01-04-2023, 08:12 PM
(01-04-2023, 01:12 PM)oncemoreuntothejimbreech Wrote: That is definitely within the list of possibilities or differential diagnosis, but usually it’s caused by smaller objects traveling at a faster speed. The larger the object hitting the chest the less likely it is to concentrate the force in one location. Getting hit with a puck is more likely to cause commotio cordis than a shoulder.
Sudden cardiac arrest in athletes is usually due to an undetected heart condition.
Here is a list of heart conditions which are more likely to cause sudden cardiac arrest in athletes:
Hypertrophic cardiomyopathy
Anomalous origin of coronary artery
Arrhythmic right ventricular cardiomyopathy
Myocarditis
Coronary atherosclerosis
Long QT syndrome
Brugada syndrome
Catecholamenergic polymorphic ventricular tachycardia
Short QT syndrome
Early repolarization syndrome
They will need to eliminate all the possible structural and electrical causes of sudden cardiac arrest before they can determine if it may have been commotio cordis. Otherwise, it’s like me on my honeymoon; premature.
Hypertrophic cardiomyopathy.... that's where the heart is thickened, right? I seem to recall this was what Bears DE Gaines Adams died from in 2010 and Falcons C Jason Collier died from in 2005.
Is that something where it is hard to diagnosis? I read that NFL players are required to have an EKG annually, but that they only do a stress test and echocardiogram if there is something abnormal on the EKG.
Is it something where people in their late teens or early twenties are more at risk, like it can suddenly appear during that time?
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