“Spiked helmet” electrocardiographic pattern in a patient with abdominal surgery

Authors

  • Luis M. de la Torre Fonseca Universidad de Ciencias Medicas de la Habana Hospital Clínico Quirúrgico Docente Manuel Fajardo
  • Geordan Goire Guevara
  • Raúl E. Reyes Sánchez

Abstract

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.

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Author Biography

Luis M. de la Torre Fonseca, Universidad de Ciencias Medicas de la Habana Hospital Clínico Quirúrgico Docente Manuel Fajardo

Especialista de I Grado en Cardiología. Unidad de Cuidados Intensivos. Hospital Universitario Manuel Fajardo.

References

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Published

2021-07-12

How to Cite

1.
de la Torre Fonseca LM, Goire Guevara G, Reyes Sánchez RE. “Spiked helmet” electrocardiographic pattern in a patient with abdominal surgery. CorSalud [Internet]. 2021 Jul. 12 [cited 2025 Jun. 24];13(3):372-5. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/636

Issue

Vol. 13 No. 3 (2021)

Section

CASE REPORTS

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