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Arjun Patel1, Nisha Palla1, Maria Abraham1
1Rutgers New Jersey Medical School, Newark, New Jersey, USA.
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.
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