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Commotio Cordis: Practical Aspects in Sports

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Sports Cardiology Essentials
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Abstract

Commotio cordis has achieved markedly increased attention because of the increased awareness of sudden death that occurs during sports in the playing field[1, 2]. The rising popularity of lacrosse and the widespread media attention to several prominent lacrosse deaths due to commotio cordis have also put this phenomenon in the forefront of sports safety.

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References

  1. Maron BJ, Gohman TE, Kyle SB, Estes NA, 3rd, Link MS: Clinical profile and spectrum of commotio cordis. JAMA 2002; 287:1142–1146.

    Article  PubMed  Google Scholar 

  2. Madias C, Maron BJ, Weinstock J, Estes NA, 3rd, Link MS: Commotio cordis – sudden cardiac death with chest wall impact. J Cardiovasc Electrophysiol 2007; 18:115–122.

    Article  PubMed  Google Scholar 

  3. Maron BJ, Poliac LC, Kaplan JA, Mueller FO: Blunt impact to the chest leading to sudden death from cardiac arrest during sports activities. N Engl J Med 1995; 333:337–342.

    Article  PubMed  CAS  Google Scholar 

  4. Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA, 3rd: An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis). N Engl J Med 1998; 338:1805–1811.

    Article  PubMed  CAS  Google Scholar 

  5. Maron BJ: Sudden death in young athletes. N Engl J Med 2003; 349:1064–1075.

    Article  PubMed  CAS  Google Scholar 

  6. Doerer JJ, Haas TS, Estes NA, 3rd, Link MS, Maron BJ: Evaluation of chest barriers for protection against sudden death due to commotio cordis. Am J Cardiol 2007; 99:857–859.

    Article  PubMed  Google Scholar 

  7. Maron BJ, Wentzel DC, Zenovich AG, Estes NA, 3rd, Link MS: Death in a young athlete due to commotio cordis despite prompt external defibrillation. Heart Rhythm 2005; 2:991–993.

    Article  PubMed  Google Scholar 

  8. Link MS, Maron BJ, VanderBrink BA, Takeuchi M, Pandian NG, Wang PJ, Estes NA, 3rd: Impact directly over the cardiac silhouette is necessary to produce ventricular fibrillation in an experimental model of commotio cordis. J Am Coll Cardiol 2001; 37:649–654.

    Article  PubMed  CAS  Google Scholar 

  9. Link MS, Maron BJ, Wang PJ, VanderBrink BA, Zhu W, Estes NA, 3rd: Upper and lower limits of vulnerability to sudden arrhythmic death with chest-wall impact (commotio cordis). J Am Coll Cardiol 2003; 41:99–104.

    Article  PubMed  Google Scholar 

  10. Link MS, Maron BJ, Wang PJ, Pandian NG, VanderBrink BA, Estes NA, 3rd: Reduced risk of sudden death from chest wall blows (commotio cordis) with safety baseballs. Pediatrics 2002; 109:873–877.

    Article  PubMed  Google Scholar 

  11. Weinstock J, Maron BJ, Song C, Mane PP, Estes NA, 3rd, Link MS: Failure of commercially available chest wall protectors to prevent sudden cardiac death induced by chest wall blows in an experimental model of commotio cordis. Pediatrics 2006; 117:e656–e662.

    Article  PubMed  Google Scholar 

  12. Adler P, Monticone RCJ: Injuries and deaths related to baseball. In Kyle SB, ed: Youth Baseball Protective Equipment Project Final Report. Washington, DC: United States Consumer Product Safety Commission, 1996, pp. 1–43.

    Google Scholar 

  13. Zipes DP, Ackerman MJ, Estes III NAM, Grant AO, Myerburg RJ, Van Hare G: Task Force 7: Arrhythmias. 36th Bethesda Conference: Eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 2005; 45:43–52.

    Article  Google Scholar 

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Correspondence to Mark S. Link .

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Link, M.S. (2011). Commotio Cordis: Practical Aspects in Sports. In: Lawless, C. (eds) Sports Cardiology Essentials. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92775-6_14

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  • DOI: https://doi.org/10.1007/978-0-387-92775-6_14

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  • Publisher Name: Springer, New York, NY

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