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Case Report

Spiked Helmet Sign: A Dreadful Pattern in ECG

Nikhil N. Tambe, Emergency Medicine Resident (PGY-3) Masters in Emergency Medicine (GWU), Accident & Emergency Department, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra 400053, India. , Nikhil Tambe1 , Sanjay Mehta2

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Indian Journal of Emergency Medicine 4(1):p 62-64, January - March 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.13

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Abstract

Electrocardiogram has been one of the oldest diagnostic modality for myocardial infarction. In last five years, pseudo ST elevation in critically ill patients in the form of “spiked helmet sign” has been studied [1-6]. Spiked helmet sign has been associated with noncardiac illnesswith raised intra-thoracic pressure or raised intraabdominal pressure [1-6]. We report one such case, encountered in our accident and emergency department, with ECG showing spiked helmet sign.

Keywords: Spiked Helmet Sign; Electrocardiogram. 

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.13

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