Commotio cordis echocardiography or ultrasound
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Echocardiography can aid in the diagnosis of specific cardiac injuries in commotio cordis. Doppler echocardiography can be used to diagnose coronary artery rupture. whereas, transthoracic or transesophageal echocardiography can help identify pericardial effusion, pericardial tamponade and cardiac lacerations. It may reveal contusion over the left or right ventricle, indicating the presence of significant chest wall trauma. Also, Follow-up and monitoring of the resolution of pericardial effusion and assess any changes in cardiac function over time can be achieved by echocardiography. It may be helpful for risk stratification and prognosis as well. It is important to note that echocardiography should be performed promptly after the return of spontaneous circulation (ROSC) in patients who have experienced cardiac arrest.
Echocardiography or ultrasound
Echocardiography holds a vital role in both diagnosing and assessing commotio cordis. By employing echocardiography, potential structural anomalies or heart injuries caused by the impact can be detected. It is important to note that commotio cordis is a diagnosis of exclusion, as structural cardiac damage should be ruled out. Furthermore, echocardiography enables an evaluation of heart functionality and the identification of indications for pericardial effusion or additional complications.
Echocardiography can aid in the diagnosis of specific cardiac injuries.
- Doppler echocardiography:
- Can be used to diagnose coronary artery rupture.
- Transthoracic or Transesophageal echocardiography:
- Can help identify pericardial effusion, pericardial tamponade and cardiac lacerations
- May reveal contusion over the left or right ventricle, indicating the presence of significant chest wall trauma
- Follow-up and monitor the resolution of pericardial effusion and assess any changes in cardiac function over time
- Information for risk stratification and prognosis
It is important to note that echocardiography should be performed promptly after the return of spontaneous circulation (ROSC) in patients who have experienced cardiac arrest. Delayed echocardiography may result in missed diagnoses and delayed treatment of conditions such as post-arrest myocardial dysfunction (PAMD). Rapid echocardiography is necessary for the timely diagnosis of PAMD and the identification of reversible causes of in-hospital cardiac arrest.
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