Presentation
The book also assists the forensic pathologist in the presentation and interpretation of the sequence of events in a court of law. [books.google.com]
The usual clinical presentation is that of immediate collapse secondary to a lethal arrhythmia. Prevention is the cornerstone of potentially decreasing the incidence with the aid of safety equipment and, possibly, immediate defibrillation. [ncbi.nlm.nih.gov]
Two male patients presented to Emergency Department with moderate anterior chest pain after motor vehicle crash showed transient anterior ST segment elevation at chest lead V2 and V3 with raised creatine kinase and normal troponin T. [medicineandhealthukm.com]
Club and teams that participate in the PSPL must have all their coaches and assistant coaches complete an online Sudden Cardiac Arrest prevention program and present a certificate of completion to their club/team prior to the start of the 2015-2016 season [pugetsoundpremierleague.com]
Patients that do survive to hospital presentation present with signs of profound hypotension or pericardial tamponade. [aast.org]
Entire Body System
- Falling
Concussions can also occur from a fall or a blow to the body that causes the head and brain to move quickly back and forth. [fcusd.org]
The clinical corollary of this is the ‘R on T phenomenon’ (VF caused by premature ventricular contractions falling on vulnerable portion of T wave, in ischaemic conditions (acute MI/ coronary ischaemia) but not non-ischaemic conditions such as continuous [forensicmed.co.uk]
Sudden death caused by Commotio cordis after an accidental fall is very rare in women. [scinapse.io]
Other mechanisms, such as falls, crush injuries, assault, and sports related injuries with direct blows to the chest also contribute. [aast.org]
In the fall of that year David would head to Seton Hall University on an athletic scholarship, forgoing interest from several Major League Baseball teams because he wanted to experience college. [qz.com]
- Unconsciousness
We report a case of a young child falling from a low height landing chest first with rapid onset of unconsciousness, apnoea and cyanosis. [scinapse.io]
- Military Personnel
In studying non-injured persons, Hansen et al. (2003) divided military personnel on the basis of low or high HRV groups and then assessed sustained attention and working memory. [frontiersin.org]
Gastrointestinal
- Vomiting
The following symptoms during or after physical activity are signs that a student-athlete may have a heart condition: Chest pain Fainting Abnormally heavy breathing Irregular heartbeat Fatigue and weakness Dizziness Nausea and/or vomiting These symptoms [barnabashealth.org]
Fainting/blackouts (especially during exercise) Dizziness Unusual fatigue/weakness Chest pain Shortness of breath Nausea/vomiting Palpitations (heart is beating unusually fast or skipping beats) Family history of sudden cardiac arrest at age < 50 ANY [wiaawi.org]
[…] ground immediately on impact and others remained standing, but all of them then briefly performed some kind of conscious physical activity or movement — opening their eyes, rising to a standing position (or attempting to do so), speaking or crying, vomiting [nejm.org]
Cardiovascular
- Heart Disease
At Sibley Heart Center Cardiology, we offer our Cardiac Genetics Program which cares for children and young adults who have: A genetic heart disease, such as long QT syndrome, dilated cardiomyopathy and coronary artery disease, or who are suspected of [choa.org]
It systematically examines patho-physiologic changes and specific heart diseases and emphasizes the benefits of communication between forensic specialists and clinicians in determining cause of death. [books.google.com]
Ninety percent of professional athletes today are tested for heart disease regularly. [qz.com]
Belloni Effects of sympathetic activation on ventricular ectopic beats in subjects with and without evidence of organic heart disease Eur Heart J, 8 (1987), pp. 1065-1074 [23] M. Pasotti, C. Klersy, A. [elsevier.pt]
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, so this can happen to anybody! [portneuf.org]
- Tachycardia
An electrical malfunction (short‐circuit) causes the bottom chambers of the heart (ventricles) to beat dangerously fast (ventricular tachycardia or fibrillation) and disrupts the pumping ability of the heart. [wiaawi.org]
All participants were under beta-blocker therapy to prevent inappropriate shocks due to sinus or ventricular tachycardia. [elsevier.pt]
Patients generally present to ED unresponsive, apneic and pulseless with initial rhythm analysis generally showing ventricular fibrillation or ventricular tachycardia. [lifeinthefastlane.com]
AAST Injury Scale: Cardiac Injuries Grade I Blunt cardiac injury with minor EKG abnormality (non specific ST of T wave changes, premature atrial or ventricular contractions, or persistent sinus tachycardia Blunt or penetrating pericardial wound without [aast.org]
That also explains why the heart becomes more vulnerable when it is physically strained by sports activities: The increase in heart rate (exercise tachycardia ) may double the probability above (e.g., with 120 beats per minute the cardiac cycle shortens [en.wikipedia.org]
- Heart Failure
Clinically, it may be asymptomatic or manifested by cardiac arrhythmias, heart failure or thromboembolism. [pesquisa.bvsalud.org]
Perhaps the most famous case of heart failure occurred when Reggie Lewis of the Boston Celtics dropped dead on the court during an offseason practice. He was diagnosed with hypertrophic cardiomyopathy, a fairly common heart condition. [bleacherreport.com]
There is consensus among physicians that heart failure, HCM and ischemic heart disease should limit participation in sports, but this is not the case with long QT syndrome and Brugada syndrome. 3 In HCM, different sports, such as football or boxing, can [elsevier.pt]
- Hypotension
Patients that do survive to hospital presentation present with signs of profound hypotension or pericardial tamponade. [aast.org]
Hypothermia does not decrease myocardial contractility or induce hypotension if hypovolemia is corrected, and preliminary evidence suggests that it can be safely used in patients with cardiac shock. [scinapse.io]
- Palpitations
Palpitations - feeling fast or skipped heart beats. Dizziness - feeling lightheaded. Chest pain or chest tightness with exercise. Shortness of breath. Syncope - fainting or passing out. [uiltexas.org]
Fainting/blackouts (especially during exercise) Dizziness Unusual fatigue/weakness Chest pain Shortness of breath Nausea/vomiting Palpitations (heart is beating unusually fast or skipping beats) Family history of sudden cardiac arrest at age < 50 ANY [wiaawi.org]
Psychiatrical
- Abnormal Behavior
If you or a loved one has sustained a blow to the head, you should consult with a doctor if you experience headaches, nausea, dizziness, or any other abnormal behavior. At MJM, we perform a non-invasive concussion screening known as ImPACT. [barnabashealth.org]
Workup
Other ECG Findings
- Electrocardiogram Change
The electrocardiogram changes fully resolved after 24 hours. Both patients were discharged uneventfully after 24 hours monitoring in Emergency Department short-stay ward. [medicineandhealthukm.com]
Treatment
HRV measurements can be done daily and easily to help guide concussion treatment and assure the treatment is promoting proper recovery in conjunction with other assessments and protocols. [hrvcourse.com]
We want to help your family understand: Your child’s diagnosis, the course of his disorder and ways to manage it How your child’s family history affects his condition and treatment The risk of other family members having the same condition Possible treatment [choa.org]
To utilize TH for this patient, military physicians with limited local resources employed a telemedical approach to obtain a hypothermia protocol to develop a successful treatment plan. [scinapse.io]
After multiple clinical studies, The Eastern Association for the Surgery of Trauma (EAST) has generated the following guidelines for evaluation and treatment of myocardial contusion. [aast.org]
The most effective treatment for sudden cardiac arrest and, indeed, the only effective response to commotio cordis, is the timely delivery of a life-saving shock or defibrillation. [uslacrosse.org]
Prognosis
BCI should be highly suspected when these other injuries are presents, and these other injuries may greatly affect the patients overall prognosis. [aast.org]
Etiology
However, Mild TBI or concussion injuries are rarely lateralized, typically being more diffuse in etiology and MOI. Williamson et al. (2013) propose a similar model. [frontiersin.org]
Epidemiology
Estes, M.(2010).NEJM,362:10 Epidemiology: More than 224 cases have been reported to the US Commotio Cordis Registry since 1995, however its estimated that many more cases have not been reported. [lifeinthefastlane.com]
Definition and epidemiology of sudden cardiac death SCD, mainly caused by malignant ventricular arrhythmias, 6 is one of the leading causes (>50%) of cardiovascular death worldwide. [elsevier.pt]
Epidemiology and Diagnosis of Traumatic Brain Injury First, it is necessary to review the etiology and severity of TBI to understand where concussions fall along the continuum of severity of injury and how they may affect HRV. [frontiersin.org]
Pathophysiology
The functional dynamics of the heart, with ventricular arrythmias and conduction disturbances, serve as the pathophysiological basis of this condition. As a cause of death in vehicular accidents, it is less common than other causes. [ncbi.nlm.nih.gov]
The pathophysiology of the association of these two infrequent and potentially lethal conditions is discussed. [pesquisa.bvsalud.org]
[…] infarction of childhood Arrhythmogenic right ventricular dysplasia (ARVD) Viral myocarditis Anomalous left coronary artery from the pulmonary artery (ALCAPA) Electrolyte abnormalities [See Cardiovascular Curveball #003 for a case of HOCM and QT prolongation] Pathophysiology [lifeinthefastlane.com]
Research has shown implications for HRV in physiology, pathophysiology, psychology, psychopathology, cognition, and neurocognitive impairment ( Gevirtz, 2013 ). [frontiersin.org]
Prevention
Safety and prevention is a priority to Lucky Lax which is why we have partnered with Orthopedic One. [luckylax.com]
Abstracts from the IOC World Conference on Prevention of Injury & Illness in Sport, Monaco 2014 THE IMPACT OF CONCUSSION ON CARDIAC AUTONOMIC FUNCTION: A SYSTEMATIC REVIEW OF EVIDENCE FOR RECOVERY AND PREVENTION T Blake 1, C McKay 1, WH Meeuwisse 1, 2 [bjsm.bmj.com]
Sudden Cardiac Arrest Prevention Act On May 30th, Governor Corbett signed into law the “Sudden Cardiac Arrest Prevention Act,” also known as Act 59 of 2012 (originally House Bill 1610). [allentowndiocese.org]
In fact, tests on the majority of commercially available chest guards found that there was not a significant difference in preventing Commotio cordis between wearing the protection and not. [sporttechie.com]
These courses include: Concussion Awareness and Prevention and Response to Heat Related Medical Issues. [doe.in.gov]