{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:15:52Z","timestamp":1760235352698,"version":"build-2065373602"},"reference-count":7,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>A 63-year-old male patient with a history of hypertension, diabetes mellitus type 2, prostate cancer and class two obesity was admitted for encephalopathy. During his hospital stay he developed narrow complex tachycardia and it was difficult to definitively diagnose the underlying arrhythmia. Observation of the cool down phenomenon on telemetry strip allowed us to make the diagnosis of atrial tachycardia and elegantly rule out other causes. We report this interesting case of narrow complex tachycardia.<\/jats:p>","DOI":"10.3390\/clinpract11030068","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T03:43:04Z","timestamp":1629171784000},"page":"520-524","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1234-9133","authenticated-orcid":false,"given":"Khalid","family":"Sawalha","sequence":"first","affiliation":[{"name":"Internal Medicine Division, White River Health System, Batesville, AR 72501, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram Baldini","family":"Gondhalekar","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Klammer","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuad","family":"Habash","sequence":"additional","affiliation":[{"name":"Cardiology Division, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan","family":"Paydak","sequence":"additional","affiliation":[{"name":"Electrophysiology Division, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1053\/euhj.2001.2658","article-title":"A Classification of Atrial Flutter and Regular Atrial Tachycardia according to Electrophysiological Mechanisms and Anatomical Bases. A Statement from a Joint Expert Group from the Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology","volume":"22","author":"Saoudi","year":"2001","journal-title":"Eur. Hear. J."},{"key":"ref_2","unstructured":"Liwanag, M., and Willoughby, C. (2021). Atrial Tachycardia. StatPearls [Internet], StatPearls Publishing."},{"key":"ref_3","first-page":"e506","article-title":"2015 ACC\/AHA\/HRS Guideline for the Management of Adult Patients with Supraventricular Tachycardia","volume":"133","author":"Page","year":"2016","journal-title":"Circulation"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"55","DOI":"10.15420\/aer.2017:5:2","article-title":"Atrial Flutter, Typical and Atypical: A Review","volume":"6","year":"2017","journal-title":"Arrhythmia Electrophysiol. Rev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1023\/A:1021140509804","article-title":"Typical AVNRT\u2014An Update on Mechanisms and Therapy","volume":"6","author":"Kwaku","year":"2002","journal-title":"Card. Electrophysiol. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1093\/eurheartj\/18.suppl_C.2","article-title":"Supraventricular Tachycardia: ECG Diagnosis and Anatomy","volume":"18","author":"Obel","year":"1997","journal-title":"Eur. Hear. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.hrthm.2006.12.035","article-title":"Atypical Atrioventricular Nodal Reentrant Tachycardia with Eccentric Coronary Sinus Activation: Electrophysiological Characteristics and Essential Effects of Left-Sided Ablation inside the Coronary Sinus","volume":"4","author":"Otomo","year":"2007","journal-title":"Hear. Rhythm."}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-7283\/11\/3\/68\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:45:15Z","timestamp":1760165115000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/11\/3\/68"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,17]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["clinpract11030068"],"URL":"https:\/\/doi.org\/10.3390\/clinpract11030068","relation":{},"ISSN":["2039-7283"],"issn-type":[{"type":"electronic","value":"2039-7283"}],"subject":[],"published":{"date-parts":[[2021,8,17]]}}}