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 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. | * 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>. | ||
[[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>.]] | ||
[[Image:Commotio-cordis-ecg.jpg|center|thumb|300px|Electrocardiogram schematic tracing, showing the period of vulnerability to stretch-induced ventricular fibrillation which occurs in commotio cordis.]] | [[Image:Commotio-cordis-ecg.jpg|center|thumb|300px|Electrocardiogram schematic tracing, showing the period of vulnerability to stretch-induced ventricular fibrillation which occurs in commotio cordis.]] | ||
Revision as of 03:27, 29 August 2023
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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 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].
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.
- ↑ 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