{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:02:47Z","timestamp":1765231367561,"version":"3.40.5"},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"3","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>El signo electrocardiogr\u00e1fico Spiked Helmet (SHS) ha sido descrito en pacientes cr\u00edticamente enfermos\u00a0asoci\u00e1ndose con alto riesgo de muerte. Presentamos el caso de un joven con s\u00edndrome de Marfan,\u00a0quien a las 72 h del periodo posquir\u00fargico de un aneurisma de aorta abdominal roto, present\u00f3 un\u00a0cuadro compatible con miocardiopat\u00eda de Takotsubo y la manifestaci\u00f3n electrocardiogr\u00e1fica de\u00a0SHS. En este caso, los factores fundamentales que pueden justificar la presentaci\u00f3n de este patr\u00f3n\u00a0electrocardiogr\u00e1fico son la intervenci\u00f3n quir\u00fargica toraco-abdominal y la miocardiopat\u00eda de\u00a0Takotsubo, que en conjunto activaron el sistema simp\u00e1tico de manera intensa desencadenando esta\u00a0manifestaci\u00f3n cl\u00ednico-electrocardiogr\u00e1fica.<\/jats:p>","DOI":"10.47487\/apcyccv.v5i3.367","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T05:00:32Z","timestamp":1721451632000},"page":"176-180","source":"Crossref","is-referenced-by-count":1,"title":["Incendio simp\u00e1tico y ritmo de la muerte Spiked Helmet en la miocardiopat\u00eda de Takotsubo. Reporte de caso","Sympathetic fire and rhythm of death \u201cSpiked Helmet\u201d in the Takotsubo cardiomyopathy. Case report"],"prefix":"10.47487","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6491-1861","authenticated-orcid":false,"given":"Ernesto","family":"Kang Moreira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2985-8962","authenticated-orcid":false,"given":"Carlos","family":"Loor Sabando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5861-0237","authenticated-orcid":false,"given":"M\u00f3nica Delia","family":"Gilbert Or\u00fas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4354-3139","authenticated-orcid":false,"given":"Paola","family":"Morej\u00f3n Barrag\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7766-410X","authenticated-orcid":false,"given":"Mirella","family":"Barrera Rivera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26947","published-online":{"date-parts":[[2024,7,19]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/367\/563","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/367\/562","content-type":"video\/mp4","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/367\/561","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T20:04:28Z","timestamp":1727726668000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,19]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9,29]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v5i3.367","relation":{},"ISSN":["2708-7212"],"issn-type":[{"type":"electronic","value":"2708-7212"}],"subject":[],"published":{"date-parts":[[2024,7,19]]}}}