title: Commotio cordis--a report of three cases.
abstract: Commotio cordis is a recognised cause of sudden death in which an apparently minor blow to the chest causes ventricular fibrillation and cardiac arrest. It is best known for causing death during games of youth baseball in the United States, but individual cases have been recorded as a result of a wide range of activities, principally sporting. The underlying biochemical and mechano-electric causes have been well documented. However, there are few reported cases where commotio cordis is implicated as the cause of death in homicide cases. We present three cases from the north-east of England where an assault caused death by this mechanism.
authors.affiliation: Forensic Medicine Unit University Department of Pathology, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom. Margaret.brown@nuth.northy.nhs.uk
authors.forename: S J
authors.initials: SJ
authors.lastname: Hamilton
authors.forename: J P
authors.initials: JP
authors.lastname: Sunter
authors.forename: P N
authors.initials: PN
authors.lastname: Cooper
mesh_terms: D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D005554:Forensic Medicine; D006708:Homicide; D006801:Humans; D008168:Lung / Q000473:pathology; D008297:Male; D009206:Myocardium / Q000473:pathology; D011654:Pulmonary Edema / Q000473:pathology; D035441:Thoracic Wall / Q000293:injuries*; D014693:Ventricular Fibrillation / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications*
references.citation: Recent Dev Alcohol. 1991;9:225-60
references.pmid: 1758986
references.citation: Chest. 1998 Jul;114(1):326-8
references.pmid: 9674489
references.citation: N Engl J Med. 1998 Jun 18;338(25):1805-11
references.pmid: 9632447
references.citation: JAMA. 2002 Mar 6;287(9):1142-6
references.pmid: 11879111
references.citation: Circulation. 1999 Jul 27;100(4):413-8
references.pmid: 10421603
references.citation: Am J Forensic Med Pathol. 1984 Sep;5(3):249-51
references.pmid: 6496438
references.citation: J Forensic Sci. 2000 May;45(3):734-5
references.pmid: 10855990
references.citation: Cardiovasc Res. 2001 May;50(2):280-9
references.pmid: 11334832
references.citation: Am J Dis Child. 1991 Nov;145(11):1279-82
references.pmid: 1951221
references.citation: Lancet. 2001 Apr 14;357(9263):1195-7
references.pmid: 11323067
references.citation: J Intensive Care Med. 2003 Nov-Dec;18(6):313-29
references.pmid: 14984660
references.citation: Child Abuse Negl. 2003 Jan;27(1):125-30
references.pmid: 12510035