Key result
Commotio cordis, triggered by a blunt, nonpenetrating blow to the chest, leads to ventricular fibrillation and sudden death in the absence of underlying cardiovascular disease.
This review summarizes the clinical profile, mechanisms, prevention, and resuscitation strategies for commotio cordis.
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Guides recognition and resuscitation in athletes; leaves open prospective validation of preventive strategies.
Ventricular fibrillation and sudden death triggered by a blunt, nonpenetrating, and often innocent-appearing unintentional blow to the chest without damage to the ribs, sternum, or heart (in the absence of underlying cardiovascular disease) constitute an event known as commotio cordis. This review provides information on the clinical profile of this event, the physiological mechanisms underlying it, and steps that can be taken to prevent the event and to resuscitate the victim, should it occur.
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Maron et al. (2010) conducted a review in Commotio cordis. Commotio cordis, triggered by a blunt, nonpenetrating blow to the chest, leads to ventricular fibrillation and sudden death in the absence of underlying cardiovascular disease.
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