scholarly journals Commotio Cordis and Contusio Cordis: Possible Causes of Trauma-Related Cardiac Death

2016 ◽  
Vol 5 (4) ◽  
Author(s):  
Ali Reza Farrokhian
2018 ◽  
Vol 58 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Lydia Krexi ◽  
Mary N Sheppard

Background In forensic practice, a blow to the chest can lead to sudden cardiac death (SCD). Commotio cordis and contusio cordis are leading causes. Methods From a database of 4678 patients who suffered from SCD, we found three patients with commotio cordis and two patients with contusio cordis. All the patients were examined macroscopically and microscopically and had negative toxicology screen. Results The three patients who died due to commotio cordis were young males (16, 23 and 38 years old). The circumstances of death were: a blow to the chest by a football, by a friend during a party and during an assault. The hearts were completely normal at autopsy. The two patients who had contusio cordis were older males (42 and 63 years old). Both patients died during traffic accidents. At autopsy, one had significant contusion over the left ventricle, and the second had contusion over the right ventricle. Conclusion This study indicates that a blow to the chest is very important to document in the circumstances of death, and a detailed history is vital. It raises the left ventricular intra-cavitary pressure, leading to commotio cordis with immediate death with a normal heart. Blunt chest trauma can cause direct myocardial lesions, with acute changes leading to contusio cordis.


2017 ◽  
Vol 27 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Kartik Kumar ◽  
Swati N. Mandleywala ◽  
Michael P. Gannon ◽  
Nathan Anthony Mark Estes ◽  
Jonathan Weinstock ◽  
...  

1999 ◽  
Vol 8 (4) ◽  
pp. 270-272 ◽  
Author(s):  
LG Futterman ◽  
L Lemberg

Commotio cordis due to blunt trauma to the precordium is a rare cause of death in young athletes, occurring less frequently than all of the other athletics-related deaths. Several measures, such as the use of safety baseballs and the use of chest protectors, can help protect young athletes from commotio cordis. In general, sudden cardiac death in athletes is receiving increasing attention from the public as a result of recent deaths of high-profile athletes. Sudden cardiac death, however, is rare, with an estimated 1 out of 200,000 high school athletes at risk each year. However, the personal, physiological, and cardiovascular benefits of athletics far outweigh the risks. Therefore, the message to parents is to allow their children to participate in athletics because the benefits far outweigh the risks.


2017 ◽  
Vol 57 (3) ◽  
pp. 146-151 ◽  
Author(s):  
Ritesh G Menezes ◽  
Huda Fatima ◽  
Syed Ather Hussain ◽  
Saba Ahmed ◽  
Pankaj Kumar Singh ◽  
...  

Commotio cordis is an increasingly reported fatal mechano-electric syndrome and is the second most common cause of sudden cardiac death in young athletes. It is most commonly associated with a sports-related injury, wherein, there is a high-velocity impact between a projectile and the precordium. By virtue of this impact, malignant arrhythmias consequently develop leading to the individual’s immediate demise, accompanied by a relatively normal post-mortem analysis. The importance of an autopsy remains paramount to exclude other causes of sudden death. With increasing awareness and reporting, survival rates are beginning to improve; however, prevention of the development of this condition remains the best approach for survival.


Heart Rhythm ◽  
2010 ◽  
Vol 7 (7) ◽  
pp. 992-993 ◽  
Author(s):  
Barry J. Maron ◽  
Stephen D. Boren ◽  
N.A. Mark Estes

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