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Man Down After a Line Drive

Author: John Sullivan, MD
Peer-Reviewer and Final Editor: Alex Tomesch, MD, CAQ-SM

A 16 year-old baseball player collapses after being hit in the chest by a line drive. He remains motionless on the ground. The medical team immediately recognizes he is in cardiac arrest and begins CPR. During pulse check, the rhythm strip on the cardiac monitor is shown below.


Figure 1. From Adobe Stock 

 

References

[1] Link MS. Commotio Cordis. Circulation: Arrhythmia and Electrophysiology. 2012;5(2):425-432. doi:10.1161/circep.111.962712

[2] Maron B, Estes M, Link M. Task Force 11: Commotio cordis. Journal of the American College of Cardiology. 2005;45(8):1371-1373. doi:10.1016/j.jacc.2005.02.018

[3] Maron BJ, Gohman TE, Kyle SB, Estes III NAM, Link MS. Clinical Profile and Spectrum of Commotio Cordis. JAMA. 2002;287(9):1142–1146. doi:10.1001/jama.287.9.1142

[4] Mejia-Lopez E. Focus on Electrophysiology | Sudden Cardiac Death in Athletes. American College of Cardiology. Published December 20, 2019. https://www.acc.org/latest-in-cardiology/articles/2019/12/01/24/42/focus-on-ep-sudden-cardiac-death-in-athletes

[5] Tainter CR, Hughes PG. Commotio Cordis. [Updated 2022 Sep 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK526014/