Commotio cordis electrocardiogram

	Commotio cordis Microchapters
Home
Patient Information
Overview
Pathophysiology
Causes
Differentiating Commotio cordis from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Primary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Commotio cordis electrocardiogram On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Commotio cordis electrocardiogram All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Commotio cordis electrocardiogram
CDC on Commotio cordis electrocardiogram
Commotio cordis electrocardiogram in the news
Blogs on Commotio cordis electrocardiogram
Directions to Hospitals Treating Commotio cordis
Risk calculators and risk factors for Commotio cordis electrocardiogram

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maryam Hadipour, M.D.[2]

Overview

The most common rhythm observed in commotio cordis cases is ventricular fibrillation (VF). Other arrhythmias such as polymorphic ventricular tachycardia, complete heart block, idioventricular rhythm, atrial fibrillation, ST-segment elevation, T-wave abnormalities were reported. The timing and location of the impact are crucial in the generation of VF in commotio cordis. When the impact occurs directly over the heart within a specific window during the upslope of the T wave in ventricular repolarization, it triggers a rapid increase in left ventricular intracavitary pressure, leading to VF.

Electrocardiogram (ECG) findings in commotio cordis can vary depending on the timing of the ECG recording and the presence of arrhythmias.
The most common rhythm observed in commotio cordis cases is ventricular fibrillation (VF). Other arrhythmias were reported, such as:
The timing and location of the impact are crucial in the generation of VF in commotio cordis. When the impact occurs directly over the heart within a specific window during the upslope of the T wave in ventricular repolarization, it triggers a rapid increase in left ventricular intracavitary pressure, leading to VF.
It is important to note that ECG findings may not always be abnormal in commotio cordis cases. reported a case of commotio cordis where the patient did not show any arrhythmias and did not receive any resuscitation procedure. The ECG alterations observed in this case improved over time^[1]^[2]^[3].

↑ Maringhini G, Fasullo S, Vitrano G, Terrazzino G, Ganci F, Paterna S, Di Pasqual P (December 2012). "Commotio cordis without arrhythmic event and resuscitation: ECG, echocardiographic, angiographic and cardiovascular resonance imaging study". BMJ Case Rep. 2012. doi:10.1136/bcr-03-2011-3968. PMC 4543299. PMID 23234817.
↑ Patel N, Pena C, Nesheiwat Z, Zafrullah F, Eltahawy E (June 2022). "Ventricular fibrillation arrest after blunt chest trauma in a 33-year-old man, commotio cordis?". BMC Cardiovasc Disord. 22 (1): 252. doi:10.1186/s12872-022-02689-4. PMC 9166514 Check |pmc= value (help). PMID 35658897 Check |pmid= value (help).
↑ Ota K, Bratincsak A (January 2015). "Atrial fibrillation induced by commotio cordis secondary to a blunt chest trauma in a teenage boy". Pediatrics. 135 (1): e199–201. doi:10.1542/peds.2014-1972. PMID 25489014.
↑ Madias C, Maron BJ, Alsheikh-Ali AA, Estes Iii NA, Link MS (October 2007). "Commotio cordis". Indian Pacing Electrophysiol J. 7 (4): 235–45. PMC 2018736. PMID 17957272.