Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 13: Commotio Cordis : A Scientific Statement From the American Heart Association and American College of Cardiology

Key Words

  • ACC/AHA Scientific Statements
  • athletes
  • cardiovascular abnormalities;
  • commotio cordis
  • sudden cardiac death
  • ventricular fibrillation

Commotio cordis is defined as sudden cardiac death triggered by a relatively innocent blow to the precordium (1). Although initially thought to be extremely rare, it is now increasingly reported in the United States and worldwide 2 and 3. Enhanced recognition of commotio cordis, rather than an increase in event frequency, likely accounts for the greater visibility of those events. Commotio cordis is one of the most common causes of sudden cardiac death in recreational and competitive sports, instantaneously resulting in a potentially fatal arrhythmia (4). Commotio cordis is distinct from cardiac contusion, in which structural damage to the heart with resultant arrhythmias develops within 24 hours after severe chest impact (5).

 


Autor / Fonte:Mark S Link, N A Mark Estes, Barry J Maron Journal of the American College of Cardiology 2015 October 27
Link: http://www.sciencedirect.com/science/article/pii/S0735109715065821/pdfft?md5=5967296309d13696028d18d90588abd5&pid=1-s2.0-S0735109715065821-main.pdf