{"id":"https://openalex.org/W4367548599","doi":"https://doi.org/10.4037/ajcc2023150","title":"Electrocardiographic Waveform Abnormalities in Patients With Structural Heart Disease","display_name":"Electrocardiographic Waveform Abnormalities in Patients With Structural Heart Disease","publication_year":2023,"publication_date":"2023-05-01","ids":{"openalex":"https://openalex.org/W4367548599","doi":"https://doi.org/10.4037/ajcc2023150","pmid":"https://pubmed.ncbi.nlm.nih.gov/37121896"},"language":"en","primary_location":{"id":"doi:10.4037/ajcc2023150","doi":"https://doi.org/10.4037/ajcc2023150","is_oa":false,"landing_page_url":"https://doi.org/10.4037/ajcc2023150","pdf_url":null,"source":{"id":"https://openalex.org/S76904441","display_name":"American Journal of Critical Care","issn_l":"1062-3264","issn":["1062-3264","1937-710X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4320800778","host_organization_name":"American Association of Critical-Care Nurses","host_organization_lineage":["https://openalex.org/P4320800778"],"host_organization_lineage_names":["American Association of Critical-Care Nurses"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Critical Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008335097","display_name":"Michele M. Pelter","orcid":"https://orcid.org/0000-0001-9456-228X","observed_orcids":["https://orcid.org/0000-0001-9456-228X"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michele M. Pelter","raw_affiliation_strings":["Michele M. Pelter is an associate professor in the Department of Physiological Nursing at University of California, San Francisco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Michele M. Pelter is an associate professor in the Department of Physiological Nursing at University of California, San Francisco","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074469819","display_name":"Sukardi Suba","orcid":"https://orcid.org/0000-0002-0756-5720","observed_orcids":["https://orcid.org/0000-0002-0756-5720"]},"institutions":[{"id":"https://openalex.org/I5388228","display_name":"University of Rochester","ror":"https://ror.org/022kthw22","country_code":"US","type":"education","lineage":["https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sukardi Suba","raw_affiliation_strings":["Sukardi Suba is a postdoctoral associate, University of Rochester, Rochester, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sukardi Suba is a postdoctoral associate, University of Rochester, Rochester, New York","institution_ids":["https://openalex.org/I5388228"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052946062","display_name":"Mary G. Carey","orcid":"https://orcid.org/0000-0002-5013-3464","observed_orcids":["https://orcid.org/0000-0002-5013-3464"]},"institutions":[{"id":"https://openalex.org/I1342728388","display_name":"Strong Memorial Hospital","ror":"https://ror.org/0583j8v67","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1342728388","https://openalex.org/I28792581","https://openalex.org/I5388228"]},{"id":"https://openalex.org/I28792581","display_name":"University of Rochester Medicine","ror":"https://ror.org/00trqv719","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I28792581","https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary G. Carey","raw_affiliation_strings":["Mary G. Carey is director of clinical nursing research, Strong Memorial Hospital at University of Rochester Medical Center, Rochester, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mary G. Carey is director of clinical nursing research, Strong Memorial Hospital at University of Rochester Medical Center, Rochester, New York","institution_ids":["https://openalex.org/I1342728388","https://openalex.org/I28792581"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.09476506,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"3","first_page":"227","last_page":"228"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.5199999809265137,"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"}},"topics":[{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.5199999809265137,"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":0.17820000648498535,"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/T11021","display_name":"ECG Monitoring and Analysis","score":0.11110000312328339,"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/electrocardiographic-abnormalities","display_name":"electrocardiographic abnormalities","score":0.7900000214576721},{"id":"https://openalex.org/keywords/structural-heart-disease","display_name":"structural heart disease","score":0.9490000009536743},{"id":"https://openalex.org/keywords/premature-atrial-contractions","display_name":"premature atrial contractions","score":0.9319999814033508},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.7429999709129333},{"id":"https://openalex.org/keywords/right-atrial-enlargement","display_name":"right atrial enlargement","score":0.781000018119812},{"id":"https://openalex.org/keywords/left-atrial-enlargement","display_name":"left atrial enlargement","score":0.972000002861023},{"id":"https://openalex.org/keywords/left-ventricular-hypertrophy","display_name":"left ventricular hypertrophy","score":0.9369999766349792},{"id":"https://openalex.org/keywords/t-wave-inversion","display_name":"T-wave inversion","score":0.6510000228881836},{"id":"https://openalex.org/keywords/st-segment-depression","display_name":"ST-segment depression","score":0.9729999899864197},{"id":"https://openalex.org/keywords/inferior-myocardial-infarction","display_name":"inferior myocardial infarction","score":0.7940000295639038},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.652999997138977},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.6520000100135803},{"id":"https://openalex.org/keywords/acute-respiratory-distress-syndrome","display_name":"acute respiratory distress syndrome","score":0.5730000138282776},{"id":"https://openalex.org/keywords/hypotension","display_name":"hypotension","score":0.6520000100135803},{"id":"https://openalex.org/keywords/furosemide","display_name":"furosemide","score":0.5419999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9448133707046509},{"id":"https://openalex.org/C2777627335","wikidata":"https://www.wikidata.org/wiki/Q6516936","display_name":"Left atrial enlargement","level":4,"score":0.7874941825866699},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7860984802246094},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7404996156692505},{"id":"https://openalex.org/C2775914520","wikidata":"https://www.wikidata.org/wiki/Q12335414","display_name":"Sinus rhythm","level":3,"score":0.6509714126586914},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.6458141207695007},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.4819631278514862},{"id":"https://openalex.org/C111773187","wikidata":"https://www.wikidata.org/wiki/Q1969239","display_name":"QRS complex","level":2,"score":0.4554178714752197},{"id":"https://openalex.org/C2780045698","wikidata":"https://www.wikidata.org/wiki/Q8775887","display_name":"Hypertensive heart disease","level":3,"score":0.43449458479881287},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.4141318202018738},{"id":"https://openalex.org/C192244848","wikidata":"https://www.wikidata.org/wiki/Q7672706","display_name":"T wave","level":3,"score":0.41265058517456055}],"mesh":[{"descriptor_ui":"D001145","descriptor_name":"Arrhythmias, Cardiac","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","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}],"locations_count":2,"locations":[{"id":"doi:10.4037/ajcc2023150","doi":"https://doi.org/10.4037/ajcc2023150","is_oa":false,"landing_page_url":"https://doi.org/10.4037/ajcc2023150","pdf_url":null,"source":{"id":"https://openalex.org/S76904441","display_name":"American Journal of Critical Care","issn_l":"1062-3264","issn":["1062-3264","1937-710X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4320800778","host_organization_name":"American Association of Critical-Care Nurses","host_organization_lineage":["https://openalex.org/P4320800778"],"host_organization_lineage_names":["American Association of Critical-Care Nurses"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Critical Care","raw_type":"journal-article"},{"id":"pmid:37121896","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37121896","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":"American journal of critical care : an official publication, American Association of Critical-Care Nurses","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"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":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3159144174","https://openalex.org/W2475092297","https://openalex.org/W2136199569","https://openalex.org/W2589369212","https://openalex.org/W7084498636","https://openalex.org/W4224566677","https://openalex.org/W107961569","https://openalex.org/W122984646","https://openalex.org/W2038160147","https://openalex.org/W1947270083"],"abstract_inverted_index":{"Scenario:":[0],"This":[1,350],"12-lead":[2],"electrocardiogram":[3],"(ECG)":[4],"was":[5,60,76,84,106,438,447,453],"obtained":[6],"in":[7,12,127,179,223,256],"a":[8,48,196,202,216,312,347,365],"72-year-old":[9],"man":[10],"arriving":[11],"the":[13,93,151,193,249,291,296,329,336,357,408],"emergency":[14],"department":[15],"with":[16,89,110,172,181,206,236,261,276,316,344,411],"shortness":[17],"of":[18,81,104,248,405,414],"breath":[19],"and":[20,40,55,67,96,117,130,142,144,185,200,227,232,252,268,283,306,340,384,407,422,427,444],"dizziness.":[21],"Prior":[22],"medical":[23,279],"history":[24,280],"includes":[25,334],"myocardial":[26,322,382,450],"infarction":[27],"(MI),":[28],"heart":[29,183,423],"failure":[30],"(HF),":[31],"chronic":[32],"obstructive":[33],"pulmonary":[34],"disease":[35,184],"(COPD),":[36],"diabetes":[37],"(type":[38],"2),":[39],"paroxysmal":[41],"atrial":[42,112,119,157,213,239],"fibrillation.":[43],"Current":[44],"prescribed":[45],"medications":[46],"include":[47],"\u03b2-blocker,":[49],"aspirin,":[50],"angiotensin-converting":[51],"enzyme":[52],"inhibitor,":[53],"furosemide,":[54,359],"diltiazem.":[56],"His":[57],"blood":[58,342,367,398],"pressure":[59,244],"98/50":[61],"mm":[62,222,270],"Hg,":[63],"respiratory":[64,338],"rate":[65,404],"24/min,":[66],"oxygen":[68],"saturation":[69],"as":[70,395],"measured":[71],"by":[72,301],"pulse":[73],"oximetry":[74],"(Spo2)":[75],"92%":[77,409],"on":[78,92,417],"3":[79,412,456],"L":[80,413],"oxygen.":[82,415],"He":[83,452],"most":[85,309],"comfortable":[86],"sitting":[87],"up":[88],"his":[90,402,445],"arms":[91],"bedside":[94],"table,":[95],"said":[97],"he":[98],"felt":[99],"better":[100],"after":[101,192,356],"40":[102],"mg":[103],"furosemide":[105],"administered":[107],"intravenously.Sinus":[108],"rhythm":[109,153,171],"premature":[111],"complexes":[113],"(PACs),":[114],"possible":[115],"right":[116,212],"left":[118,133,139,250,284,317],"enlargement,":[120],"prior":[121,331],"inferior":[122],"wall":[123],"MI":[124],"(q":[125],"waves":[126,160,260],"leads":[128,224],"III":[129],"aVF),":[131],"incomplete":[132],"intraventricular":[134],"conduction":[135],"defect":[136],"(fQRS":[137],"waves),":[138],"ventricular":[140,285,318],"hypertrophy,":[141,319],"ST-segment":[143,307],"T-wave":[145,304],"abnormalities":[146],"may":[147],"suggest":[148],"anterolateral":[149],"ischemia.Although":[150],"underlying":[152],"is":[154,169,195,215,241,274,289],"irregular,":[155],"suggesting":[156],"fibrillation,":[158],"P":[159,230,259],"are":[161,176],"visible":[162],"before":[163],"every":[164],"QRS":[165],"complex;":[166],"thus,":[167],"this":[168,188,277,362,434],"sinus":[170],"frequent":[173],"PACs.":[174,207],"PACs":[175,194],"not":[177,290],"uncommon":[178],"patients":[180],"structural":[182],"COPD,":[186],"like":[187],"one.":[189],"The":[190,208,303],"pause":[191,204],"normal":[197],"physiologic":[198],"response":[199],"represents":[201],"compensatory":[203],"associated":[205],"ECG":[209,288],"criterion":[210],"for":[211,369,376,449],"enlargement":[214,240,273],"P-wave":[217],"amplitude":[218],"greater":[219],"than":[220],"2.5":[221],"II,":[225],"III,":[226],"aVF":[228],"(so-called":[229],"pulmonale)":[231],"can":[233,253],"be":[234,254,299,325,393,431],"seen":[235,315],"COPD.":[237],"Left":[238],"due":[242],"to":[243,374,379],"or":[245],"volume":[246],"overload":[247],"atrium":[251],"assessed":[255],"V1":[257],"(biphasic":[258],"negative":[262,448],"terminal":[263],"portion":[264],">40":[265],"ms":[266],"long":[267],">1":[269],"deep).":[271],"Biatrial":[272],"consistent":[275],"patient\u2019s":[278,330,351,435],"(MI,":[281],"HF,":[282,377,443],"hypertrophy);":[286],"however,":[287],"reference":[292],"standard":[293],"method,":[294],"so":[295],"diagnosis":[297],"should":[298,324,430],"confirmed":[300],"echocardiography.":[302],"inversion":[305],"depression":[308],"likely":[310,348],"represent":[311],"\u201cstrain\u201d":[313],"pattern":[314],"but":[320],"acute":[321,337],"ischemia":[323],"ruled":[326],"out":[327,381],"given":[328,401],"MI.Immediate":[332],"management":[333],"addressing":[335],"distress":[339],"low":[341],"pressure,":[343],"HF":[345],"exacerbation":[346],"source.":[349],"symptoms":[352],"were":[353],"somewhat":[354],"relieved":[355],"intravenous":[358],"which":[360,441],"supports":[361],"diagnosis.":[363],"Checking":[364],"venous":[366],"sample":[368],"brain":[370],"natriuretic":[371],"peptide":[372],"(BNP)":[373],"assess":[375],"troponin":[378,446],"rule":[380],"ischemia,":[383],"electrolyte":[385],"levels":[386],"would":[387,392],"help.":[388],"A":[389],"chest":[390],"radiograph":[391],"useful,":[394],"might":[396],"arterial":[397],"gas":[399],"analysis,":[400],"elevated":[403],"breathing":[406],"Spo2":[410],"Findings":[416],"physical":[418],"examination,":[419],"especially":[420],"lung":[421],"sounds,":[424],"peripheral":[425],"edema,":[426],"daily":[428],"weight":[429],"evaluated.":[432],"Ultimately,":[433],"BNP":[436],"level":[437],"3400":[439],"ng/mL,":[440],"corroborates":[442],"ischemia.":[451],"discharged":[454],"home":[455],"days":[457],"later.":[458]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-05-01T00:00:00"}