Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection

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. Observ...

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Main Authors: Khalid Sawalha, Vikram Baldini Gondhalekar, Nathan Klammer, Fuad Habash, Hakan Paydak
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.mdpi.com/2039-7283/11/3/68
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author Khalid Sawalha
Vikram Baldini Gondhalekar
Nathan Klammer
Fuad Habash
Hakan Paydak
author_facet Khalid Sawalha
Vikram Baldini Gondhalekar
Nathan Klammer
Fuad Habash
Hakan Paydak
author_sort Khalid Sawalha
collection DOAJ
description 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.
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spelling doaj.art-45b0ae5b363a4502994fb1239b24c4eb2023-11-22T12:32:20ZengMDPI AGClinics and Practice2039-72832021-08-0111352052410.3390/clinpract11030068Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 InfectionKhalid Sawalha0Vikram Baldini Gondhalekar1Nathan Klammer2Fuad Habash3Hakan Paydak4Internal Medicine Division, White River Health System, Batesville, AR 72501, USACollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USACollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USACardiology Division, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USAElectrophysiology Division, University of Arkansas for Medical Sciences, Little Rock, AR 72002, USAA 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.https://www.mdpi.com/2039-7283/11/3/68supraventricular tachycardiacool down phenomenonnarrow complex tachycardiaencephalopathyCOVID-19 infection
spellingShingle Khalid Sawalha
Vikram Baldini Gondhalekar
Nathan Klammer
Fuad Habash
Hakan Paydak
Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection
Clinics and Practice
supraventricular tachycardia
cool down phenomenon
narrow complex tachycardia
encephalopathy
COVID-19 infection
title Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection
title_full Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection
title_fullStr Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection
title_full_unstemmed Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection
title_short Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection
title_sort utilizing the cool down phenomenon to differentiate supraventricular tachycardias in a patient with covid 19 infection
topic supraventricular tachycardia
cool down phenomenon
narrow complex tachycardia
encephalopathy
COVID-19 infection
url https://www.mdpi.com/2039-7283/11/3/68
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