PMID- 37890546
OWN - NLM
STAT- MEDLINE
DCOM- 20231216
LR  - 20240131
IS  - 1535-6280 (Electronic)
IS  - 0146-2806 (Linking)
VI  - 49
IP  - 1 Pt C
DP  - 2024 Jan
TI  - Commotio cordis in non-sports-related injury: A scoping review.
PG  - 102165
LID - S0146-2806(23)00582-0 [pii]
LID - 10.1016/j.cpcardiol.2023.102165 [doi]
AB  - Commotio cordis is a rare but life-threatening condition characterized by sudden 
      cardiac arrest resulting from a blunt chest impact. While commotio cordis has 
      traditionally been associated with sports-related activities, a significant 
      proportion of cases occur in non-sport-related settings, such as assaults, motor 
      vehicle accidents (MVAs), and daily activities. This critical review examines the 
      epidemiology, clinical characteristics, and outcomes of non-sports-related 
      commotio cordis cases, highlighting the need for increased awareness and improved 
      management in these contexts. The review analyzes existing literature, drawing 
      attention to the demographics of non-sports-related cases, which predominantly 
      affect adolescents and young adults, with males being the primary demographic. In 
      contrast to sport-related cases, non-sports-related commotio cordis cases exhibit 
      a wider age range and a higher proportion of female subjects. Mortality rates are 
      significantly higher in non-sports-related commotio cordis cases, largely due to 
      lower rates of cardiopulmonary resuscitation (CPR), limited access to automated 
      external defibrillators (AEDs), and delayed initiation of resuscitative efforts 
      compared to sport-related incidents. This underscores the critical importance of 
      increasing awareness and preparedness in non-sport-related settings. To mitigate 
      the risks associated with non-sports-related commotio cordis, efforts should 
      focus on early recognition of the condition, timely administration of CPR, and 
      the widespread availability and accessibility of AEDs in various environments. 
      Enhanced awareness and education can potentially lead to a reduction in mortality 
      and improved outcomes for individuals affected by commotio cordis outside of 
      sports-related activities. In conclusion, commotio cordis is not exclusive to 
      sports and presents a significant health risk in non-sport-related scenarios. 
      This review emphasizes the urgent need for increased awareness, preparedness, and 
      resuscitation measures in non-sports contexts to address the higher mortality 
      associated with these cases.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Sohail, Sidra
AU  - Sohail S
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Naeem, Ather
AU  - Naeem A
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Basham, Humzala Ali
AU  - Basham HA
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Ashraf, Amna
AU  - Ashraf A
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Bai Bansari, Raveena
AU  - Bai Bansari R
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Karim, Ali
AU  - Karim A
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Faraz, Maria
AU  - Faraz M
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan.
FAU - Malik, Jahanzeb
AU  - Malik J
AD  - Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, 
      Pakistan. Electronic address: heartdoc86@gmail.com.
FAU - Hayat, Azmat
AU  - Hayat A
AD  - Department of Electrophysiology, Armed Forces Institute of Cardiology, 
      Rawalpindi, Pakistan.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231027
PL  - Netherlands
TA  - Curr Probl Cardiol
JT  - Current problems in cardiology
JID - 7701802
SB  - IM
MH  - Male
MH  - Adolescent
MH  - Young Adult
MH  - Humans
MH  - Female
MH  - *Commotio Cordis/epidemiology/etiology/therapy
MH  - Death, Sudden, Cardiac/epidemiology/etiology/prevention & control
MH  - Defibrillators
MH  - *Sports
OTO - NOTNLM
OT  - Arrest mortality
OT  - Cardiopulmonary resuscitation
OT  - Commotio cordis
OT  - Non-sports-related
OT  - Sudden cardiac
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/10/28 11:42
MHDA- 2023/12/17 09:42
CRDT- 2023/10/27 19:26
PHST- 2023/10/15 00:00 [received]
PHST- 2023/10/20 00:00 [accepted]
PHST- 2023/12/17 09:42 [medline]
PHST- 2023/10/28 11:42 [pubmed]
PHST- 2023/10/27 19:26 [entrez]
AID - S0146-2806(23)00582-0 [pii]
AID - 10.1016/j.cpcardiol.2023.102165 [doi]
PST - ppublish
SO  - Curr Probl Cardiol. 2024 Jan;49(1 Pt C):102165. doi: 
      10.1016/j.cpcardiol.2023.102165. Epub 2023 Oct 27.