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Commotio cordis : ウィキペディア英語版
Commotio cordis

Commotio cordis (Latin, "agitation of the heart") is an often lethal disruption of heart rhythm that occurs as a result of a blow to the area directly over the heart (the precordial region), at a critical time during the cycle of a heart beat causing cardiac arrest. It is a form of ventricular fibrillation (V-Fib), not mechanical damage to the heart muscle or surrounding organs, and not the result of heart disease. The fatality rate is about 65%.〔?〕 It can sometimes, but not always, be reversed by defibrillation.
Commotio cordis occurs mostly in boys and young men (average age 15), usually during sports, most often baseball, often despite a chest protector. It is most often caused by a projectile, but can also be caused by the blow of an elbow or other body part. Being less developed, the thorax of an adolescent is likely more prone to this injury given the circumstances.
The phenomenon was confirmed experimentally in the 1930s, with research in anaesthetized rabbits, cats and dogs.〔Schlomka G. Commotio cordis und ihre Folgen. Die Einwirkung stumpfer Brustwandtraumen auf das Herz. Ergebnisse der inneren Medizin und Kinderheilkunde. 1934;47: 1-91.〕
==Incidence==
Commotio cordis is a very rare event, but nonetheless is often considered when an athlete presents with sudden cardiac death. Some of the sports which have a risk for this cause of trauma are baseball, association football, ice hockey, polo, rugby football, cricket, softball, pelota, fencing, lacrosse, boxing, karate, kung fu, and other martial arts. Children are especially vulnerable, possibly due to the mechanical properties of their thoracic skeleton. From 1996 to spring 2007, the USA National Commotio Cordis Registry had 188 cases recorded, with about half occurring during organized sports〔(【引用サイトリンク】title=Position Statement on Commotio Cordis )〕 Almost all (96%) of the victims were male, the mean age of the victims during that period was 14.7 years, and fewer than one in five survived the incident.〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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