{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:59:21Z","timestamp":1789563561785,"version":"build-2803163510"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Katz-Wachtel phenomenon is an electrocardiogram (ECG) sign demonstrating large equiphasic precordial QRS complexes indicative of biventricular hypertrophy. This sign is most commonly seen in children with congenital heart disease and is rarely described in adults. We report a case where this ECG sign was noted in an adult with dilated cardiomyopathy and discuss the possible mechanisms for this unusual finding.<\/jats:p>","DOI":"10.4103\/apc.apc_90_23","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T02:00:45Z","timestamp":1712109645000},"page":"381-383","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Katz-Wachtel phenomenon in an adult with dilated cardiomyopathy"],"prefix":"10.4103","volume":"16","author":[{"given":"Dinkar","family":"Bhasin","sequence":"first","affiliation":[{"name":"Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayush","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yash Paul","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Radiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soumitra","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Vivekananda Hospital, Durgapur, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,1]]},"reference":[{"key":"R1-20240901","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/S0002-8703(37)91211-0","article-title":"The diphasic QRS type of electrocardiogram in congenital heart disease","volume":"13","author":"Katz","year":"1937","journal-title":"Am Heart J"},{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/0002-9149(63)90057-2","article-title":"Combined ventricular hypertrophy in infancy:Vectorcardiographic observations with special reference to the Katz-Wachtel phenomenon","volume":"11","author":"Elliott","year":"1963","journal-title":"Am J Cardiol"},{"key":"R3-20240901","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1161\/01.CIR.27.6.1105","article-title":"Complete transposition of the great vessels","volume":"27","author":"Elliott","year":"1963","journal-title":"Circulation"},{"key":"R4-20240901","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1161\/01.CIR.21.2.256","article-title":"The correlation between the electrocadiographic patterns of ventricular hypertrophy and the anatomic findings","volume":"21","author":"Scott","year":"1960","journal-title":"Circulation"},{"key":"R5-20240901","first-page":"250","article-title":"Unrepaired tetralogy of fallot with right hemitruncus in an adult:A rare case","volume":"34","author":"Patel","year":"2007","journal-title":"Tex Heart Inst J"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/S0022-0736(99)90109-7","article-title":"Electrocardiographic patterns of patients with echocardiographically determined biventricular hypertrophy","volume":"32","author":"Jain","year":"1999","journal-title":"J Electrocardiol"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_90_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:28:46Z","timestamp":1787768926000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_90_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_90_23","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"2023-06-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}