Abstract:

Objective To identify the electrocardiographic (ECG) findings of the spiked helmet sign and to explore its clinical significance. Methods The clinical data of one patient with ECG findings of the spiked helmet sign who was admitted to the Department of Cardiology of Xiangxi Autonomous Prefecture People's Hospital were retrospectively analyzed. Relevant literatures reporting the spiked helmet sign were reviewed. Results A 48-year-old female patient presented with 9 days of abdominal distension and pain and aggravation with chest tightness and shortness of breath for 8 h. Laboratory tests were performed after admission. ECG showed acute anterior wall elevation myocardial infarction, and Spiked helmet sign. A pointed helmet sign on V3-V5 leads. The patient also had an elevated troponin and ST elevation, and therefore, the possibility of acute myocardial infarction could not be ruled out, which was finally ruled out by the coronary angiography examination. The patient was then diagnosed as intestinal obstruction with acute peritonitis, myocardial injury with cardiac dysfunction and Spiked helmet sign. Conclusion ECG findings of the spiked helmet sign should be timely recognized, and primary disease needs to be diagnosed to prevent delays in diagnosis and treatment.

Key words: spiked helmet sign, acute ST- elevation myocardial infarction, electrocardiography