Commotio cordis natural history, complications and prognosis

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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

Commotio cordis has a poor prognosis with only a small number of these victims surviving after immediate resuscitation. A continuous rise of survival rates due to commotio cordis is evident, shifting from 10%–15% before the year 2000 to a remarkable >50% in the latest 5-year span^[1].

There is a 10 percent decline in survival rate in the first minute following the loss of consciousness. Five percent decline in survival rate in each following minute following the loss of consciousness^[1].

Generally, it is assumed that if commotio cordis is successfully treated and recovered, no further heart complications will develop.

↑ ^1.0 ^1.1 Maron BJ, Haas TS, Ahluwalia A, Garberich RF, Estes NA, Link MS (February 2013). "Increasing survival rate from commotio cordis". Heart Rhythm. 10 (2): 219–23. doi:10.1016/j.hrthm.2012.10.034. PMID 23107651.