Incendio simpático y ritmo de la muerte Spiked Helmet en la miocardiopatía de Takotsubo. Reporte de caso

Ernesto Kang Moreira; Carlos Loor Sabando; Mónica Delia Gilbert Orús; Paola Morejón Barragán; Mirella Barrera Rivera

doi:10.47487/apcyccv.v5i3.367

Authors

Ernesto Kang Moreira Servicio de Medicina Interna, Clínica Guayaquil, Guayaquil, Ecuador. https://orcid.org/0000-0002-6491-1861
Carlos Loor Sabando Servicio de Medicina Crítica, Clínica Guayaquil, Guayaquil, Ecuador. https://orcid.org/0000-0002-2985-8962
Mónica Delia Gilbert Orús Clínica Guayaquil, Guayaquil, Ecuador. https://orcid.org/0000-0002-5861-0237
Paola Morejón Barragán Clínica Guayaquil, Guayaquil, Ecuador. https://orcid.org/0000-0003-4354-3139
Mirella Barrera Rivera Servicio de Medicina Interna, Clínica Guayaquil, Guayaquil, Ecuador. https://orcid.org/0000-0002-7766-410X

DOI:

https://doi.org/10.47487/apcyccv.v5i3.367

Keywords:

Electrocardiography, Takotsubo Cardiomyopathy, Sympathetic Nervous System

Abstract

The electrocardiographic sign “Spiked Helmet” (SHS) has been described in critically ill patients and is associated with a high risk of death. We present the case of a young individual with Marfan syndrome, who developed a Takotsubo cardiomyopathy and the electrocardiographic manifestation of SHS, 72 hours after the postoperative period for a ruptured abdominal aorta aneurysm. In this case, the factors that may justify the presentation of this electrocardiographic pattern are the thoraco-abdominal surgical intervention and Takotsubo cardiomyopathy, which together activated the sympathetic system, triggering the clinical-electrocardiographic manifestation.

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