Commotio cordis, revisited

Frazer, Marilee; Mirchandani, Haresh G.

doi:10.1097/00000433-198409000-00015

Cited by 40 publications

(16 citation statements)

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“…Although the intention is not to include traumatic causes of sudden death, commotio cordis (sudden death following blunt trauma to the chest) is worthy of mention as the history may not be forthcoming without consideration and direct questioning [240][241][242][243][244].…”

Section: Sudden Cardiac Death: Other Aetiologiesmentioning

confidence: 99%

Sudden adult death

Langlois

2009

Forensic Sci Med Pathol

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In the investigation of sudden death in adults, channelopathies, such as long QT syndrome, have risen to the fore in the minds of forensic pathologists in recent years. Examples of these disorders are touched upon in this review as an absence of abnormal findings at postmortem examination is characteristic and the importance of considering the diagnosis lies in the heritable nature of these conditions. Typically, a diagnosis of a possible channelopathy is evoked as an explanation for a 'negative autopsy' in a case of apparent sudden natural death. However, the one potential adverse effect of this approach is that subtle causes of sudden death may be overlooked. The intention of this article is to review and discuss potential causes of sudden adult death (mostly natural) that should be considered before resorting to a diagnosis of possible channelopathy. Nonetheless, it becomes apparent that many of the potential causes of sudden death can have a genetic basis. Thus, it becomes an important consideration that there may be a genetic basis to sudden death that extends beyond the negative autopsy.

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Section: Sudden Cardiac Death: Other Aetiologiesmentioning

confidence: 99%

Sudden adult death

Langlois

2009

Forensic Sci Med Pathol

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“…While it is likely that the terminal event is an arrhythmia, the etiology is uncertain [71]. Occasionally an occlusive thrombus will be found within a major coronary artery [72].…”

Section: Commotio Cordismentioning

confidence: 99%

Accidental Childhood Death and the Role of the Pathologist

Byard

2000

Pediatr Dev Pathol

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The following study provides an overview of accidental childhood death. This study is based on a review of 369 cases of fatal childhood accidents taken from the records of the Department of Histopathology, Women's and Children's Hospital, Adelaide, Australia, over a 34-year period from 1963 to 1996. Data provide information on deaths due to motor vehicle accidents, drownings, accidental asphyxia, burns, poisonings, electrocution, and miscellaneous trauma. In addition, certain categories have undergone further examination, including asphyxial deaths due to unsafe sleeping environments and unsafe eating practices, drowning deaths, and deaths on farms, following identification of significant child safety problems in these areas as part of the "Keeping Your Baby and Child Safe" program. Previously unrecognized dangers to children detected through this program include mesh-sided cots, V-shaped pillows, and certain types of stroller-prams. The production of information pamphlets and packages for parents and the recall of certain dangerous products following recommendations made by pathologists demonstrate that pediatric and forensic pathologists have an important role to play in preventive medicine issues and in formulating public health strategies.

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“…In 1932, the condition was recognized as a distinct cause of traumatic death. 6,7 Studies have reported that blunt force injuries to the chest wall caused during a motor vehicle accident (MVA) 2,4,6 or sporting activity such as baseball, softball, 2 hockey, lacrosse, 8 and punches during a boxing match 2,9 can result in sudden death. 4 Cardiac concussion has been defined as sudden death from a seemingly trivial nonpenetrating blunt trauma to the chest, with no demonstrable intrathoracic injury and without histopathological evidence of injury that might induce the sudden lethal dysrhythmias that results in death.…”

Section: Features Of a Cardiac Concussionmentioning

confidence: 99%

“…Cardiac concussion is unique in that the postmortem examination of the heart and thoracic area reveals no physiological, morphologic, or histopathological evidence of injury. 2 It has been hypothesized that the impact induces a sudden and lethal dysrhythmia that leads to sudden death. 3…”

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confidence: 99%

Cardiac Concussion

Koehler

Shakir

Ladham

et al. 2004

American Journal of Forensic Medicine &Amp; Pathology

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A cardiac concussion is caused by a sudden, nonpenetrating, localized impact to the chest that is theorized to result in almost simultaneous sudden death from a disruption to the conductive system. The detailed external/internal forensic examination of the body reveals no evidence of structural, pathologic, or histologic signs of trauma to the heart. A cardiac concussion is a rare and often overlooked cause of sudden death. This type of sudden death is typically seen among younger individuals participating in sports involving projectiles and, to a lesser degree, where collisions occur. Cardiac concussions are clinically, pathologically, and chemically different from a cardiac contusion. The objective of this paper will be to define cardiac concussion, differentiate between cardiac concussion and cardiac contusion, and describe the clinical and pathologic features of a 32-year-old white male who died of a cardiac concussion following a collision with a catcher during a softball game. The civil ramification of incorrectly diagnosing the manner of death in cases of death involving a cardiac concussion will also be addressed.

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Commotio cordis, revisited

Cited by 40 publications

References 0 publications

Sudden adult death

Sudden adult death

Accidental Childhood Death and the Role of the Pathologist

Cardiac Concussion

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