{"id":"https://openalex.org/W7171663283","doi":"https://doi.org/10.1016/j.jaccas.2026.108865","title":"Device Interrogation Unmasking Flecainide-Induced Wide Complex Tachycardia","display_name":"Device Interrogation Unmasking Flecainide-Induced Wide Complex Tachycardia","publication_year":2026,"publication_date":"2026-07-01","ids":{"openalex":"https://openalex.org/W7171663283","doi":"https://doi.org/10.1016/j.jaccas.2026.108865","pmid":"https://pubmed.ncbi.nlm.nih.gov/42530184"},"language":"en","primary_location":{"id":"doi:10.1016/j.jaccas.2026.108865","doi":"https://doi.org/10.1016/j.jaccas.2026.108865","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.108865","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jaccas.2026.108865","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007166261","display_name":"Matthew W. Segar","orcid":"https://orcid.org/0000-0001-6100-0897","observed_orcids":["https://orcid.org/0000-0001-6100-0897"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Matthew W. Segar","raw_affiliation_strings":["Department of Cardiac Electrophysiology, Texas Heart Institute, Houston, Texas, USA. Electronic address: msegar@texasheart.org"],"raw_orcid":"https://orcid.org/0000-0001-6100-0897","affiliations":[{"raw_affiliation_string":"Department of Cardiac Electrophysiology, Texas Heart Institute, Houston, Texas, USA. Electronic address: msegar@texasheart.org","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011419229","display_name":"Kaleb D. Lambeth","orcid":"https://orcid.org/0000-0002-4431-2474","observed_orcids":["https://orcid.org/0000-0002-4431-2474"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kaleb D. Lambeth","raw_affiliation_strings":["Department of Cardiac Electrophysiology, Texas Heart Institute, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Electrophysiology, Texas Heart Institute, Houston, Texas, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143955737","display_name":"Addison J. Hastedt","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122525","display_name":"Ross University School of Medicine","ror":"https://ror.org/02nd9e057","country_code":"BB","type":"education","lineage":["https://openalex.org/I4210122525"]}],"countries":["BB"],"is_corresponding":false,"raw_author_name":"Addison J. Hastedt","raw_affiliation_strings":["Ross University School of Medicine, Bridgetown, Barbados"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ross University School of Medicine, Bridgetown, Barbados","institution_ids":["https://openalex.org/I4210122525"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023872058","display_name":"Joanna E. Molina-Razavi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joanna E. Molina-Razavi","raw_affiliation_strings":["Department of Cardiac Electrophysiology, Texas Heart Institute, Houston, Texas, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Electrophysiology, Texas Heart Institute, Houston, Texas, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5007166261"],"corresponding_institution_ids":[],"apc_list":{"value":850,"currency":"USD","value_usd":850},"apc_paid":{"value":850,"currency":"USD","value_usd":850},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.6409457,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"30","first_page":"108865","last_page":"108865"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.7426999807357788,"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":0.7426999807357788,"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/T10598","display_name":"Cardiac pacing and defibrillation studies","score":0.21879999339580536,"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":0.020899999886751175,"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/wide-complex-tachycardia","display_name":"wide complex tachycardia","score":0.9290000200271606},{"id":"https://openalex.org/keywords/flecainide","display_name":"flecainide","score":0.972000002861023},{"id":"https://openalex.org/keywords/ventricular-sensing","display_name":"ventricular sensing","score":0.5649999976158142},{"id":"https://openalex.org/keywords/ventricular-overdrive-pacing","display_name":"ventricular overdrive pacing","score":0.8690000176429749},{"id":"https://openalex.org/keywords/supraventricular-tachycardia-with-aberrancy","display_name":"supraventricular tachycardia with aberrancy","score":0.9110000133514404},{"id":"https://openalex.org/keywords/cytochrome-p450-inhibition","display_name":"cytochrome P450 inhibition","score":0.9890000224113464},{"id":"https://openalex.org/keywords/paroxysmal-atrial-fibrillation","display_name":"paroxysmal atrial fibrillation","score":0.875},{"id":"https://openalex.org/keywords/dual-chamber-pacemaker","display_name":"dual-chamber pacemaker","score":0.7609999775886536},{"id":"https://openalex.org/keywords/sodium-bicarbonate-therapy","display_name":"bicarbonate therapy","score":0.7020000219345093},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.765999972820282}],"concepts":[{"id":"https://openalex.org/C2776240099","wikidata":"https://www.wikidata.org/wiki/Q327018","display_name":"Interrogation","level":2,"score":0.7041000127792358},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.41819998621940613},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.3849000036716461},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.37389999628067017},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.34060001373291016},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C24890656","wikidata":"https://www.wikidata.org/wiki/Q82811","display_name":"Acoustics","level":1,"score":0.2630000114440918},{"id":"https://openalex.org/C99498987","wikidata":"https://www.wikidata.org/wiki/Q2210247","display_name":"Noise (video)","level":3,"score":0.26100000739097595},{"id":"https://openalex.org/C2776331378","wikidata":"https://www.wikidata.org/wiki/Q56002","display_name":"Ventricular tachycardia","level":2,"score":0.25999999046325684},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2587999999523163}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jaccas.2026.108865","doi":"https://doi.org/10.1016/j.jaccas.2026.108865","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.108865","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},{"id":"pmid:42530184","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42530184","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":"JACC. Case reports","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:13420609","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13420609/","pdf_url":null,"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-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JACC Case Rep","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1016/j.jaccas.2026.108865","doi":"https://doi.org/10.1016/j.jaccas.2026.108865","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.108865","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"sustainable_development_goals_aurora":[],"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":8,"referenced_works":["https://openalex.org/W1944210123","https://openalex.org/W2002374666","https://openalex.org/W2052526229","https://openalex.org/W2497548733","https://openalex.org/W2833050496","https://openalex.org/W3017370658","https://openalex.org/W4389166035","https://openalex.org/W4400701887"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Wide-complex":[1],"tachycardia":[2,16,42,85,93,179],"poses":[3],"diagnostic":[4],"and":[5,32,39,89,94,123,144,152,169],"therapeutic":[6],"challenges,":[7],"particularly":[8],"when":[9],"class":[10],"IC":[11],"antiarrhythmic":[12],"toxicity":[13],"mimics":[14],"ventricular":[15,55],"(VT).":[17],"CASE":[18],"SUMMARY:":[19],"An":[20],"85-year-old":[21],"woman":[22],"with":[23,37,96,161,164,180],"a":[24,40],"dual-chamber":[25],"pacemaker,":[26],"paroxysmal":[27],"atrial":[28,63,71,84],"fibrillation":[29],"on":[30],"flecainide,":[31],"chronic":[33],"kidney":[34],"disease":[35],"presented":[36],"dyspnea":[38],"wide-complex":[41,165],"initially":[43],"diagnosed":[44],"as":[45],"VT.":[46,183],"Intravenous":[47],"amiodarone":[48,151],"was":[49,113],"administered.":[50],"Initial":[51],"device":[52,167],"interrogation":[53,168],"revealed":[54],"sensing":[56],"at":[57,86],"496":[58],"ms":[59,88],"cycle":[60,72],"length":[61,73],"without":[62],"tracking.":[64],"Ventricular":[65,100],"overdrive":[66],"pacing":[67,79],"demonstrated":[68,105],"that":[69],"the":[70,78,110,146],"did":[74],"not":[75],"accelerate":[76],"to":[77,128,176],"rate,":[80],"confirming":[81],"an":[82],"independent":[83],"551":[87],"excluding":[90],"atrioventricular":[91,107],"reentrant":[92],"VT":[95,143],"retrograde":[97],"conduction.":[98],"The":[99],"Intrinsic":[101],"Preference":[102],"algorithm":[103],"subsequently":[104],"intact":[106],"conduction,":[108],"proving":[109],"wide":[111],"QRS":[112],"aberrancy.":[114],"Recognition":[115],"of":[116,171],"potential":[117],"amiodarone-flecainide":[118],"interaction":[119,149],"prompted":[120],"drug":[121],"cessation":[122],"sodium":[124],"bicarbonate":[125],"therapy,":[126],"leading":[127],"clinical":[129],"recovery.":[130],"DISCUSSION:":[131],"This":[132],"case":[133],"demonstrates":[134],"how":[135],"pacemaker":[136],"diagnostics":[137],"can":[138],"differentiate":[139,177],"flecainide-induced":[140],"aberrancy":[141,181],"from":[142,182],"highlights":[145],"important":[147],"drug-drug":[148],"between":[150],"flecainide":[153],"via":[154],"CYP450":[155],"inhibition.":[156],"TAKE-HOME":[157],"MESSAGE:":[158],"In":[159],"patients":[160],"pacemakers":[162],"presenting":[163],"tachycardia,":[166],"knowledge":[170],"programmed":[172],"parameters":[173],"are":[174],"helpful":[175],"supraventricular":[178]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-07-30T00:00:00"}
