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American family physician · May 1997
Case ReportsCommotio cordis: clinical implications of blunt cardiac trauma.
- L A Crown and W Hawkins.
- Department of Family Medicine, University of Tennessee, Memphis, College of Medicine, USA.
- Am Fam Physician. 1997 May 15;55(7):2467-70.
AbstractBlunt cardiac trauma can result not only in major structural impairments but also in subtle derangements without an apparent organic defect. Cardiac dysrhythmias, including ventricular fibrillation and sudden cardiac arrest, can occur in both cardiac contusion and cardiac concussion (commotio cordis) and may be fatal. The true incidence of these nonstructural cardiac injuries is unknown. Continuous electrocardiographic monitoring, assessment of cardiac troponin I and transesophageal echocardiograms are important aids in the evaluation of cardiac contusion and concussion.
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