The spiked helmet sign in severe sepsis: an unusual electrocardiographic finding in a critically ill patient
This case highlights the importance of recognizing the 'spiked helmet' sign as a marker of severe stress in critically ill patients, which may mimic myocardial ischemia on ECG. Prompt differentiation between this sign and true ischemia is crucial to avoid unnecessary interventions and focus on managing the underlying critical illness.
Authors
- Hashim Talib Hashim (ORCID: https://orcid.org/0000-0001-6155-7302)
- Ali Saad Al‐Shammari (ORCID: https://orcid.org/0000-0002-4298-5456)
- Abdullah Muataz Taha Al‐Ibraheem (ORCID: https://orcid.org/0009-0006-8575-0119)
- Mohammedbaqer Ali Al-Ghuraibawi
- Ahmed Qasim Mohammed Alhatemi (ORCID: https://orcid.org/0009-0004-9076-8220)
- Ibrar Ahmad (ORCID: https://orcid.org/0000-0001-6206-3160)
- Hussein Safaa Abdulammer
- Ghaith Asaad Alhumairi
Institutions
- University of Baghdad (IQ)
- Oregon Health & Science University (US)
- Thi Qar University (IQ)
- Royal Shrewsbury Hospital (GB)
- Alsalam University College (IQ)
- University of Kerbala (IQ)
- University of Jamestown (US)
- University of Stavanger (NO)
Publication Details
- Journal
- Oxford Medical Case Reports
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1093/omcr/omaf232
- Primary Topic
- Takotsubo Cardiomyopathy and Associated Phenomena
- Type
- article
- Field-Weighted Citation Impact
- 0.00