Spiked Helmet sign
Results:
Spiked Helmet Sign (SHS)
Key Points SHS is a rare ECG pattern of pseudo–ST elevation that begins before the QRS complex, producing a dome-and-spike contour resembling a Prussian/German spiked helmet. SHS strongly correlates with…
A Decade of ECG Gems: The Final 5 Favorite Cases
A 50-year-old woman presents with palpitations. She reports symptoms of an upper respiratory infection and has a low grade fever. The following ECG is obtained:
STAT ECG Diagnoses: a peculiar pattern of ST segment elevation that is high risk for death!
A 64-year-old man with HTN and DM presents to the ED with chest pain that radiates to the right lower neck x 1 week. He also reports difficulty walking and…
ECG Tags
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- Dextrocardia
- differential diagnoses
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- dresslers
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- dynamic ecg changes
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- failure to capture
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- Fascicular blocks
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- fever
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- Idiopathic VT
- Idioventricular rhythms
- Impressive syndrome
- in-training exam
- inappropriate sinus tachycardia
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- J point
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- limb lead misplacement
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- Literature review
- Long QT
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- Low voltage QRS
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- LPFB
- LQT1 (KCNQ1 Mutation)
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- LQTS
- LV Aneurysm
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- LVAD
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- Mobitz I or Mobitz II: How to tell the difference
- Mobitz II
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- modified lead
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- Monomorphic Ventricular Tachycardia
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- mth
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- narrow complex regular tachycardia differential
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- narrow qrs bradycardia
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- New Q Waves
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- Nielsen
- Nikelekam T-waves
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- non-conducted P waves
- non-conducted PACs
- Non-STE ACS
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- Non-Thrombotic Causes of Acute Coronary Syndrome (ACS)
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- nonsustained
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- Occlusion MI - STEMI Criteria & Beyond
- Occlusion MI patterns
- OMI
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- OMI Pattern: ST Depression V1-V4
- OMI Patterns in Left Bundle Branch Block
- OMI Patterns in Ventricular Paced Rhythms
- OMI Patterns: STEMI (-) Occlusion MI
- Opiate Toxicity
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- Pediatrics
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- Pericarditis vs. STEMI
- Periodic paralysis
- Persistent juvenile T-wave pattern
- PFO
- PGY-2 (Intermediate) Resident Curriculum
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- PGY1 Curriculum
- PJC
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- PJTW
- plaque rupture
- plaque vulnerability
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- Pokey T wave
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- Post-arrest NSTE-ACS
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- Prolonged QT
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- proper lead placement
- proportionality
- PRWP
- Pseudo Wellens
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- Pseudonormalization of T-waves
- Pulmonary Embolism
- pulmonary hypertension
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- RAD
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- reciprocal changes
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- s5
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- Second-Degree AV Block with 2:1 Conduction
- segments
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- SHS
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- Sinoatrial Exit Block
- Sinoatrial Nodal Reentry Tachycardia
- Sinoatrial Nodal Reentry Tachycardia (SANRT)
- Sinus arrest
- sinus arrhythmia
- sinus bradycardia
- sinus inversus totalis
- Sinus Node Dysfunction
- Sinus Node Dysfunction (Sick Sinus Syndrome
- sinus rhythm
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- Sinus Tachycardia
- situs inversus
- situs inversus totalis
- Sloof Lirpa Sign
- Slow Atrial fibrillation
- slow ventricular tachycardia
- slow vt
- Sodium channel blocker toxicity
- South Africa
- South Africa sign
- South African
- South African Flag Sign
- spiked
- Spiked Helmet sign
- Spiked Helmet Sign (SHS)
- spiked-helmet
- Spodick Sign
- Spodick’s Sign
- Spontaneous Coronary Artery Dissection
- Spontaneous Coronary Artery Dissection (SCAD)
- ST
- ST depression
- ST depression differential
- ST Depression in V1-V4 DDx
- ST depression V1-V4
- ST Elevation
- ST Elevation DDx
- ST Elevation in aVR DDx
- ST segment elevation
- ST Segment Elevation in aVR with Multi Lead ST Segment Depression
- ST-segment
- ST-segment depression
- Start high-quality CPR.
- stat
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- STD
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- steeple sign
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- STEMI
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- STEMI diagnosis
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- STEMI mimics
- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- STEMI vs. Severe Hyperkalemia
- stepwise approach
- strain
- Stress Testing
- Stress tests
- Stress-Induced (Takotsubo) Cardiomyopathy
- Student Level Curriculum
- Subtle ST elevation
- Subtle ST Segment Elevation (STE)
- subtle stemi
- Supraventricular tachycardia
- Supraventricular Tachycardia (SVT)
- Sustained VT
- SVT
- sweet potato toxicity
- sympathomimetic
- synchronization
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- syncope ddx
- syncope differentials
- syncope emergencies
- Systematic approach to ECG
- T wave
- T wave inversion differential
- T Wave Inversion in V1-V3 DDx
- T wave inversions in V1-V3
- T wave morphology
- T-wave abnormalities
- T-wave alternans
- T-wave inversion
- T-wave inversions
- T-waves
- Tachycardia
- Takotsubo Cardiomyopathy
- Takotsubo Cardiomyopathy vs. STEMI
- Tall R wave in aVR
- Tall R wave in V1
- Tamponade
- TCA
- TCA overdose
- TCA toxicity
- TdP
- Tension Pneumothorax
- Terminal QRS distortion
- Terminal QRS Distortion (OMI Pattern)
- the basics
- The Bix Rule
- The Bix Rule – Unmasking Atrial Flutter
- The Curriculum
- third degree AV block
- Third-Degree AV Block (Complete Heart Block)
- Thrombolytics
- Timeline of Reperfusion ECG Evolution
- tombstone
- tombstoning
- too many P waves
- Too Many P Waves (P:QRS>1) DDx
- Top 10 cases of the past 10 years
- Torsade
- Torsades
- Torsades de pointes
- Torsades de Pointes risk
- torsades de points
- Toxicologic Emergencies
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- TP segment
- Transient STEMI
- Tremor artifact
- trifascicular block
- Trigeminy
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- TWI
- Twiddler’s syndrome
- Type A Wellens
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- U-waves
- Understanding ECG Artifacts
- unifascicular
- unstable angina
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- unstable tachyarrhythmia
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- Upright T waves in V1
- urgent cath
- V1
- v1-v2 placed too high
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- ventricular escape rhythms
- Ventricular fibrillation
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- ventricular fibrillation mimics
- Ventricular Flutter
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- Ventricular rhythm
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- Ventricular Tachycardia
- Ventricular Tachycardia (VT)
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- Vereckei aVR
- VF
- voltage
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- w Voltage
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- waves
- WCT
- Wellens
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- Wellens’ syndrome
- Wide & Regular Tachydysrhythmia DDx
- wide complex irregular tachycardia
- Wide complex QRS
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- Wide complex tachycardia
- Wide QRS
- Wide QRS (BBBs & Paced Rhythms) vs. STEMI
- wide qrs bradycardia
- Wide QRS Complex DDx
- wide qrs differential
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- wide vs. narrow QRS
- Wolff Parkinson White
- Wolff-Parkinson White (WPW) Syndrome
- WPW
- wpw syndrome
- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
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- Yamaguchi
- Yamaguchi (Apical) Hypertrophic Cardiomyopathy
- Yamaguchi syndrome
- Young patients
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