{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T18:58:47Z","timestamp":1762973927586,"version":"3.45.0"},"reference-count":5,"publisher":"Elsevier BV","issue":"15","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Case Reports"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1016\/j.jaccas.2020.09.026","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T06:00:10Z","timestamp":1604124010000},"page":"2353-2357","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Spiked Helmet Electrocardiographic Sign in a Patient with a Diagnosis of Thoracoabdominal Aortic Dissection"],"prefix":"10.1016","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0181-7747","authenticated-orcid":false,"given":"Claudio","family":"De Bernardi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geza","family":"Halasz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattia","family":"Cattaneo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jaccas.2020.09.026_bib1","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.4065\/mcp.2011.0647","article-title":"The \u201cspiked helmet\u201d sign: a new electrocardiographic marker of critical illness and high risk of death","volume":"86","author":"Littmann","year":"2011","journal-title":"Mayo Clin Proc"},{"key":"10.1016\/j.jaccas.2020.09.026_bib2","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.jelectrocard.2018.11.016","article-title":"Spiked helmet pattern ST elevation in subarachnoid hemorrhage","volume":"52","author":"Laundon","year":"2019","journal-title":"J\u00a0Electrocardiol"},{"key":"10.1016\/j.jaccas.2020.09.026_bib3","doi-asserted-by":"crossref","first-page":"734.e1","DOI":"10.1016\/j.ajem.2007.11.008","article-title":"Acute pancreatitis presenting as acute inferior wall ST-segment elevations on electrocardiography","volume":"26","author":"Makaryus","year":"2008","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jaccas.2020.09.026_bib4","doi-asserted-by":"crossref","first-page":"127.e5","DOI":"10.1016\/j.ajem.2014.06.023","article-title":"Emergence and resolution of the electrocardiographic spiked helmet sign in acute noncardiac conditions","volume":"33","author":"Tomcs\u00e1nyi","year":"2015","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jaccas.2020.09.026_bib5","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1016\/j.ijcard.2014.03.105","article-title":"Real time recognition of the electrocardiographic \u201cspiked helmet\u201d sign in a critically ill patient with pneumothorax","volume":"173","author":"Littmann","year":"2014","journal-title":"Int J Cardiol"}],"container-title":["JACC: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084920311773?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084920311773?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T18:48:09Z","timestamp":1762973289000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666084920311773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":5,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["S2666084920311773"],"URL":"https:\/\/doi.org\/10.1016\/j.jaccas.2020.09.026","relation":{},"ISSN":["2666-0849"],"issn-type":[{"type":"print","value":"2666-0849"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Spiked Helmet Electrocardiographic Sign in a Patient with a Diagnosis of Thoracoabdominal Aortic Dissection","name":"articletitle","label":"Article Title"},{"value":"JACC: Case Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaccas.2020.09.026","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}]}}