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002317","descriptor_name":"Cardiovascular Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D004554","descriptor_name":"Electric Countershock","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":false},{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006339","descriptor_name":"Heart Rate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007166","descriptor_name":"Immunosuppressive Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009202","descriptor_name":"Cardiomyopathies","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D009202","descriptor_name":"Cardiomyopathies","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D009202","descriptor_name":"Cardiomyopathies","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D013617","descriptor_name":"Tachycardia, Supraventricular","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D013617","descriptor_name":"Tachycardia, Supraventricular","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D016277","descriptor_name":"Ventricular Function, Left","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017147","descriptor_name":"Defibrillators, Implantable","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018487","descriptor_name":"Ventricular Dysfunction, Left","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D018487","descriptor_name":"Ventricular Dysfunction, Left","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D018487","descriptor_name":"Ventricular Dysfunction, Left","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1161/circulationaha.119.044164","doi":"https://doi.org/10.1161/circulationaha.119.044164","is_oa":true,"landing_page_url":"https://doi.org/10.1161/circulationaha.119.044164","pdf_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.119.044164?download=true","source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},{"id":"pmid:32119584","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32119584","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1161/circulationaha.119.044164","doi":"https://doi.org/10.1161/circulationaha.119.044164","is_oa":true,"landing_page_url":"https://doi.org/10.1161/circulationaha.119.044164","pdf_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.119.044164?download=true","source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3010341644.pdf","grobid_xml":"https://content.openalex.org/works/W3010341644.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W2046037683","https://openalex.org/W2054794643","https://openalex.org/W2128436965"],"related_works":["https://openalex.org/W3148017011","https://openalex.org/W4210890875","https://openalex.org/W2313282630","https://openalex.org/W2932172964","https://openalex.org/W4224566677","https://openalex.org/W1612099628","https://openalex.org/W2015259388","https://openalex.org/W2056602084","https://openalex.org/W2076699591","https://openalex.org/W2404391982"],"abstract_inverted_index":{"ECG":[0,38,202],"CHALLENGEA":[1],"45-year-old":[2],"female":[3],"with":[4,89],"no":[5,105,147],"significant":[6],"past":[7],"medical":[8,87],"history":[9],"developed":[10],"progressive":[11],"fatigue":[12],"and":[13,30,46,67,77,92,110,136,164,173,192],"dyspnea.Echocardiogram":[14],"showed":[15,137],"a":[16],"left":[17,64],"ventricular":[18,94],"ejection":[19,181],"fraction":[20,182],"of":[21,27,124,142,152,170,175,199],"25%":[22],"to":[23,41,187,213],"30%,":[24],"moderate":[25],"dysfunction":[26],"right":[28],"ventricle,":[29],"dilated":[31],"atria.Pro-B-type":[32],"natriuretic":[33],"peptide":[34],"(proBNP)":[35],"was":[36,39,53,82,84,119,130,146,160,194,203],"elevated.Her":[37],"considered":[40],"show":[42],"paroxysmal":[43],"atrial":[44,48,58],"tachycardia":[45,59],"possible":[47],"fibrillation":[49],"(Figure":[50,205],"1A).Holter":[51],"monitor":[52],"read":[54,214],"as":[55],"having":[56],"frequent":[57,111,189],"runs.Cardiac":[60],"MRI,":[61],"stress":[62],"test,":[63],"heart":[65,177],"catheterization,":[66],"positron":[68],"emission":[69],"tomography":[70],"were":[71,114],"all":[72],"negative":[73],"for":[74,121,196],"inflammation,":[75],"infiltration,":[76],"coronary":[78],"artery":[79],"disease.Thyroid":[80],"function":[81,95],"normal.She":[83],"started":[85,161],"on":[86,162],"therapy":[88,172],"carvedilol,":[90],"losartan,":[91],"spironolactone.Left":[93],"did":[96,183],"not":[97,184],"improve":[98],"significantly.She":[99],"underwent":[100],"an":[101,166],"electrophysiology":[102],"study,":[103],"but":[104],"arrhythmia":[106],"could":[107],"be":[108],"induced,":[109],"junctional":[112],"beats":[113,191],"reported.An":[115],"implantable":[116],"cardioverter":[117],"defibrillator":[118],"inserted":[120],"primary":[122],"prevention":[123],"sudden":[125],"cardiac":[126],"death.An":[127],"endomyocardial":[128],"biopsy":[129],"performed":[131],"9":[132],"months":[133,169],"after":[134],"diagnosis":[135],"eosinophilic":[138],"infiltrate":[139],"in":[140,155],"1":[141],"4":[143],"specimens":[144],"obtained.There":[145],"peripheral":[148],"eosinophilia":[149],"or":[150],"evidence":[151],"hypereosinophilic":[153],"syndrome":[154],"any":[156],"other":[157],"organ":[158],"system.She":[159],"azathioprine":[163],"prednisolone.Despite":[165],"additional":[167],"7":[168],"immunosuppressive":[171],"continuation":[174],"standard":[176],"failure":[178],"medications":[179],"her":[180],"improve.She":[185],"continued":[186],"have":[188],"premature":[190,200],"runs.She":[193],"referred":[195],"further":[197],"evaluation":[198],"beats.An":[201],"done":[204],"1B).What":[206],"is":[207],"the":[208,211,215],"diagnosis?Please":[209],"turn":[210],"page":[212],"diagnosis.":[216]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-03-13T00:00:00"}