UNDERSTANDING COMMOTIO CORDIS
Commotio cordis (CC) is a condition that can lead to sudden cardiac arrest (SCA) as the result of a blunt trauma (blow) to the anterior chest. This blow results in a ventricular arrhythmia and ultimately death. It is different than other cardiac conditions that can lead to SCA because it is not the result of an undetected electrical anomaly in the heart. CC is an extremely rare condition because the precise nature of events that must occur to lead to an arrhythmia.
For CC to result a potential victim must be struck directly over the left ventricle of the heart during the upstroke of the T-wave of the heart rhythm. In other words, there is an extremely small window in which the ventricular arrhythmia will occur. You must be struck in the chest over the heart during a specific point in the heart rhythm.
|Heart rhythm graphic: Understanding wave parts|
Current statistics show about 20 events annually on the national registry, but there is some belief that there is some underreporting due to poor recognition and underreporting. Other statistics include:
- 80% are white
- 95% are male
- 10-18 year olds are most susceptible with 75% under 18 and 26% younger than 10
- Survival rates have increased from 10 to 58% thanks to increased availability of AEDs in recent years
If you’re reading this wondering what prevention steps you can take, check out the Korey Stringer Institute (KSI) link. The following resources are some of the most useful in understanding the condition and recognizing it.