The Ominous Spiked Helmet Sign on ECG
Mar 25, 2024Ā The Case
A 35 year old woman, who is a known intravenous drug user, is admitted with septic shock secondary to bacterial endocarditis. She is acidotic and hypotensive. Her ECG is shown. Here are 2 questions to answer before you look at the answer below.
- Is this an acute Myocardial Infarction(AMI)?
- There is no cath lab in your hospital. Would you thrombolyse if she presented early?
This is an AMI mimic and not a true AMI. The elevation preceding the QRS is not consistent with acute cor...
