The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation

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. In cases where a spiked helmet sign is missed, there may be a delay in surgi...

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Autores principales:	Shu-Yu Shih, Yueh-Tseng Hou, Po-Chen Lin, Yu-Long Chen, Da-Sen Chien, Giou-Teng Yiang, Meng-Yu Wu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	spiked helmet sign ST-segment elevation myocardial infarction subarachnoid hemorrhage intraabdominal bleeding Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4b6e8ada3e46422ea7bfb30f491c2ba9
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spelling	oai:doaj.org-article:4b6e8ada3e46422ea7bfb30f491c2ba92021-11-25T18:18:23ZThe Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation10.3390/medicina571111841648-91441010-660Xhttps://doaj.org/article/4b6e8ada3e46422ea7bfb30f491c2ba92021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1184https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144Spiked 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. In cases where a spiked helmet sign is missed, there may be a delay in surgical intervention for the underlying conditions because of unnecessary cardiac catheterization. In addition, antiplatelet agents for acute coronary syndrome in such cases can lead to catastrophic complications. Therefore, early recognition of spiked helmet sign is useful for timely correction of the underlying disease and prevention of poor outcomes. Herein, we describe a rare case of a patient with internal bleeding and subarachnoid hemorrhage presenting with spiked helmet sign on an electrocardiogram.Shu-Yu ShihYueh-Tseng HouPo-Chen LinYu-Long ChenDa-Sen ChienGiou-Teng YiangMeng-Yu WuMDPI AGarticlespiked helmet signST-segment elevation myocardial infarctionsubarachnoid hemorrhageintraabdominal bleedingMedicine (General)R5-920ENMedicina, Vol 57, Iss 1184, p 1184 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	spiked helmet sign ST-segment elevation myocardial infarction subarachnoid hemorrhage intraabdominal bleeding Medicine (General) R5-920
spellingShingle	spiked helmet sign ST-segment elevation myocardial infarction subarachnoid hemorrhage intraabdominal bleeding Medicine (General) R5-920 Shu-Yu Shih Yueh-Tseng Hou Po-Chen Lin Yu-Long Chen Da-Sen Chien Giou-Teng Yiang Meng-Yu Wu The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
description	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. In cases where a spiked helmet sign is missed, there may be a delay in surgical intervention for the underlying conditions because of unnecessary cardiac catheterization. In addition, antiplatelet agents for acute coronary syndrome in such cases can lead to catastrophic complications. Therefore, early recognition of spiked helmet sign is useful for timely correction of the underlying disease and prevention of poor outcomes. Herein, we describe a rare case of a patient with internal bleeding and subarachnoid hemorrhage presenting with spiked helmet sign on an electrocardiogram.
format	article
author	Shu-Yu Shih Yueh-Tseng Hou Po-Chen Lin Yu-Long Chen Da-Sen Chien Giou-Teng Yiang Meng-Yu Wu
author_facet	Shu-Yu Shih Yueh-Tseng Hou Po-Chen Lin Yu-Long Chen Da-Sen Chien Giou-Teng Yiang Meng-Yu Wu
author_sort	Shu-Yu Shih
title	The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
title_short	The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
title_full	The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
title_fullStr	The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
title_full_unstemmed	The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
title_sort	spiked helmet sign predicting a poor outcome in a patient with non-myocardial infarction st-segment elevation
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4b6e8ada3e46422ea7bfb30f491c2ba9
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The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation

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