{"id":"https://openalex.org/W4407200029","doi":"https://doi.org/10.1093/ehjcr/ytaf067","title":"ECG challenge: an incidental reset\u2014unravelling the tachycardia","display_name":"ECG challenge: an incidental reset\u2014unravelling the tachycardia","publication_year":2025,"publication_date":"2025-02-01","ids":{"openalex":"https://openalex.org/W4407200029","doi":"https://doi.org/10.1093/ehjcr/ytaf067","pmid":"https://pubmed.ncbi.nlm.nih.gov/40008264","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11851275"},"language":"en","primary_location":{"id":"doi:10.1093/ehjcr/ytaf067","doi":"https://doi.org/10.1093/ehjcr/ytaf067","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytaf067","pdf_url":"https://academic.oup.com/ehjcr/article-pdf/9/2/ytaf067/61778891/ytaf067.pdf","source":{"id":"https://openalex.org/S2735316389","display_name":"European Heart Journal - Case Reports","issn_l":"2514-2119","issn":["2514-2119"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/ehjcr/article-pdf/9/2/ytaf067/61778891/ytaf067.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112966141","display_name":"Hee Young Lim","orcid":"https://orcid.org/0009-0001-0455-9237","observed_orcids":["https://orcid.org/0009-0001-0455-9237","https://orcid.org/0009-0008-6966-2420"]},"institutions":[{"id":"https://openalex.org/I4210156005","display_name":"Tengku Ampuan Rahimah Hospital","ror":"https://ror.org/05c0hj959","country_code":"MY","type":"healthcare","lineage":["https://openalex.org/I4210156005"]}],"countries":["MY"],"is_corresponding":true,"raw_author_name":"Hong Yee Lim","raw_affiliation_strings":["Department of Internal Medicine, Hospital Tengku Ampuan Rahimah , Jalan Langat, 41200 Klang, Selangor ,"],"raw_orcid":"https://orcid.org/0009-0001-0455-9237","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Hospital Tengku Ampuan Rahimah , Jalan Langat, 41200 Klang, Selangor ,","institution_ids":["https://openalex.org/I4210156005"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086892353","display_name":"Yu Ying Ong","orcid":"https://orcid.org/0009-0007-7095-9056","observed_orcids":["https://orcid.org/0009-0007-7095-9056"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yu Ying Ong","raw_affiliation_strings":["Department of Cardiology, Hospital Sultan Idris Shah Serdang , Jalan Puchong, 43000 Kajang, Selangor ,"],"raw_orcid":"https://orcid.org/0009-0007-7095-9056","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Hospital Sultan Idris Shah Serdang , Jalan Puchong, 43000 Kajang, Selangor ,","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100980740","display_name":"Soot Keng Ma","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Soot Keng Ma","raw_affiliation_strings":["Cardiology Unit, Island Hospital , 308 Macalister Road, 10450 Penang ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology Unit, Island Hospital , 308 Macalister Road, 10450 Penang ,","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5112966141"],"corresponding_institution_ids":["https://openalex.org/I4210156005"],"apc_list":{"value":721,"currency":"EUR","value_usd":815},"apc_paid":{"value":721,"currency":"EUR","value_usd":815},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"2","first_page":"ytaf067","last_page":"ytaf067"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.9897000193595886,"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/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.9897000193595886,"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/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.008299999870359898,"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/T10745","display_name":"Heart Rate Variability and Autonomic Control","score":0.00019999999494757503,"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/atrioventricular-nodal-reentrant-tachycardia","display_name":"atrioventricular nodal reentrant tachycardia","score":0.9229999780654907},{"id":"https://openalex.org/keywords/atrial-ectopic-beats","display_name":"atrial ectopic beats","score":0.722000002861023},{"id":"https://openalex.org/keywords/premature-ventricular-contractions","display_name":"premature ventricular contractions","score":0.6370000243186951},{"id":"https://openalex.org/keywords/supraventricular-tachycardia","display_name":"supraventricular tachycardia","score":0.8759999871253967},{"id":"https://openalex.org/keywords/atrioventricular-block","display_name":"atrioventricular block","score":0.6079999804496765},{"id":"https://openalex.org/keywords/atrioventricular-node","display_name":"atrioventricular node","score":0.43799999356269836}],"concepts":[{"id":"https://openalex.org/C2779795794","wikidata":"https://www.wikidata.org/wiki/Q7315343","display_name":"Reset (finance)","level":2,"score":0.8508123755455017},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.5041640996932983},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3650659918785095},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.32697808742523193},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3235604166984558},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.31698548793792725},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.1452474296092987},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/ehjcr/ytaf067","doi":"https://doi.org/10.1093/ehjcr/ytaf067","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytaf067","pdf_url":"https://academic.oup.com/ehjcr/article-pdf/9/2/ytaf067/61778891/ytaf067.pdf","source":{"id":"https://openalex.org/S2735316389","display_name":"European Heart Journal - Case Reports","issn_l":"2514-2119","issn":["2514-2119"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11851275","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11851275","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11851275/pdf/ytaf067.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur Heart J Case Rep","raw_type":"Text"},{"id":"pmid:40008264","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40008264","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":"European heart journal. Case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1093/ehjcr/ytaf067","doi":"https://doi.org/10.1093/ehjcr/ytaf067","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjcr/ytaf067","pdf_url":"https://academic.oup.com/ehjcr/article-pdf/9/2/ytaf067/61778891/ytaf067.pdf","source":{"id":"https://openalex.org/S2735316389","display_name":"European Heart Journal - Case Reports","issn_l":"2514-2119","issn":["2514-2119"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4407200029.pdf","grobid_xml":"https://content.openalex.org/works/W4407200029.grobid-xml"},"referenced_works_count":2,"referenced_works":["https://openalex.org/W2014040080","https://openalex.org/W3003658181"],"related_works":["https://openalex.org/W2010851022","https://openalex.org/W3014484193","https://openalex.org/W7085139953","https://openalex.org/W1966628464","https://openalex.org/W1568514604","https://openalex.org/W4210412802","https://openalex.org/W2518287899","https://openalex.org/W2005926393","https://openalex.org/W2791438477","https://openalex.org/W2613207325"],"abstract_inverted_index":{"A":[0],"62-year-old":[1],"lady":[2],"presented":[3],"to":[4,29,37,164,198,222,308,315,439,457,488,524,606,693],"the":[5,38,61,66,71,78,92,151,155,188,192,204,218,223,241,248,258,283,289,297,302,319,337,342,381,410,421,425,428,440,444,460,472,492,500,507,521,536,638,652,704,714,717,746,756,764],"emergency":[6],"department":[7],"with":[8,49,133,356,623,726],"1":[9],"day":[10],"history":[11],"of":[12,52,60,65,70,109,118,137,143,158,182,191,211,217,331,380,468,494,511,520,535,545,567,584,617,721,758],"palpitation,":[13],"chest":[14],"discomfort,":[15],"and":[16,46,100,256,287,311,324,419,434,459,574,588,629,664,706,719],"pre-syncopal":[17],"attack":[18],"triggered":[19],"by":[20,102,179,240,374,420],"recent":[21],"onset":[22],"upper":[23],"respiratory":[24],"tract":[25],"symptoms.":[26],"She":[27],"admitted":[28],"having":[30],"intermittent":[31],"palpitation":[32],"started":[33],"\u223c6":[34],"months":[35],"prior":[36],"current":[39],"presentation.":[40],"It":[41,549],"usually":[42],"lasted":[43],"10":[44],"min":[45],"resolved":[47],"spontaneously,":[48],"a":[50,55,83,134,166,170,180,200,207,386,568,575,602],"frequency":[51],"recurrence":[53],"once":[54],"month.":[56],"Figure":[57,532],"1:":[58],"Electrocardiogram":[59,64],"tachycardia":[62,67,81,97,115,132,205,325,348,351,354,363,383,461,546,591,653],"event.":[63,68],"Which":[69,534],"following":[72,301,537],"event":[73],"is":[74,98,107,116,124,141,162,230,237,274,328,341,370,476,485,538,547,581,594,601,613,658,672,679],"not":[75,246,275,477,486,673,737],"observed":[76,149,295],"in":[77,150,276,333,479,571,578,596,609,724,745],"ECG?":[79],"The":[80,96,114,121,146,214,368,448,509,543,565,611,615,689,752],"has":[82,128,206,322,432],"short":[84,208],"RP":[85,209],"interval.":[86],"Atrial":[87,353,365],"ectopic":[88,104,173,220,260,269,304,406,502],"beats":[89,174],"occur":[90],"during":[91,232,391],"His-Purkinje":[93,233,273,426],"refractory":[94,234,430],"period.":[95,235],"perturbed":[99,288],"reset":[101],"an":[103],"beat.":[105],"There":[106,327],"presence":[108,493,510,566],"premature":[110,387],"ventricular":[111],"complex":[112,131,161,226,389],"(PVC).":[113],"likely":[117,142,163,343],"supraventricular":[119,144],"origin.":[120,145],"correct":[122],"answer":[123,369,612],"D.":[125],"This":[126,236,475,734],"ECG":[127],"revealed":[129],"narrow":[130],"R\u2013R":[135,253,299],"interval":[136,210,254,300],"380":[138,264,316,469],"ms,":[139,317],"which":[140,195],"negative":[147,185],"deflection":[148,186],"inferior":[152,579],"leads":[153],"at":[154,187,263,415,463,681],"terminal":[156,189],"portion":[157,190],"each":[159],"QRS":[160,225,251,291,321,446],"represent":[165],"P":[167,201,512],"wave.":[168,202],"Interestingly,":[169],"few":[171],"atrial":[172,219,259,268,303,388,405,501],"were":[175],"also":[176,294],"observed,":[177],"followed":[178],"disappearance":[181],"previously":[183],"mentioned":[184],"subsequent":[193,298,382,445],"QRS,":[194],"further":[196,238],"proved":[197],"be":[199,437,668],"Hence,":[203],"<70":[212],"ms.":[213,265],"close":[215],"proximity":[216],"beat":[221,261,270,305,384,503],"immediate":[224,249,290],"suggested":[227],"that":[228,243,296,754],"it":[229,244,423],"produced":[231],"supported":[239],"fact":[242],"did":[245,736],"perturb":[247],"next":[250],"complex\u2014the":[252],"before":[255],"after":[257,385],"remained":[262],"An":[266],"early":[267],"occurring":[271],"when":[272],"refractoriness":[277,393],"would":[278,504,691],"have":[279,505],"travelled":[280],"down":[281,409,490],"via":[282,397,454,557,562,626,631],"atrioventricular":[284,361],"(AV)":[285],"node":[286],"complex.":[292,447],"We":[293],"was":[306,711],"shortened":[307],"344":[309],"ms":[310,470],"then":[312,451],"restored":[313],"back":[314],"i.e.":[318],"second":[320],"advanced":[323],"reset.":[326],"no":[329],"evidence":[330],"PVC":[332],"this":[334,722,759],"ECG.":[335],"Given":[336],"above":[338],"information,":[339],"what":[340],"diagnosis?":[344],"Atrioventricular":[345],"nodal":[346,400,553],"re-entrant":[347,621],"(AVNRT)":[349],"Junctional":[350],"(JT)":[352],"(AT)":[355],"delayed":[357],"AV":[358,399,473,552],"conduction":[359,396,417,556,561,624],"Orthodromic":[360],"reciprocating":[362],"(AVRT)":[364],"fibrillation":[366],"(AF)":[367],"A.":[371],"As":[372,497],"described":[373],"Padanilam":[375],"et":[376],"al.,1":[377],"any":[378,739],"perturbation":[379],"(PAC)":[390],"junctional":[392],"indicates":[394],"anterograde":[395],"slow":[398,411,495,563,627],"pathway.":[401,496,633],"In":[402,634,649],"our":[403,650],"patient,":[404,637,651],"impulse":[407,435,449,484],"travels":[408],"pathway":[412,456,564,628],"(shorter":[413],"refractory)":[414],"slower":[416],"velocity":[418],"time":[422],"reaches":[424],"system,":[427],"His":[429],"period":[431],"recovered":[433],"can":[436,450],"conducted":[438],"ventricles,":[441],"hence":[442],"perturbing":[443],"travel":[452,489],"retrograde":[453,560,630],"fast":[455,558,632],"atrium":[458],"continues":[462],"its":[464],"previous":[465],"cycle":[466],"length":[467],"within":[471],"node.":[474],"possible":[478],"JT":[480],"or":[481,675,749],"AT":[482],"as":[483],"able":[487],"without":[491],"for":[498,660,703,716],"AVRT,":[499],"terminated":[506,654],"tachycardia.":[508],"wave":[513,570,577],"ruled":[514],"out":[515],"AF.":[516],"For":[517],"better":[518,603],"understanding":[519],"ECG,":[522],"refer":[523],"ladder":[525],"diagram":[526],"drawn":[527],"(see":[528],"Supplementary":[529,677],"material":[530,678],"online,":[531],"S1).":[533],"true":[539],"regarding":[540],"typical":[541,618],"AVNRT?":[542],"mechanism":[544,616],"automaticity.":[548],"involves":[550,620],"dual":[551],"pathway:":[554],"antegrade":[555,625],"pathway,":[559],"pseudo-R":[569],"lead":[572,580],"V1":[573],"pseudo-S":[576],"highly":[582],"suggestive":[583],"AVNRT":[585,619],"than":[586],"AVRT":[587],"AT.":[589],"During":[590],"event,":[592],"amiodarone":[593],"recommended":[595,639,659],"haemodynamically":[597,635],"stable":[598,636],"patient.":[599],"Pharmacotherapy":[600],"choice":[604],"compared":[605],"catheter":[607],"ablation":[608,657,671],"long-term.":[610],"C.":[614],"circuit":[622],"first":[640],"line":[641],"therapy":[642,666],"includes":[643],"vagal":[644],"manoeuvre":[645],"and/or":[646],"intravenous":[647],"adenosine.2":[648],"spontaneously.":[655],"Catheter":[656],"symptomatic":[661],"recurrent":[662],"AVNRT,":[663],"drugs":[665],"should":[667],"considered":[669],"if":[670],"desirable":[674],"feasible.2":[676],"available":[680,762],"European":[682],"Heart":[683],"Journal":[684],"\u2013":[685],"Case":[686],"Reports":[687],"online.":[688],"authors":[690,765],"like":[692],"thank":[694],"Dr":[695],"Yam":[696],"Herng":[697],"Pin":[698],"from":[699,713,742,763],"Hospital":[700],"Melaka,":[701],"Malaysia":[702],"help":[705],"support.":[707],"Consent:":[708],"Informed":[709],"consent":[710],"obtained":[712],"patient":[715],"preparation":[718],"publication":[720],"manuscript,":[723],"accordance":[725],"Committee":[727],"on":[728],"Publication":[729],"Ethics":[730],"(COPE)":[731],"guidelines.":[732],"Funding:":[733],"research":[735],"receive":[738],"specific":[740],"grant":[741],"funding":[743],"agencies":[744],"public,":[747],"commercial,":[748],"not-for-profit":[750],"sectors.":[751],"data":[753],"support":[755],"findings":[757],"study":[760],"are":[761],"upon":[766],"request.":[767]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2025-02-06T00:00:00"}