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Commotio Cordis Resulting from Sibling Rivalry.

James R Humble1, Aaron Surrey2, Lindsay Taylor1

  • 1From the Department of Emergency Medicine, Virginia Commonwealth University Health System, Richmond, Virginia.

The American Journal of Cardiology
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A rare chest blow caused sudden cardiac arrest in a teen girl. Prompt CPR and defibrillation led to full recovery, highlighting the need for awareness of this unusual injury.

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Area of Science:

  • Cardiology
  • Emergency Medicine
  • Sports Medicine

Background:

  • Sudden cardiac arrest (SCA) in adolescents is rare.
  • Commotio cordis is a potentially fatal event caused by blunt chest trauma.
  • Prompt recognition and intervention are crucial for survival.

Observation:

  • A 17-year-old female experienced SCA after blunt chest trauma.
  • Ventricular fibrillation was diagnosed by emergency services.
  • Return of spontaneous circulation was achieved with one defibrillation.

Findings:

  • The patient had no prior medical history.
  • No other injuries were identified.
  • Complete neurologic recovery was achieved.

Implications:

  • This case highlights commotio cordis as a rare cause of SCA in young athletes.
  • Increased awareness can prevent misdiagnosis and improve patient outcomes.
  • This emphasizes the importance of considering commotio cordis in cases of sudden collapse after chest impact.