title: Complete heart block following a blow on the chest by a soccer ball: a rare manifestation of commotio cordis.
abstract: Commotio cordis is a rare type of blunt cardiac injury in which low impact chest trauma causes sudden cardiac arrest, usually occurs from being struck by a projectile during sports. The most common arrhythmia during commotio cordis is ventricular fibrillation, although complete heart block and an idioventricular rhythm have also been reported. We describe a case of a young patient who presented with a persistent third-degree atrioventricular block and a left bundle branch block, following blunt chest trauma, as a result of blow by soccer ball and subsequently needed a permanent pacemaker.
authors: Department of Internal Medicine Division of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA. saurabhthakar@rediffmail.com
authors: Saurabh
authors: S
authors: Thakar
authors: Preeti
authors: P
authors: Chandra
authors: Manali
authors: M
authors: Pednekar
authors: Chaim
authors: C
authors: Kabalkin
authors: Jacob
authors: J
authors: Shani
mesh_terms: D001265:Athletic Injuries / Q000150:complications / Q000175:diagnosis; D054537:Atrioventricular Block / Q000175:diagnosis* / Q000209:etiology; D002037:Bundle-Branch Block / Q000175:diagnosis* / Q000209:etiology; D056104:Commotio Cordis / Q000175:diagnosis* / Q000209:etiology; D004562:Electrocardiography; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D020127:Recovery of Function; D018570:Risk Assessment; D012916:Soccer / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis; D055815:Young Adult