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Research & Investigations in Sports Medicine

Commotio Cordis at Athletes –Under Recognized Problem

  • Open or CloseRobert Gajda*

    Center for Sports Cardiology, Poland

    *Corresponding author:Robert Gajda, Center for Sports Cardiology, Gajda-Med Medical Center, Pułtusk, Poland

Submission: October 02, 20199;Published: October 21, 2019

DOI: 10.31031/RISM.2019.05.000615

ISSN: 2577-1914
Volume5 Issue3


Commotio cordis (CC) is blunt, nonpenetrating trauma to the chest resulting in irregular heart rhythm and often leading to sudden death [1]. Commotio cordis is a primary arrhythmic event that occurs when the mechanical energy generated by a blow is confined to a small area of the precordium and profoundly alters the electrical stability of the myocardium, resulting in ventricular fibrillation [2]. It is most commonly associated with a sports-related injury, wherein, there is a high-velocity impact between a projectile and the precordium. By virtue of this impact, malignant arrhythmias consequently develop leading to the individual’s immediate demise, accompanied by a relatively normal post-mortem analysis [3]. The timing of the blow causes a CC is also important, which must occur during an electrically vulnerable period within a narrow window of 10 to 20msec on the upstroke of the T wave, just before its peak (accounting for only 1% of the cardiac cycle)

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