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• W4353048128 abstract "Commotio cordis is an increasingly recognized cause of sudden cardiac death. Although commonly linked with athletes, many events occur in non-sport-related settings.The goal of this study was to characterize and compare non-sport-related vs sport-related commotio cordis.PubMed and Embase were searched for all cases of commotio cordis from inception to January 5, 2022.Of 334 commotio cordis cases identified, 121 (36%) occurred in non-sport-related contexts, which included assault (76%), motor vehicle accidents (7%), and daily activities (16%). Projectiles were implicated significantly less in non-sport-related events (5% vs 94%, respectively; P < 0.001). Nonprojectile etiologies in non-sport-related events mostly consisted of impacts with body parts (79%). Both categories affected similar younger aged demographic (P = 0.10). The proportion of female victims was significantly higher in non-sport-related events (13% vs 2%, respectively; P = 0.025). Mortality was significantly higher in non-sport-related events (88% vs 66%, respectively; P < 0.001). In non-sport-related events, rates of cardiopulmonary resuscitation (27% vs 97%, respectively; P < 0.001) and defibrillation (17% vs 81%, respectively; P < 0.001) were both lower and resuscitation was more commonly delayed beyond 3 min (80% vs 5%, respectively; P < 0.001).Commotio cordis occurs across a spectrum of non-sport-related settings including assault, motor vehicle accidents, and daily activities. Both categories affected a younger and male-predominant demographic. Mortality is higher in non-sport-related commotio cordis, likely owing to lower rates of cardiopulmonary resuscitation, defibrillation, automated external defibrillator availability, and extended time to resuscitation. Increased awareness of non-sport-related commotio cordis is essential to develop a means of prevention and mortality reduction, with earlier recognition and prompt resuscitation measures." @default.
• W4353048128 created "2023-03-23" @default.
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• W4353048128 date "2023-08-01" @default.
• W4353048128 modified "2023-10-16" @default.
• W4353048128 title "Commotio Cordis in Non–Sport-Related Events" @default.
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• W4353048128 doi "https://doi.org/10.1016/j.jacep.2023.01.010" @default.
• W4353048128 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37558288" @default.
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