Commotio cordis risk factors

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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.

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