{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T04:22:36Z","timestamp":1774153356676,"version":"3.50.1"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Electrocardiology"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.jelectrocard.2025.154015","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T19:10:49Z","timestamp":1746213049000},"page":"154015","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Cardiac dysregulation in Duchenne muscular dystrophy: An ECG analysis"],"prefix":"10.1016","volume":"91","author":[{"given":"Krishnamurthy","family":"Arjun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ganagarajan","family":"Inbaraj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adoor","family":"Meghana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veeramani","family":"Preethish-Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anu P.","family":"John","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Polavarapu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna Prasad","family":"B S","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.N.","family":"Nandeesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandregowda","family":"Nandan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boris W.","family":"Kramer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harry W.M.","family":"Steinbusch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atchayaram","family":"Nalini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaviraja","family":"Udupa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talakad N.","family":"Sathyaprabha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jelectrocard.2025.154015_bb0005","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/dmcn.15404","article-title":"Chronic pain, psychological distress, and quality of life in males with Duchenne muscular dystrophy","volume":"65","author":"Huang","year":"2023","journal-title":"Develop Med Child Neuro"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0010","doi-asserted-by":"crossref","first-page":"77","DOI":"10.4103\/0028-3886.222881","article-title":"Natural history of a cohort of Duchenne muscular dystrophy children seen between 1998 and 2014: an observational study from South India","volume":"66","author":"Singh","year":"2018","journal-title":"Neurol India"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0015","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3988\/jcn.2017.13.1.91","article-title":"Duchenne muscular dystrophy and Becker muscular dystrophy confirmed by multiplex ligation-dependent probe amplification: genotype-phenotype correlation in a large cohort","volume":"13","author":"Vengalil","year":"2017","journal-title":"J Clin Neurol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0020","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3390\/ijms23010059","article-title":"Integrating whole-genome sequencing in clinical genetics: a novel disruptive structural rearrangement identified in the dystrophin gene (DMD)","volume":"23","author":"Gon\u00e7alves","year":"2021","journal-title":"IJMS"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.9734\/bji\/2022\/v26i6662","article-title":"A comprehensive review of Duchenne muscular dystrophy: genetics, clinical presentation, diagnosis, and treatment","author":"Limback","year":"2022","journal-title":"BJI"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0030","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.nmd.2016.09.002","article-title":"Muscle MRI in Duchenne muscular dystrophy: evidence of a distinctive pattern","volume":"26","author":"Polavarapu","year":"2016","journal-title":"Neuromuscul Disord"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0035","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.1007\/s00415-019-09380-3","article-title":"Mutation pattern in 606 Duchenne muscular dystrophy children with a comparison between familial and non-familial forms: a study in an Indian large single-center cohort","volume":"266","author":"Polavarapu","year":"2019","journal-title":"J Neurol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0040","doi-asserted-by":"crossref","first-page":"1183101","DOI":"10.3389\/fphys.2023.1183101","article-title":"Duchenne muscular dystrophy: disease mechanism and therapeutic strategies","volume":"14","author":"Bez Batti Angulski","year":"2023","journal-title":"Front Physiol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0045","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1080\/21622965.2013.802649","article-title":"Neuropsychological profile of duchenne muscular dystrophy","volume":"4","author":"Perumal","year":"2015","journal-title":"Appl Neuropsychol Child"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0050","doi-asserted-by":"crossref","first-page":"1276144","DOI":"10.3389\/fped.2023.1276144","article-title":"Detecting early signs in Duchenne muscular dystrophy: comprehensive review and diagnostic implications","volume":"11","author":"Mercuri","year":"2023","journal-title":"Front Pediatr"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0055","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1038\/s41572-021-00248-3","article-title":"Duchenne muscular dystrophy","volume":"7","author":"Duan","year":"2021","journal-title":"Nat Rev Dis Primers"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0060","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4103\/ijoy.IJOY_49_20","article-title":"Effect of yoga and physiotherapy on pulmonary functions in children with Duchenne muscular dystrophy - a comparative study","volume":"14","author":"Dhargave","year":"2021","journal-title":"Int J Yoga"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0065","doi-asserted-by":"crossref","first-page":"3465","DOI":"10.1113\/JP281671","article-title":"Breathing in Duchenne muscular dystrophy: translation to therapy","volume":"600","author":"Mhandire","year":"2022","journal-title":"J Physiol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0070","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1007\/s12098-016-2251-7","article-title":"Ankle-foot orthosis in Duchenne muscular dystrophy: a 4 year experience in a multidisciplinary neuromuscular disorders clinic","volume":"84","author":"Gupta","year":"2017","journal-title":"Indian J Pediatr"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0075","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.ejpn.2013.12.009","article-title":"Assessment of cardiac autonomic function in patients with Duchenne muscular dystrophy using short term heart rate variability measures","volume":"18","author":"Dhargave","year":"2014","journal-title":"Eur J Paediatr Neurol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0080","series-title":"Neurobiology of Brain Disorders","first-page":"147","article-title":"Muscular dystrophy","author":"Puwanant","year":"2023"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0085","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/BF02731732","article-title":"Duchenne muscular dystrophy: prevalence and patterns of cardiac involvement","volume":"72","author":"Gulati","year":"2005","journal-title":"Indian J Pediatr"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0090","first-page":"191","article-title":"Impaired myocardial strain in early stage of Duchenne muscular dystrophy: its relation with age and motor performance","volume":"39","author":"Oreto","year":"2020","journal-title":"Acta Myol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0095","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/0887-8994(95)00251-0","article-title":"Skeletal, cardiac, and smooth muscle failure in Duchenne muscular dystrophy","volume":"14","author":"Boland","year":"1996","journal-title":"Pediatr Neurol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0100","doi-asserted-by":"crossref","first-page":"2144","DOI":"10.1002\/ejhf.3076","article-title":"Incidence, risk assessment and prevention of sudden cardiac death in cardiomyopathies","volume":"25","author":"Polovina","year":"2023","journal-title":"Eur J Heart Fail"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0105","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1080\/14779072.2020.1828065","article-title":"Duchenne muscular dystrophy: an overview to the cardiologist","volume":"18","author":"De Souza","year":"2020","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0110","doi-asserted-by":"crossref","first-page":"S72","DOI":"10.1542\/peds.2018-0333I","article-title":"Cardiac Management of the Patient with Duchenne Muscular Dystrophy","volume":"142","author":"Buddhe","year":"2018","journal-title":"Pediatrics"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0115","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2017-4006","article-title":"Implementation of Duchenne muscular dystrophy care considerations","volume":"142","author":"Andrews","year":"2018","journal-title":"Pediatrics"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0120","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/aian.aian_989_23","article-title":"Qualitative and quantitative electrocardiogram parameters in a large cohort of children with Duchenne muscle dystrophy in comparison with age-matched healthy subjects: a study from South India","volume":"27","author":"Girija","year":"2024","journal-title":"Ann Indian Acad Neurol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0125","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s10741-023-10358-7","article-title":"Electrocardiographic abnormalities in patients with cardiomyopathies","volume":"29","author":"Aimo","year":"2023","journal-title":"Heart Fail Rev"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0130","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1161\/01.CIR.57.6.1122","article-title":"An ultrastructural basis for electrocardiographic alterations associated with Duchenne\u2019s progressive muscular dystrophy","volume":"57","author":"Sanyal","year":"1978","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0135","doi-asserted-by":"crossref","DOI":"10.1111\/anec.12876","article-title":"Clinical utility of 12-lead electrocardiogram in evaluating heart disease in patients with muscular dystrophy: assessment of left ventricular hypertrophy, conduction disease, and cardiomyopathy","volume":"26","author":"Nikhanj","year":"2021","journal-title":"Ann Noninvasive Electrocardiol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0140","doi-asserted-by":"crossref","first-page":"813","DOI":"10.7326\/0003-4819-72-6-813","article-title":"Electrocardiographic left ventricular hypertrophy and risk of coronary heart disease. The Framingham study","volume":"72","author":"Kannel","year":"1970","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0145","doi-asserted-by":"crossref","first-page":"227","DOI":"10.3233\/JND-221621","article-title":"Neuro-cardio-autonomic modulations in children with Duchenne muscular dystrophy","volume":"10","author":"Inbaraj","year":"2023","journal-title":"J Neuromuscul Dis"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0150","doi-asserted-by":"crossref","first-page":"488","DOI":"10.3390\/medicina57050488","article-title":"Diagnosis of cardiac abnormalities in muscular dystrophies","volume":"57","author":"B\u0103dil\u0103","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0155","series-title":"Understanding Heart Disease in Patients with Muscular Dystrophy","author":"Nikhanj","year":"2025"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0160","series-title":"The physiological basis of the electrocardiogram","author":"Reisner","year":"2006"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0165","series-title":"Cardiovascular disease in companion animals","first-page":"135","article-title":"Electrocardiography","author":"Ware","year":"2021"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0170","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.vascn.2018.04.004","article-title":"Comparison of one- and three-lead ECG to measure cardiac intervals and differentiate drug-induced multi-channel block","volume":"93","author":"Brockway","year":"2018","journal-title":"J Pharmacol Toxicol Methods"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0175","doi-asserted-by":"crossref","first-page":"55","DOI":"10.4103\/ijoy.IJOY_12_18","article-title":"Effect of yoga as an add-on therapy in the modulation of heart rate variability in children with Duchenne muscular dystrophy","volume":"12","author":"Pradnya","year":"2019","journal-title":"Int J Yoga"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0180","doi-asserted-by":"crossref","first-page":"1178163","DOI":"10.3389\/fcvm.2023.1178163","article-title":"The pivotal role of ECG in cardiomyopathies","volume":"10","author":"Silvetti","year":"2023","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0185","doi-asserted-by":"crossref","first-page":"5447","DOI":"10.1007\/s00018-021-03862-2","article-title":"The multifaceted view of heart problem in Duchenne muscular dystrophy","volume":"78","author":"Florczyk-Soluch","year":"2021","journal-title":"Cell Mol Life Sci"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0190","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0206933","article-title":"Association between PR interval prolongation and electro-anatomical substrate in patients with atrial fibrillation","volume":"13","author":"Schumacher","year":"2018","journal-title":"PloS One"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0195","doi-asserted-by":"crossref","first-page":"70","DOI":"10.52418\/moldovan-med-j.64-2.21.13","article-title":"Cardiomyopathy secondary to Duchenne muscular dystrophy in children","volume":"64","author":"Institute of Mother and Child, Chisinau, the Republic of Moldova","year":"2021","journal-title":"MoldMedJ"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0200","doi-asserted-by":"crossref","first-page":"488","DOI":"10.3390\/medicina57050488","article-title":"Diagnosis of cardiac abnormalities in muscular dystrophies","volume":"57","author":"B\u0103dil\u0103","year":"2021","journal-title":"Medicina"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0205","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1067\/j.cpradiol.2020.12.010","article-title":"Cardiac MR imaging of muscular dystrophies","volume":"51","author":"Sanchez","year":"2022","journal-title":"Curr Probl Diagn Radiol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0210","doi-asserted-by":"crossref","first-page":"2588","DOI":"10.1161\/CIRCULATIONAHA.111.025577","article-title":"Duration of QRS complex in resting electrocardiogram is a predictor of sudden cardiac death in men","volume":"125","author":"Kurl","year":"2012","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0215","doi-asserted-by":"crossref","first-page":"e200","DOI":"10.1161\/CIR.0000000000000526","article-title":"Management of Cardiac Involvement Associated with Neuromuscular Diseases: a scientific statement from the American Heart Association","volume":"136","author":"Feingold","year":"2017","journal-title":"Circulation"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0220","doi-asserted-by":"crossref","first-page":"493","DOI":"10.14744\/AnatolJCardiol.2024.4599","article-title":"Disturbed atrial conduction in patients with Duchenne muscular dystrophy","volume":"28","author":"Turan","year":"2024","journal-title":"Anatol J Cardiol"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0225","doi-asserted-by":"crossref","first-page":"2240","DOI":"10.1111\/ajt.16500","article-title":"Relationship between QT interval prolongation and structural abnormalities in cirrhotic cardiomyopathy: a change in the current paradigm","volume":"21","author":"Koshy","year":"2021","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0230","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000008335","article-title":"Cardiac conduction disturbances and aging in patients with Duchenne muscular dystrophy","volume":"96","author":"Segawa","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0235","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1186\/s13023-022-02473-9","article-title":"Electrocardiographic features of children with Duchenne muscular dystrophy","volume":"17","author":"Tang","year":"2022","journal-title":"Orphanet J Rare Dis"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0240","doi-asserted-by":"crossref","first-page":"3186","DOI":"10.3390\/jcm9103186","article-title":"Duchenne dilated cardiomyopathy: cardiac management from prevention to advanced cardiovascular therapies","volume":"9","author":"Adorisio","year":"2020","journal-title":"JCM"},{"key":"10.1016\/j.jelectrocard.2025.154015_bb0245","doi-asserted-by":"crossref","first-page":"11040","DOI":"10.3390\/ijms222011040","article-title":"Disrupted calcium homeostasis in Duchenne muscular dystrophy: a common mechanism behind diverse consequences","volume":"22","author":"Zab\u0142ocka","year":"2021","journal-title":"IJMS"}],"container-title":["Journal of Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022073625001438?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022073625001438?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T20:49:49Z","timestamp":1769978989000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022073625001438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":49,"alternative-id":["S0022073625001438"],"URL":"https:\/\/doi.org\/10.1016\/j.jelectrocard.2025.154015","relation":{},"ISSN":["0022-0736"],"issn-type":[{"value":"0022-0736","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cardiac dysregulation in Duchenne muscular dystrophy: An ECG analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Electrocardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jelectrocard.2025.154015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"154015"}}