Commotio cordis risk factors: Difference between revisions
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* The impact to the chest should be in a specific area and occur during a vulnerable phase of the cardiac cycle. | * The impact to the chest should be in a specific area and occur during a vulnerable phase of the cardiac cycle. | ||
* The precise timing of the impact is crucial in determining whether ventricular fibrillation, the main arrhythmia associated with commotio cordis, occurs<ref name="pmid9632447">{{cite journal |vauthors=Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA |title=An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis) |journal=N Engl J Med |volume=338 |issue=25 |pages=1805–11 |date=June 1998 |pmid=9632447 |doi=10.1056/NEJM199806183382504 |url=}}</ref>. | * The precise timing of the impact is crucial in determining whether ventricular fibrillation, the main arrhythmia associated with commotio cordis, occurs<ref name="pmid9632447">{{cite journal |vauthors=Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA |title=An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis) |journal=N Engl J Med |volume=338 |issue=25 |pages=1805–11 |date=June 1998 |pmid=9632447 |doi=10.1056/NEJM199806183382504 |url=}}</ref>. | ||
===The type of mechanical stimulus=== | |||
* Smaller, more compact objects that concentrate their energy on a smaller surface area (like a baseball or hockey puck) have been shown to increase the risk of mechanically induced arrhythmia. | |||
==References== | ==References== | ||
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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
The risk factors for commotio cordis include the location and timing of the blow, the type of mechanical stimulus, age, chest morphology, and the hardness of the object involved in the impact. Understanding these risk factors can help in developing preventive measures and strategies to reduce the incidence of commotio cordis, especially in high-risk populations such as young athletes participating in sports with a higher potential for chest impacts.
Risk factors
The location and timing of the blow
- The impact to the chest should be in a specific area and occur during a vulnerable phase of the cardiac cycle.
- The precise timing of the impact is crucial in determining whether ventricular fibrillation, the main arrhythmia associated with commotio cordis, occurs[1].
The type of mechanical stimulus
- Smaller, more compact objects that concentrate their energy on a smaller surface area (like a baseball or hockey puck) have been shown to increase the risk of mechanically induced arrhythmia.
References
- ↑ Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA (June 1998). "An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis)". N Engl J Med. 338 (25): 1805–11. doi:10.1056/NEJM199806183382504. PMID 9632447.