Cardiac contusion

Background

Commotio Cordis

• Specific type
• Most common cause of cardiac death in athlete
• sudden death w/o abnl heart from trauma to cw at vent depolarization= vf & death.

Diagnosis

• Physical
  • New murmur
• EKG
  • most common abnormality in order
    • Sinus tachy
    • PVCs
    • A. fib
• do NOT need enzymes

Treatment

1. Treat arrythmia prn
   1. Do NOT treat prophylacticly (incr mort!)
2. NO thrombolitics for AMI here (incr mort)

severity depends on underlying cad b/c inflamm chngs= redistribute coronary flow that may= ischemic cp.

Disposition

Observation for 6 hours

Admit (tele) for:

1. abnl physical
2. abnl ekg
3. hypotension

See Also

Thoracic Trauma