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Commotio Cordis

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Other Names

  • Commotio Cordis

Background

  • This page refers to Commotio Cordis (Latin for 'heart disturbance'), a phenomenon in which a sudden blunt impact to the chest causes sudden death in the absence of cardiac damage

History

  • First described in 1932[1]

Epidemiology

  • The second most common cause of sudden cardiac death in young, healthy athletes. [2]
  • Incidence
    • Among young athletes participating in contact sports that involve projectiles such as hockey pucks, baseballs, lacrosse balls, etc.

Pathophysiology


Risk Factors

  • Demographic
    • Male
    • Athlete
  • Sports
    • Hockey
    • Lacrosse
    • Baseball
    • Cricket
  • Anatomical
    • Underdeveloped chest
    • Thin build

Differential Diagnosis


Clinical Features

  • History
  • Physical Exam
  • Special Tests

Evaluation

EKG

  • Ventricular fibrillation is the most common arrhythmia

Classification


Management

Nonoperative

  • Prompt cardiopulmonary resuscitation and use of an automated external defibrillator (AED), if available.

Rehab and Return to Play

Rehabilitation

Return to Play/ Work


Complications and Prognosis

Prognosis

Complications

  • Cardiac Arrest
  • Death

See Also


References

  1. Geddes LA, Roeder RA. Evolution of our knowledge of sudden death due to commotio cordis. The American Journal of Emergency Medicine. 2005;23(1):67-75. doi:10.1016/j.ajem.2003.12.023
  2. Menezes RG, Fatima H, Hussain SA, et al. Commotio cordis: A review. Medicine, Science and the Law. 2017;57(3):146-151. doi:10.1177/0025802417712883
Created by:
John Kiel on 13 June 2019 08:21:08
Last edited:
21 June 2022 17:35:01
Categories:
Trauma | Cardiology | Acute