Jun 22, 2020 · The “spiked helmet” sign: a new electrocardiographic marker of critical illness and high risk of death. Mayo Clin Proc. 2011;86:1245–1246. doi: 10.4065/mcp.2011.0647

The spiked helmet sign (SHS) is a rare electrocardiographic marker associated with an increased risk of lethal ventricular tachyarrhythmias and sudden cardiac death.

The spiked helmet sign is a potential novel ECG marker of a very high risk of impending death, but the prevalence, mechanism, and clinical applicability remain uncertain at this time.

Jun 12, 2019 · Electrocardiographic findings undeniably hold major clues to identifying causes of acute patient decompensation. An occasional electrocardiography (EKG) finding in critically ill patients, with very few cases reported in literature, is the …

The “spiked helmet” sign is characterized by an ST-Elevation with the upward shift starting before the onset of the QRS complex. This sign is associated with critical non-cardiac illness.

This abnormal ECG finding with a dome and spike “helmet sign” pattern in a critically ill patient is a marker for very high mortality. It is an under-recognized phenomenon and further research is needed as early recognition can possibly assist clinical management.

Nov 1, 2021 · Spiked helmet sign is a novel electrocardiogram marker that reflects a poor prognosis, and may mimic myocardial infarction, especially in patients with an acute alteration of mental status or out-of-hospital cardiac arrest.

Oct 10, 2023 · Although acute myocardial infarction (AMI) is the most common cause of ST-segment elevation, many non-ischemic conditions may produce pseudo-ST segment elevation. Spiked Helmet (SH) sign is one of the pseudo-ST segment elevations that is associated with critical illness and high risk of death.

A rare ECG finding spiked-helmet sign (SHS) is a transient ST-elevation with characteristic spike and dome pattern with elevation in the ECG baseline before the QRS with adjoining ST-segment elevation. Here, we present a case of SHS in a case of acute pancreatitis which is not presented before. C ASE R EPORT

Sep 1, 2021 · The spiked helmet sign is a poorly understood electrocardiographic finding that mimics other electrocardiographic pathologies, and is associated with critical illness and high mortality.