Emergency Medicine Book

//fpnotebook.com/

Commotio Cordis

Aka: Commotio Cordis
  1. See Also
    1. Blunt Chest Trauma
  2. Epidemiology
    1. Among the most common causes of Sudden Cardiac Death in athletes
  3. Pathophysiology
    1. Blunt Chest Trauma at the cardiac cycle time of T-Wave
    2. Results in sudden cardiac depolarization with R on T phenomenon and pulseless arrhythmia
      1. Ventricular Fibrillation (more common with high speed impact)
      2. Asystole
  4. Management: Emergent
    1. ABC Management
    2. Blunt Chest Trauma
    3. Greatest chance of survival is for early cardiac Defibrillation within first 5 minutes
      1. Chance of survival <25% with Defibrillation delayed >5 minutes
  5. Management: Following Return of Spontaneous Circulation
    1. Electrocardiogram (EKG)
    2. Echocardiogram
    3. Telemetry (followed by outpatient Holter Monitor or Zio Monitor)
  6. References
    1. Dreis (2020) Crit Dec Emerg Med 34(7):3-21

Commotio Cordis (C2717779)

Definition (MSH) A sudden CARDIAC ARRHYTHMIA (e.g., VENTRICULAR FIBRILLATION) caused by a blunt, non-penetrating impact to the precordial region of chest wall. Commotio cordis often results in sudden death without prompt cardiopulmonary defibrillation.
Concepts Pathologic Function (T046)
MSH D056104
English Concussion, Cardiac, Concussions, Cardiac, Cardiac Concussion, Cardiac Concussions, Commotio Cordis, Commotio Cordis [Disease/Finding]
French Commotio cordis
German Herzerschütterung
Italian Contusione cardiaca, Commotio cordis
Portuguese Commotio Cordis, Concussão Cardíaca
Spanish Commotio Cordis, Conmoción Cardiaca
Russian КОММОЦИЯ СЕРДЦА, SERDTSA SOTRIASENIE, COMMOTIO CORDIS, KOMMOTSIIA SERDTSA, СЕРДЦА СОТРЯСЕНИЕ
Czech komoce srdce, commotio cordis
Swedish Commotio cordis
Polish Wstrząśnienie serca
Japanese 心臓振盪, 心臓震盪, 心臓振とう, 心臓震とう
Norwegian Commotio cordis, Hjerterystelse
Sources
Derived from the NIH UMLS (Unified Medical Language System)


You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree