Spiked Helmet Sign: A Dreadful Pattern in ECG
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 1
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 non-cardiac illnesswith raised intra-thoracic pressure or raised intra-abdominal pressure[1-6]. We report one such case, encountered in our accident and emergency department, with ECG showing spiked helmet sign.
Authors and Affiliations
Nikhil Tambe
Detection of Endotracheal Intubation by Insertion Depth of Endotracheal Tube, Bilateral Chest Auscultation, and Observation of Bilateral Chest Movement during Emergency Intubation: Prospective Observational Study
Introduction: Endotracheal intubation, a routine lifesaving procedure in Emergency Medicine practice, can cause serious life threat to the intubated patient if the position of the tube is not confirmed appropriately.We d...
A Case of Reiters Syndrome in a Young Patient Presenting to the ED
Introduction: In 1916, Hans Reiter described the classic triad of arthritis, nongonococcal urethritis, and conjunctivitis (Reiters syndrome) in a Prussian soldier with diarrhea, during the first world war. Reiter’s syndr...
Clinical Profile of Idiopathic Focal Segmental Glomerulosclerosis
Background: The cause of idiopathic focal segmental glomerulosclerosis is usually not known. Most of the patients present with primary type. The main clinical feature of FSGS is nephrotic syndrome. It causes about 10 to...
Reactive Hypoglycaemia of Pre-Diabetes: A Diagnostic Delima
Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is characterized by recurrent episodes of symptomatic hypoglycemia occurring within 4 hour after a high carbohydrate meal. The frequent sampling of postpra...
A Study on Management and outcome of Acute Myocardial Infarction
Introduction:Heart disease is the leading cause of hospitalization and death in elderly patients.The elderly with acute myocardial infarction (AMI) have been reported to present with more atypical symptoms such as acute...