intracranial hemorrhageSpiked Helmet Signstress cardiomyopathystrokeT-wave inversion evolutiontakotsubo10 Min Read Pendell MeyersonMay 4, 2026 Acute altered mental status, ST Elevation, Hyperacute T-waves, and evolving T-wave inversion. OMI? EMS was called to a home for a “life alert” (a simple device used by patients to call for medical help in the outpatient setting).…
bizarre T-waveslong QT bizarreSpiked Helmet SignT-Wave inversiontakotsubo5 Min Read Steve SmithonSeptember 19, 2022 This ECG is nearly pathognomonic. What is it? (hint: it’s not Wellens’) I was texted this ECG: What did I say? My response: “takotusubo” Even without a history, this is the likely diagnosis. …
Spiked Helmet Signstress cardiomyopathytakotsubo1 Min Read Steve SmithonSeptember 25, 2015 Spiked Helmet Sign A middle-aged woman presented with symptoms of mild ischemic stroke. There were no chest symptoms. An ECG was recorded as part of the…
cardiac arrestcardiogenic shockHypertrophic CardiomyopathyPseudoSTEMISpiked Helmet SignultrasoundVentricular Fibrillationwolff parkinson white WPW8 Min Read Steve SmithonSeptember 19, 2014 Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on? A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
cardiac arrestcardiogenic shockHypertrophic CardiomyopathyPseudoSTEMISpiked Helmet SignultrasoundVentricular Fibrillationwolff parkinson white WPW8 Min Read Steve SmithonSeptember 19, 2014 Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on? A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…