The “Spiked Helmet” sign - A potential relationship to Takotsubo cardiomyopathy

The “Spiked Helmet” sign (SHs), is a recently described electrocardiographic sign which is associated with critical illness and with very high risk of impending death. Here, we report the SHs in patient with sepsis and a possible diagnosis of Takotsubo cardiomyopathy (TC).