Dangerous impact - Commotio cordis

Jieh-Neng Wang, Yu Chien Tsai, Shwu Ling Chen, Yi Chen, Chia Shiang Lin, Jing-Ming Wu

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Sudden death following blunt chest trauma is a frightening occurrence known as 'commotio cordis' or 'concussion of the heart'. It is speculated that commotio cordis could be caused by ventricular fibrillation secondary to an impact-induced energy that was transmitted via the chest wall to the myocardium during its vulnerable repolarization period. We describe a survivor of commotio cordis caused by a baseball. In this patient, an initial ventricular fibrillation was documented and converted by direct current defibrillation. Serial electrocardiographic changes (bifascicular conduction block and T wave inversion in precordial leads) were noticed in this patient. Our case suggested that coronary vasospasm might also play a role in commotio cordis. Copyright (C) 2000 S. Karger AG, Basel.

Original languageEnglish
Pages (from-to)124-126
Number of pages3
JournalCardiology
Volume93
Issue number1-2
DOIs
Publication statusPublished - 2000 Jan 1

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)

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