Commotio cordis natural history, complications and prognosis: Difference between revisions
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==Natural history, complications and prognosis== | ==Natural history, complications and prognosis== | ||
===Complications=== | |||
*Generally, it is assumed that if commotio cordis is successfully treated and recovered, no further heart complications will develop. | *Generally, it is assumed that if commotio cordis is successfully treated and recovered, no further heart complications will develop. | ||
*A study demonstrated that out of the total cases of commotio cordis with particularly prompt cardiopulmonary resuscitation/defibrillation, 71% experienced a full physical recovery, while the remaining 29% exhibited mild to moderate residual neurological disability or cardiac impairment (noted through a decrease in left ventricular ejection fraction) during the follow-up period spanning from 1 to 20 years<ref name="pmid11879111">{{cite journal |vauthors=Maron BJ, Gohman TE, Kyle SB, Estes NA, Link MS |title=Clinical profile and spectrum of commotio cordis |journal=JAMA |volume=287 |issue=9 |pages=1142–6 |date=March 2002 |pmid=11879111 |doi=10.1001/jama.287.9.1142 |url=}}</ref>. | *A study demonstrated that out of the total cases of commotio cordis with particularly prompt cardiopulmonary resuscitation/defibrillation, 71% experienced a full physical recovery, while the remaining 29% exhibited mild to moderate residual neurological disability or cardiac impairment (noted through a decrease in left ventricular ejection fraction) during the follow-up period spanning from 1 to 20 years<ref name="pmid11879111">{{cite journal |vauthors=Maron BJ, Gohman TE, Kyle SB, Estes NA, Link MS |title=Clinical profile and spectrum of commotio cordis |journal=JAMA |volume=287 |issue=9 |pages=1142–6 |date=March 2002 |pmid=11879111 |doi=10.1001/jama.287.9.1142 |url=}}</ref>. | ||
===Prognosis=== | |||
*Commotio cordis has a poor prognosis with only a small number of these victims surviving after immediate resuscitation. A continuous rise of survival rates due to commotio cordis is evident, shifting from 10%–15% before the year 2000 to more than 50% in 2012 l<ref name="pmid23107651">{{cite journal |vauthors=Maron BJ, Haas TS, Ahluwalia A, Garberich RF, Estes NA, Link MS |title=Increasing survival rate from commotio cordis |journal=Heart Rhythm |volume=10 |issue=2 |pages=219–23 |date=February 2013 |pmid=23107651 |doi=10.1016/j.hrthm.2012.10.034 |url=}}</ref>. | |||
*There is a 10 percent decline in survival rate in the first minute following the loss of consciousness. Five percent decline in survival rate in each following minute following the loss of consciousness<ref name="pmid23107651">{{cite journal |vauthors=Maron BJ, Haas TS, Ahluwalia A, Garberich RF, Estes NA, Link MS |title=Increasing survival rate from commotio cordis |journal=Heart Rhythm |volume=10 |issue=2 |pages=219–23 |date=February 2013 |pmid=23107651 |doi=10.1016/j.hrthm.2012.10.034 |url=}}</ref>. | |||
==References== | ==References== |
Revision as of 23:31, 24 August 2023
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maryam Hadipour, M.D.[2]
Overview
Natural history, complications and prognosis
Complications
- Generally, it is assumed that if commotio cordis is successfully treated and recovered, no further heart complications will develop.
- A study demonstrated that out of the total cases of commotio cordis with particularly prompt cardiopulmonary resuscitation/defibrillation, 71% experienced a full physical recovery, while the remaining 29% exhibited mild to moderate residual neurological disability or cardiac impairment (noted through a decrease in left ventricular ejection fraction) during the follow-up period spanning from 1 to 20 years[1].
Prognosis
- Commotio cordis has a poor prognosis with only a small number of these victims surviving after immediate resuscitation. A continuous rise of survival rates due to commotio cordis is evident, shifting from 10%–15% before the year 2000 to more than 50% in 2012 l[2].
- There is a 10 percent decline in survival rate in the first minute following the loss of consciousness. Five percent decline in survival rate in each following minute following the loss of consciousness[2].
References
- ↑ Maron BJ, Gohman TE, Kyle SB, Estes NA, Link MS (March 2002). "Clinical profile and spectrum of commotio cordis". JAMA. 287 (9): 1142–6. doi:10.1001/jama.287.9.1142. PMID 11879111.
- ↑ 2.0 2.1 Maron BJ, Haas TS, Ahluwalia A, Garberich RF, Estes NA, Link MS (February 2013). "Increasing survival rate from commotio cordis". Heart Rhythm. 10 (2): 219–23. doi:10.1016/j.hrthm.2012.10.034. PMID 23107651.