Home Business What is commotio cordis? Cardiac event that affected Damar Hamlin can strike without warning

What is commotio cordis? Cardiac event that affected Damar Hamlin can strike without warning

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What is commotio cordis? Cardiac event that affected Damar Hamlin can strike without warning

BURLINGTON, Mass. — Medical doctors warn {that a} scary coronary heart situation, now well-known due to a professional soccer participant’s near-death expertise, is a really actual menace — particularly for athletes of all ages. A case examine reveals that commotio cordis may even strike an in any other case wholesome teen in a light-contact sport comparable to basketball.

Not a lot was identified about commotio cordis earlier than Buffalo Payments defensive again Damar Hamlin practically misplaced his life on Monday Evening Soccer. In one of the terrifying moments to ever occur on a soccer area, Hamlin suffered a commotio cordis occasion that led to cardiac arrest after he was struck within the chest throughout a recreation between the Payments and Cincinnati Bengals. Hamlin stopped respiratory and needed to be resuscitated on the sphere.

The incident, witnessed by thousands and thousands on dwell tv, underscored the significance of rapid cardiopulmonary resuscitation (CPR) and defibrillation in saving lives.

Quick ahead 60 days and 5,000 miles away to Bucharest, Romania, the place one other commotio cordis occasion occurred throughout a youth basketball match. This incident unfolded in entrance of households and pals reasonably than a worldwide viewers. An 18-year-old basketball participant, known as M.V., was inadvertently struck within the chest by an opponent’s elbow, inflicting him to break down in the course of the recreation. Fortuitously, the incident was captured on video, and quick CPR and a single defibrillation shock have been administered, finally saving his life.

Commotio cordis event documented during a high school basketball game in Romania
Commotio cordis occasion documented throughout a highschool basketball recreation in Romania. (credit score: Coronary heart Rhythm Case Reviews)

Commotio cordis occasions have been reported in over 20 nations worldwide, however they’re exceptionally uncommon and infrequently counterintuitive, as seen in M.V.’s case. Commotio cordis happens when a blow to the chest triggers ventricular fibrillation, a life-threatening coronary heart rhythm dysfunction, inside a slender 20-millisecond window in the course of the T wave of the center’s electrical cycle.

Following the commotio cordis occasion, M.V. was evaluated at Lahey Hospital and Medical Heart in Burlington, Massachusetts, below the care of Dr. Barry J. Maron.

“There’s some skepticism relating to the existence of commotio cordis. Because the case of the Romanian basketball participant was recorded and documented, it validates the existence of commotio cordis,” explains Dr. Maron in a media release. “It’s a actual phenomenon, and it happens in actual individuals in sports activities and in each day dwelling. You will need to increase consciousness of this situation, which is reversible with immediate intervention, as this case demonstrates.”

The elbow of the opponent making blunt left chest contact is obvious, as denoted by the white arrow
The elbow of the opponent making blunt left chest contact is apparent, as denoted by the white arrow. The sport and the scramble for the ball continues as M.V. collapses in full cardiac arrest. (credit score: Coronary heart Rhythm Case Reviews)

Previous to the incident, M.V. had been in wonderful well being with no cardiovascular complaints, and there was no household historical past of heart problems. Six weeks after his cardiac arrest, when he was examined at Lahey Hospital and Medical Heart, he was asymptomatic, neurologically intact, and freed from residual medical issues. He had already begun to renew regular each day actions with out issue.

This commotio cordis occasion is noteworthy for broadening our understanding of the situation, as competitive basketball had not beforehand been related to this explanation for cardiac arrest. Sometimes, contact sports activities comparable to baseball, softball, and hockey have been linked to commotio cordis, typically because of the increased probability of bodily contact or chest blows from onerous projectiles like balls and pucks.

“On this report, we’ve got underscored as soon as once more that commotio cordis can happen below nearly any circumstance the place there may be the opportunity of bodily bodily contact of any magnitude, or projectile-induced chest blows, however all the time when least anticipated,” says Dr. Maron. “This can be one of the best documented case we’ve got of commotio cordis, which ought to go an extended option to dispel skepticism.”

The examine is printed within the journal HeartRhythm Case Reports.

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