Since the nationally televised cardiac arrest of American National Football League player Damar Hamlin in January 2023, commotio cordis has come to the forefront of public attention. Commotio cordis is defined as sudden cardiac arrest due to direct trauma to the precordium resulting in ventricular fibrillation or ventricular tachycardia. While the precise incidence of commotio cordis is not known due to a lack of standardized, mandated reporting, it is the third most common cause of sudden cardiac death in young athletes, with more than 75% of cases occurring during organized and recreational sporting events. Given that survival is closely tied to how quickly victims receive cardiopulmonary resuscitation and defibrillation, it is crucial to raise awareness of commotio cordis so that athletic trainers, coaches, team physicians, and emergency medical personnel can rapidly diagnose and treat this often-fatal condition. Broader distribution of automated external defibrillators in sporting facilities as well as increased presence of medical personnel during sporting events would also likely lead to higher survival rates.
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http://dx.doi.org/10.1007/s40279-023-01873-6 | DOI Listing |
JACC Case Rep
September 2024
Department of Internal Medicine, Cardiology, Kantonsspital Muensterlingen, Muensterlingen, Switzerland.
A 54-year-old hockey player survived sudden cardiac arrest after a chest slapshot, receiving immediate resuscitation and defibrillation of ventricular fibrillation. Examinations revealed chest trauma and subclinical single-vessel disease; a coronary dissection could not be ruled out. The patient recovered without complications, underscoring the importance of rescue equipment in sports facilities.
View Article and Find Full Text PDFInj Prev
July 2024
National Center for Catastrophic Sport Injury Research, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Introduction: is a rare event that occurs following blunt, non-penetrating trauma to the chest, precipitating a ventricular arrhythmia. requires immediate medical attention through cardiopulmonary resuscitation and defibrillation, often resulting in death. is most common condition among young male athletes.
View Article and Find Full Text PDFJ Physiol
September 2024
ZOLL Medical, Chelmsford, Massachusetts, USA.
Defibrillation remains the optimal therapy for terminating ventricular fibrillation (VF) in out-of-hospital cardiac arrest (OHCA) patients, with reported shock success rates of ∼90%. A key persistent challenge, however, is the high rate of VF recurrence (∼50-80%) seen during post-shock cardiopulmonary resuscitation (CPR). Studies have shown that the incidence and time spent in recurrent VF are negatively associated with neurologically-intact survival.
View Article and Find Full Text PDFCirc Arrhythm Electrophysiol
April 2024
Division of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Circ Arrhythm Electrophysiol
April 2024
Department of Internal Medicine, Division of Cardiology, UTSouthwestern Medical Center, Dallas TX (M.S.L.).
Background: Commotio cordis, sudden cardiac death (SCD) caused by relatively innocent impact to the chest, is one of the leading causes of SCD in sports. Commercial chest protectors have not been demonstrated to mitigate the risk of these SCDs.
Methods: To develop a standard to assess chest protectors, 4 phases occurred.
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