The “Spiked Helmet” Sign: A New Electrocardiographic Marker of Critical Illness and High Risk of Death Laszlo Littmann, MD, PhD, Michael H. Monroe, MD

Slides:

Advertisements

Similar presentations

Clinical Pharmacology, Uses, and Adverse Reactions of Iodinated Contrast Agents: A Primer for the Non-radiologist Jeffrey J. Pasternak, MD, Eric E. Williamson,

Advertisements

My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:

Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism William L. Lanier,

Marc H. Bivins, MD, Mark J. Callahan, MD Mayo Clinic Proceedings

Managing Cancer Pain: Basic Principles and Invasive Treatments

80-Year-Old Man With Massive Leg Swelling

Expression of Gratitude to Scott C

ST Elevation Anterior “Spiked Helmet” Sign

Ductal Carcinoma in Situ of the Breast

Vitamin D Insufficiency

J. Eric Ahlskog, PhD, MD Mayo Clinic Proceedings

Evaluation of Proteinuria

William L. Lanier, MD Mayo Clinic Proceedings

Desmoid Tumor Mayo Clinic Proceedings

Perihilar Cholangiocarcinoma

Mucinous Neoplasm of the Appendix and Pseudomyxoma Peritonei

Review of Childhood Obesity

Management of Adult Onset Seizures

Corticosteroids in the Treatment of Alcohol-Induced Rhabdomyolysis

Brent A. Bauer, MD, Peter L. Elkin, MD, Dana Erickson, MD, George G

Atrial Flutter Simulated by a Portable Compact Disk Player

39-Year-Old Woman With an Obscure Case of Anemia

Julia A. Files, MD, Marcia G. Ko, MD, Sandhya Pruthi, MD

Palliative Care and Hospice Programs

Acute Myocardial Infarction Associated With Amphetamine Use

Topical Analgesics in the Management of Acute and Chronic Pain

RICHARD K. WINKELMANN, M.D., Ph.D., J. CLARKE STEVENS, M.D.

Dying in the Intensive Care Unit: A Candle Vigil Using Illustrations

Photodynamic Therapy for Early Stage Central Type of Lung Cancer

Metastatic Breast Cancer

Pancreatic Ductal Adenocarcinoma

Marc H. Bivins, MD, Mark J. Callahan, MD Mayo Clinic Proceedings

Highlights From the Third Annual Mayo Clinic Conference on Systems Engineering and Operations Research in Health Care Janine R.A. Kamath, MBA, MA, John.

Magali P. Disdier Moulder, PharmD, PhD, Jenna M

The Red Scalp Sign Mayo Clinic Proceedings

MIGUEL A. VALDOVINOS, M. D. , MICHAEL CAMILLERI, M. D. , BRUCE R

Refurbishing Mayo Clinic Proceedings:

Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction

Caroline H. Siegel, MD, Richard S. Finn, MD, Michael G. Ho, MD

Pharmacogenomics: Precision Medicine and Drug Response

Primary Signet Ring Cell Carcinoma of the Prostate

Management of Adult Onset Seizures

Perihilar Cholangiocarcinoma

Evaluation and Management of Penicillin Allergy

Osteoporosis Associated With Megestrol Acetate

Diabetic Mastopathy Mayo Clinic Proceedings

Simon M. Glynn, MD, Sean J. Pittock, MD, Steven A. Vernino, MD, PhD

Novel Risk Factors for Atherosclerosis

Hepatocellular Carcinoma

Methylphenidate: Its Pharmacology and Uses

Pulmonary Tumor Embolism of Unknown Origin

Pancreatic Tumor in a Patient With Parathyroid and Pituitary Disease

Hepatitis C Genotypes: Current Trends and Future Implications

Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism William L. Lanier,

Medical Treatment of Overactive Bladder: In Response

Mantle Cell Involvement of the Spleen

Laszlo Littmann, MD, PhD, Michael H. Monroe, MD

Squamous Cell Carcinoma of the Tongue

Preoperative Smoking Cessation: The Role of the Primary Care Provider

Medical Student Distress: Causes, Consequences, and Proposed Solutions

Autonomic Tone and Benefits of Cardiac Rehabilitation Programs

Constrictive Pericarditis Due to Graft-vs-Host Disease

Guru Sonpavde, MD, Teresa G. Hayes, MD Mayo Clinic Proceedings

40-Year-Old Man With Nausea and Vomiting “Found Down”

Clomiphene-Induced Severe Hypertriglyceridemia and Pancreatitis

Managing Cancer Pain: Basic Principles and Invasive Treatments

The Obesity Paradox: Perception vs Knowledge

Diagnosis and Management of Headache in Older Adults

Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”

Brugada-type Electrocardiographic Pattern Unmasked by Fever

Presentation transcript:

The “Spiked Helmet” Sign: A New Electrocardiographic Marker of Critical Illness and High Risk of Death Laszlo Littmann, MD, PhD, Michael H. Monroe, MD Mayo Clinic Proceedings Volume 86, Issue 12, Pages 1245-1246 (December 2011) DOI: 10.4065/mcp.2011.0647 Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE Left, representative electrocardiograms of 4 patients showing the “spiked helmet” sign. Right, Pickelhaube, the German military spiked helmet. Note the similarity of the electrocardiogram waveforms in lead III to the shape of the spiked helmet. Mayo Clinic Proceedings 2011 86, 1245-1246DOI: (10.4065/mcp.2011.0647) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions