Agarwal A, Janz TG, Garikipati NV. Spiked helmet sign: An under-recognized electrocardiogram finding in critically ill patients.
Indian J Crit Care Med 2014;
18:238-40. [PMID:
24872654 PMCID:
PMC4033858 DOI:
10.4103/0972-5229.130576]
[Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
A 77-year-old male patient presented with rhabdomyolysis. He developed progressive respiratory failure and acute respiratory distress syndrome during his hospital stay requiring mechanical ventilation. An electrocardiogram during mechanical ventilation showed findings suggestive of ST elevation myocardial infarction. Closer review showed dome and spike findings that have been likened to a “spiked helmet.” This finding has been associated with significant mortality. We discuss this under-recognized finding and the potential contributing mechanisms.
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