Commotio cordis natural history, complications and prognosis

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Natural History, Complications and Prognosis

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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

Almost all of the patients with commotio cordis will die without any proper intervention due to arrhythmia. More than two third of those with prompt cardiopulmonary resuscitation/defibrillation experience a full physical recovery, while the remaining patients exhibit mild to moderate residual neurological disability or cardiac impairment during the follow-up period spanning from 1 to 20 years. Commotio cordis has a poor prognosis. However, a continuous rise of survival rates due to increasing awareness of the disease and prompt intervention is evident.

Natural history, complications and prognosis

Natural history

Almost all of the patients with commotio cordis will die without any proper intervention due to arrhythmia. Prompt cardiopulmonary resuscitation and defibrillation are the main interventions which increase the survival rates[1].

Complications

Prognosis

References

  1. 1.0 1.1 Maron BJ, Gohman TE, Kyle SB, Estes NA, Link MS (March 2002). "Clinical profile and spectrum of commotio cordis". JAMA. 287 (9): 1142–6. doi:10.1001/jama.287.9.1142. PMID 11879111.
  2. 2.0 2.1 Maron BJ, Haas TS, Ahluwalia A, Garberich RF, Estes NA, Link MS (February 2013). "Increasing survival rate from commotio cordis". Heart Rhythm. 10 (2): 219–23. doi:10.1016/j.hrthm.2012.10.034. PMID 23107651.

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