Commotio cordis electrocardiogram: Difference between revisions
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* Electrocardiogram (ECG) findings in commotio cordis can vary depending on the timing of the ECG recording and the presence of arrhythmias. | * 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 such as complete heart block, idioventricular rhythm, and atrial fibrillation have also been reported. | * 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, and atrial fibrillation have also been reported. | ||
* 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<ref name="pmid23234817">{{cite journal |vauthors=Maringhini G, Fasullo S, Vitrano G, Terrazzino G, Ganci F, Paterna S, Di Pasqual P |title=Commotio cordis without arrhythmic event and resuscitation: ECG, echocardiographic, angiographic and cardiovascular resonance imaging study |journal=BMJ Case Rep |volume=2012 |issue= |pages= |date=December 2012 |pmid=23234817 |pmc=4543299 |doi=10.1136/bcr-03-2011-3968 |url=}}</ref><ref name="pmid35658897">{{cite journal |vauthors=Patel N, Pena C, Nesheiwat Z, Zafrullah F, Eltahawy E |title=Ventricular fibrillation arrest after blunt chest trauma in a 33-year-old man, commotio cordis? |journal=BMC Cardiovasc Disord |volume=22 |issue=1 |pages=252 |date=June 2022 |pmid=35658897 |pmc=9166514 |doi=10.1186/s12872-022-02689-4 |url=}}</ref>. | * 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<ref name="pmid23234817">{{cite journal |vauthors=Maringhini G, Fasullo S, Vitrano G, Terrazzino G, Ganci F, Paterna S, Di Pasqual P |title=Commotio cordis without arrhythmic event and resuscitation: ECG, echocardiographic, angiographic and cardiovascular resonance imaging study |journal=BMJ Case Rep |volume=2012 |issue= |pages= |date=December 2012 |pmid=23234817 |pmc=4543299 |doi=10.1136/bcr-03-2011-3968 |url=}}</ref><ref name="pmid35658897">{{cite journal |vauthors=Patel N, Pena C, Nesheiwat Z, Zafrullah F, Eltahawy E |title=Ventricular fibrillation arrest after blunt chest trauma in a 33-year-old man, commotio cordis? |journal=BMC Cardiovasc Disord |volume=22 |issue=1 |pages=252 |date=June 2022 |pmid=35658897 |pmc=9166514 |doi=10.1186/s12872-022-02689-4 |url=}}</ref>. | ||
[[image:CCLEKGPig.jpg|thumb|300px|center|Six lead electrocardiogram and intraventricular pressure measurement from an 11 kg swine undergoing a 48 km/h (30 mph) chest wall impact with an object the shape and weight of a standard baseball<ref>Madias C., Maron J.M., Alsheikh-Ali A.A., Estes N.A.M., Link M.S. Commotio Cordis, Indian Pacing and Electrophysiology Journal 7 (4): 235-245 (2007) PMID 17957272</ref>.]] | [[image:CCLEKGPig.jpg|thumb|300px|center|Six lead electrocardiogram and intraventricular pressure measurement from an 11 kg swine undergoing a 48 km/h (30 mph) chest wall impact with an object the shape and weight of a standard baseball<ref>Madias C., Maron J.M., Alsheikh-Ali A.A., Estes N.A.M., Link M.S. Commotio Cordis, Indian Pacing and Electrophysiology Journal 7 (4): 235-245 (2007) PMID 17957272</ref>.]] | ||
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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
Electrocardiogram
- 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 such as polymorphic ventricular tachycardia, complete heart block, idioventricular rhythm, and atrial fibrillation have also been reported.
- 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].
References
- ↑ 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). - ↑ Madias C., Maron J.M., Alsheikh-Ali A.A., Estes N.A.M., Link M.S. Commotio Cordis, Indian Pacing and Electrophysiology Journal 7 (4): 235-245 (2007) PMID 17957272