• J Electrocardiol · Jan 2017

    Case Reports

    Commotio Cordis and complete heart block: Where is the block level?

    • Hussam Ali, Francesco Furlanello, Pierpaolo Lupo, Sara Foresti, Guido De Ambroggi, Gianluca Epicoco, Angelica Fundaliotis, and Riccardo Cappato.
    • Arrhythmia & Electrophysiology Unit II, Humanitas Gavazzeni Clinics, Bergamo, Italy. Electronic address: hussamali.ep@gmail.com.
    • J Electrocardiol. 2017 Jan 1; 50 (1): 148-150.

    AbstractVentricular fibrillation is typically the initial arrhythmia in commotio cordis following precordium impacts that occur within an electrically vulnerable period of the cardiac cycle. Conversely, complete heart block is very rare in this context, and its mechanism and temporal course are poorly understood. The presented case concerns a 12-year-old boy, athletic skier, who developed a transient complete heart block following commotio cordis. The electrocardiographic features, the proposed block level and mechanisms of complete heart block following commotio cordis are discussed.Copyright © 2016 Elsevier Inc. All rights reserved.

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