Commotio cordis epidemiology and demographics
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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]Cafer Zorkun, M.D., Ph.D. [3]
Overview
Commotio cordis is a very rare event, but nonetheless is often considered when an athlete presents with sudden cardiac death. The incidence of commotio codis is less than 30 cases per year. 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. Children are especially vulnerable due to their more fragile thoracic skeleton. Boys between the ages of 8 and 18 are more likely to suffer from this condition.
Epidemiology and demographics
- Among the cardiovascular factors leading to sudden death in athletes, commotio cordis holds the second-highest occurrence rate, surpassed only by hypertrophic cardiomyopathy.
- The incidence of commotio codis is less than 30 cases per year.[1] This could be due to public ignorance of the condition. Since the public is not educated about this condition, it is more common that more cases occur without being reported as commotio cordis. It is estimated that about 50% of cases are related to competitive sports. Another 25% of events are related to recreational activities, especially for those younger than 10 years old. Contrasty, the other percent of cases are related with another kind of chest trauma.[2]
- 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.
- Boys between the ages of 8 and 18 are more likely to suffer from the condition for various reasons, one of them being the lesser development of their chest walls compared to older people.
- Children are especially vulnerable due to their more fragile thoracic skeleton.