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Commotio Cordis : Cardiovascular Manifestations of a Rare Survivor

Mark S. Link; N. A. Mark Estes, III; Paul J. Wang; Charles I. Berul; James B. Kirchhoffer; Sally H. Ginsburg; Yvonne M. Paris
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Affiliations: From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Cardiology, Tufts University School of Medicine, Boston,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston,  From the Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston, and Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.

Affiliations: From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Cardiology, Tufts University School of Medicine, Boston,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston,  From the Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston, and Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.

Affiliations: From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Cardiology, Tufts University School of Medicine, Boston,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston,  From the Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston, and Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.

Affiliations: From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Cardiology, Tufts University School of Medicine, Boston,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston,  From the Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.,  From The Cardiac Arrhythmia Service, New England Medical Center Hospital, Division of Pediatric Cardiology, Tufts University School of Medicine, Boston, and Baystate Medical Center, Department of Pediatrics and Cardiology, Springfield, Mass.


1998 by the American College of Chest Physicians


Chest. 1998;114(1):326-328. doi:10.1378/chest.114.1.326
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Published online

Abstract

Death due to low-energy chest wall trauma, commotio cordis, may occur in young athletes. Death is sudden and usually refractory to even immediate resuscitation efforts. Herein are described the clinical, angiographic, and hemodynamic data of a rare survivor. These observations suggest that commotio cordis not only may be secondary to ventricular fibrillation, but also may be associated with coronary vasospasm or segmental changes in myocardial contractility.


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