"The Spiked Helmet sign": A harbinger of impending barotrauma.

Heart Lung

Division of Cardiology, Department of Medicine, Lincoln Medical Center, Bronx, NY, United States of America.

Published: December 2022

AI Article Synopsis

  • The 'spiked helmet sign' (SHS) is an ECG finding indicating serious illness and increased mortality risk, resembling ST-elevation but without actual heart damage.
  • A case is presented where SHS occurred due to high ventilation pressures in a patient with Acute Respiratory Distress Syndrome (ARDS).
  • This patient ultimately suffered from barotrauma as a complication of the treatment.

Article Abstract

The 'spiked helmet sign' (SHS) is an electrocardiographic finding associated with critical illness and a high risk of death; It is likened to ST-elevation, leading to harmful coronary imaging despite lack of apparent myocardial infarction. We describe the case of SHS secondary to high ventilation pressures in the setting of Acute Respiratory Distress Syndrome (ARDS) in a critically ill patient who subsequently developed barotrauma.

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Source
http://dx.doi.org/10.1016/j.hrtlng.2022.09.022DOI Listing

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