Highlights
- •Timely recognition of the spiked helmet sign and its role in preventing unnecessary coronary imaging.
- •Identification of lung recruitment ventilation with high pressures in critically ill patients as one of the potential causes of SHS.
- •To understand the pathophysiologic mechanisms associated with the spiked helmet sign.
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.
Keywords
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Article info
Publication history
Published online: October 13, 2022
Accepted:
September 30,
2022
Received in revised form:
August 22,
2022
Received:
June 27,
2022
Identification
Copyright
Published by Elsevier Inc.
