Belarbi Zakariae, Brem Falmata Laouan, El Ouafi Noha
Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, MAR, Morocco.
Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco.
Ann Med Surg (Lond). 2022 Apr 15;77:103635. doi: 10.1016/j.amsu.2022.103635. eCollection 2022 May.
In patients with critical heart disease, such as acute coronary syndrome, aortic dissection, and other diseases, ST-segment elevation is a relatively common finding on the electrocardiogram (ECG). There are various other well-known signs described in heart diseases, such as negative T waves and q waves of necrosis. The "spiked helmet sign" is a novel electrocardiographic sign described first in 2011, whose pathophysiology and clinical applicability remain uncertain at this time. Herein we report the case of a cardiac arrest in a patient who developed the "spiked helmet electrocardiographic sign" concomitantly with acute myocardial infarction, leading to the patient's death from ventricular fibrillation. This case report aims to discuss the "spiked helmet electrocardiographic sign", and to detail the prognostic and diagnostic interest of this sign, wich seems to be different from a standard ST segment elevation.
在患有严重心脏病的患者中，如急性冠状动脉综合征、主动脉夹层等疾病，ST段抬高是心电图（ECG）上相对常见的表现。心脏病中还有其他各种知名体征，如T波倒置和坏死性q波。“尖顶头盔征”是2011年首次描述的一种新型心电图体征，其病理生理学和临床适用性目前仍不确定。在此，我们报告一例患者，其在发生急性心肌梗死的同时出现了“尖顶头盔心电图征”，最终因心室颤动导致心脏骤停死亡。本病例报告旨在探讨“尖顶头盔心电图征”，并详细阐述该体征的预后和诊断意义，其似乎与标准的ST段抬高有所不同。
