Commotio cordis medical therapy

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Commotio cordis Microchapters


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Differentiating Commotio cordis from other Diseases

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Case #1

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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]


The first step in the treatment of commotio cordis is immediate recognition and activation of emergency medical services (EMS). Bystander cardiopulmonary resuscitation (CPR) should be initiated as soon as possible to maintain blood flow and oxygenation. Early defibrillation with an automated external defibrillator (AED) is also essential to restore normal heart rhythm. In cases where commotio cordis occurs in a healthcare setting or in the presence of medical professionals, advanced cardiac life support (ACLS) protocols should be followed. This includes advanced airway management, administration of medications such as epinephrine and amiodarone, and possible interventions such as cardioversion or transcutaneous pacing.

Medical therapy

The primary goal of medical therapy for commotio cordis is to restore normal cardiac rhythm and maintain adequate circulation. Immediate cardiopulmonary resuscitation (CPR) should be initiated, followed by defibrillation if ventricular fibrillation is present. Early defibrillation is crucial for improving survival outcomes[1].


  1. 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.
  2. Mu J, Zhang J, Liu L, Dong H (April 2016). "Homicidal commotio cordis caused by domestic violence: A report of two cases". Med Sci Law. 56 (2): 138–41. doi:10.1177/0025802415575590. PMID 25757838.

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