Published in cooperation with the American College of Sports Medicine, this textbook contains 18 chapters on the etiology, prevention, recognition, treatment, and return-to-play guidelines for 12 of the top causes of sudden death in sports, including heart disease, congenital cardiac conditions, commotio cordis
, exertional heat stroke and hyponatremia, head injuries, asthma, exertional sickling, and environmental, immune-related, and autoimmune conditions.
Most commonly occurring in the setting of sport, commotio cordis
has been reported with increasing frequency [1, 2].
For example, in the commotio cordis
query set (Table 3, online only), the occurrence of commotio cordis
was reported in four articles related to violence, each of which employed different title terms (violence, less-lethal weapon, soldier, military).
is defined as a cardiac concussion with significant electrical disturbance when force is applied to the thorax during a vulnerable phase of ventricular repolarization.
is the second highest cause of death in athletes.
Global epidemiology and demographics of commotio cordis
It may be that Israeli athletes die from causes such as Marfan's Syndrome, anomalous coronary arteries, catecholamine related arrhythmias, or commotio cordis
, which would not be detected by a resting ECG.
Michael died of commotio cordis
- he went into cardiac arrest after being hit hard in the chest after a catch.
Another possible type of chest wall injury is commotio cordis
Nonpenetrating blunt trauma that induces ventricular arrhythmia in a normal heart, known as commotio cordis
, ac counts for another 20% of sudden cardiac death (SCD) cases.
In addition, commotio cordis
cannot be screened for or prevented, and the only cure is defibrillation.
(a Latin phrase meaning "commotion of the heart") is the term for a blunt, nonpenetrating blow to the chest that occurs during a 20-millisecond window and triggers an irregular heartbeat called ventricular fibrillation.