"The Spiked Helmet sign": A harbinger of impending barotrauma

Authors

Favour Markson, Lincoln Medical Center, Bronx, NY
Manar Shalak, Lincoln Medical Center, Bronx, NY
Onoriode Kesiena, Piedmont Athens Regional Medical Center, Athens, GA
Garba Rimaskep Shamaki, Rochester Regional HealthFollow
Emmanuel Ekanem, Mount Sinai Hospital, New York, NY
Kenneth Ong, Lincoln Medical Center, Bronx, NY

Department

Internal Medicine

Document Type

Article

Publication Title

Heart & Lung

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.

First Page

203

Last Page

206

Volume

57

Publication Date

1-2023

Comments

Published online October 13, 2022

PubMed ID

36244090

Recommended Citation

Markson, F., Shalak, M., Kesiena, O., Shamaki, G. R., Ekanem, E., & Ong, K. (2023). "The Spiked Helmet sign": A harbinger of impending barotrauma. Heart & Lung, 57, 203-206. Retrieved from https://scholar.rochesterregional.org/rrhpubs/1554