Commotio cordis overview: Difference between revisions
No edit summary |
|||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
Commotio cordis is a very rare event, but nonetheless is often considered when an athlete presents with [[sudden cardiac death]]. Some of the sports which have a risk for this cause of trauma are baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts. Children are especially vulnerable due to their more fragile [[thorax|thoracic skeleton]]. The USA ''Commotio Cordis Registry'' had more than 130 cases recorded by September 2001, with most of the cases occurring in Little League baseball, lacrosse and softball. The real number of cases may be much larger. | Commotio cordis is a very rare event, but nonetheless is often considered when an athlete presents with [[sudden cardiac death]]. Some of the sports which have a risk for this cause of trauma are baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts. Children are especially vulnerable due to their more fragile [[thorax|thoracic skeleton]]. The USA ''Commotio Cordis Registry'' had more than 130 cases recorded by September 2001, with most of the cases occurring in Little League baseball, lacrosse and softball. The real number of cases may be much larger. | ||
Revision as of 07:58, 29 August 2023
|
Commotio cordis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Commotio cordis overview On the Web |
|
American Roentgen Ray Society Images of Commotio cordis overview |
|
Risk calculators and risk factors for Commotio cordis overview |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Epidemiology and Demographics
Commotio cordis is a very rare event, but nonetheless is often considered when an athlete presents with sudden cardiac death. Some of the sports which have a risk for this cause of trauma are baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts. Children are especially vulnerable due to their more fragile thoracic skeleton. The USA Commotio Cordis Registry had more than 130 cases recorded by September 2001, with most of the cases occurring in Little League baseball, lacrosse and softball. The real number of cases may be much larger.
Risk Factors
Young athletes who are involved in sports such as baseball, soccer, ice hockey, polo, rugby, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu and other martial arts where there is a likelihood of sustaining blow to the chest.
Natural History, Complications and Prognosis
Commotio cordis has a poor prognosis with only about a quarter of these victims surviving after immediate resuscitation.
Treatment
Medical Therapy
Fulminant death is the most common outcome, because cardiopulmonary resuscitation requires quick action by a specialized medical team, using a defibrillator and cardioactive drugs, and these are rarely on hand in sports arenas. Due to the significant danger to children (death by commotio cordis is the first cause of fatalities in youth baseball in the US, with 2 to 3 deaths per year[1], it has been recommended that "communities and school districts reexamine the need for accessible automatic defibrillators and cardiopulmonary resuscitation-trained coaches at organized sporting events for children[2]."
References
- ↑ Abrunzo TJ. Commotio cordis. The single, most common cause of traumatic death in youth baseball. Am J Dis Child. 1991 Nov;145(11):1279-82. Review. PMID 1951221
- ↑ Salib EA, Cyran SE, Cilley RE, Maron BJ, Thomas NJ. Efficacy of bystander cardiopulmonary resuscitation and out-of-hospital automated external defibrillation as life-saving therapy in commotio cordis. J Pediatr. 2005 Dec;147(6):863-6. Review. PMID 16356450