Abstract

DE LA TORRE FONSECA, Luis M.; GOIRE GUEVARA, Geordan  and  REYES SANCHEZ, Raúl E.. “Spiked helmet” electrocardiographic pattern in a patient with abdominal surgery. CorSalud [online]. 2021, vol.13, n.3, pp. 372-375.  Epub Sep 01, 2021. ISSN 2078-7170.

An ST-segment elevation similar to that in acute myocardial infarction has been found during the assessment of patients with acute abdominal or thoracic events. In this relatively new electrocardiographic pattern, the elevation of the isoelectric line precedes the QRS, followed by a sharp R wave and convex ST-segment elevation known as the "spiked helmet" sign because of its resemblance to the Prussian military helmet, the Pickelhaube. We present the case of a 56-year-old female patient with a history of high blood pressure who underwent emergency abdominal surgery. The electrocardiogram showed ST-segment elevation > 1 mm in DII, DIII and aVF, with sharp R waves that disappeared at 6 hours. No associated cardiac disease was identified.

Keywords : Spiked helmet sign; Electrocardiogram; Voltage artifacts.

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