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Atrial Fibrillation Induced From Commotio Cordis.
Ashkan Alkhamisi1, Stephen M Carek2, Michael C Dillon3
1Sports Medicine Fellowship, University of Florida, Gainesville, Florida.
Summary
Blunt chest trauma can cause atrial fibrillation, a rare condition known as commotio cordis. This case highlights the importance of considering this diagnosis after chest injuries, even when symptoms are not immediately life-threatening.
Area of Science:
- Sports Medicine
- Cardiology
- Emergency Medicine
Background:
- Commotio cordis typically causes ventricular fibrillation after blunt chest trauma.
- Atrial fibrillation induced by commotio cordis (AFCC) is a rare complication.
Observation:
- A collegiate basketball player experienced chest pain and shortness of breath after blunt chest trauma.
- On-site rhythm strip revealed atrial fibrillation, confirmed by ECG in the ER.
- The athlete spontaneously converted to normal sinus rhythm within hours.
Findings:
- The case presents an unusual instance of atrial fibrillation induced by commotio cordis.
- AFCC is less acutely life-threatening than ventricular fibrillation but requires consideration.
Implications:
- AFCC should be included in the differential diagnosis for patients with blunt chest trauma.
- Further research is needed on the management of AFCC.
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