Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Exercise Stress Test01:26

Exercise Stress Test

Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A systems-level atlas of carbon-response transcriptional states in <i>Escherichia coli</i>.

Proceedings of the National Academy of Sciences of the United States of America·2026
Same author

Towards Understanding the Bioactive Potential of Two Intriguing <i>Nepeta</i> Species: Metabolomic and Phylogenetic Perspectives.

Plants (Basel, Switzerland)·2026
Same author

Genetic Tools in the Nakaseomyces clade for Evolutionary Comparisons of Signal Transduction Pathways.

Yeast (Chichester, England)·2026
Same author

Salicylic Acid-Induced Elicitation of Nepetalactone and Rosmarinic Acid Biosynthesis in Naked Catmint (<i>Nepeta nuda</i> L.): Metabolomic and Transcriptional Insights.

International journal of molecular sciences·2026
Same author

Aerobicity stimulon in <i>Escherichia coli</i> revealed using multi-scale computational systems biology of respiratory variants.

iScience·2026
Same author

Heterogeneity of iridoid biosynthesis in catmints: Molecular background in a phylogenetic context.

Journal of integrative plant biology·2026
Same journal

Managing Rheumatic Mitral Stenosis Complicated by Shock and Cardiac Cirrhosis Beyond Guidelines.

JACC. Case reports·2026
Same journal

Transfemoral TAVR in Chronic Type A Aortic Dissection and Severe Aortic Stenosis.

JACC. Case reports·2026
Same journal

Papillary Endothelial Hyperplasia Mimicking Right Atrial Infective Thrombus: Percutaneous Aspiration and Diagnosis.

JACC. Case reports·2026
Same journal

Inclisiran Response in a Patient With Familial Hypercholesterolemia After Suboptimal Response to Evolocumab.

JACC. Case reports·2026
Same journal

Dual-Level Left Ventricular Outflow Tract Obstruction in an Adult.

JACC. Case reports·2026
Same journal

Combining Renal Autotransplantation and Endovascular Aortic Repair for Abdominal Aortic Aneurysm in an LVAD Patient.

JACC. Case reports·2026
See all related articles

Related Experiment Video

Updated: May 22, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

The Spiked Helmet Sign: When ST-Segment Elevations Do Not Need the Cath Lab.

Arjun Patel1, Nisha Palla1, Maria Abraham1

  • 1Rutgers New Jersey Medical School, Newark, New Jersey, USA.

JACC. Case Reports
|May 21, 2026
PubMed
Summary
This summary is machine-generated.

The spiked helmet sign (SHS) on electrocardiograms (ECGs) in critically ill patients indicates poor prognosis from systemic illness, not primary heart issues. Recognizing SHS avoids unnecessary cardiac interventions and guides treatment toward the underlying systemic cause.

Area of Science:

  • Critical Care Medicine
  • Cardiology
  • Intensive Care

Background:

  • Critically ill patients frequently exhibit electrocardiogram (ECG) changes complicating diagnosis.
Keywords:
acute heart failureelectrocardiogrammyocardial ischemia

More Related Videos

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

Related Experiment Videos

Last Updated: May 22, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

  • Distinguishing primary cardiac pathology from ECG changes due to systemic illness is challenging.
  • The spiked helmet sign (SHS) is a recognized ECG pattern in this context, posing identification challenges.