Concussion as a trauma( Commotio cordis): surgical treatment, causes, symptoms

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Among closed injuries of the heart, concussion( Commotio cordis) is characterized by the fact that in the absence of mechanical damage to the organ it carries a potential threat to life. It is important to know about the dangers of concussion to athletes and people who are in a situation where an accidental stroke to the heart can occur in order to avoid this trauma.

Features of injury

Heart abnormalities caused by a blow in the area of ​​its projection on the chest, called a concussion of the heart. It is meant that the cause of heart failure is the stroke, and not the disease is the cause. The consequences can be from a temporary arrhythmia to a fatal outcome.

For a while the concepts of heart contusion, and concussion correlated like similar concepts. Currently, it is believed that these are different diagnoses. In the case of a concussion of the heart, there is no damage to the organs, and the heart receives electrical disturbances, a rhythm disorder.

Consequences can be instantaneous or after a while. In some cases, the activity of the heart after rhythm imbalance is restored. A lethal outcome is possible.

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A stupid blow can happen in everyday life or in sports. Negative effects - ventricular fibrillation.

Classification of

Manifestations of concussion can be divided into two categories:

  • symptoms appear immediately after the injury,
  • signs of concussion designate themselves after some time.

About what this trauma of the heart has the reasons, read further.

Causes of concussion

A factor that causes a concussion of the heart is a sharp blow to the chest from the heart. Studies have shown that during the acquisition of the impact such aspects play a role:

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The opinion of doctors. .. & gt; & gt;

  • degree of hardness of the object: the hardest object with impact produced an effect with more negative consequences;
  • place where exactly the object hit: the situation was especially dangerous when the impact hit the projection on the chest of the left ventricle, its central part;
  • phase of the heart at this time: if the impact situation occurred at the time before the peak of the T-wave, then the picture of cardiac arrhythmias was most pronounced;Fibrillation of the ventricles was observed, which occurred immediately after the stroke.

Often a blow to the chest happens:

  • during sports, when the subject that causes a concussion is:
    • ball, for example:
      • in football,
      • in handball;
    • washer during hockey;
    • projectile;
    • punch fist can happen during:
      • different types of fight,
      • boxing;
  • in emergency situations: hit on the steering wheel during a car accident;
  • on vacation can happen, for example, a swing of a swing.

Symptoms of

Symptoms of a heart injury can occur immediately after a stroke or after a while.

  • Heart rhythm disorders occur:
    • bradycardia,
    • atrial fibrillation,
    • extrasystole,
    • atrial flutter,
    • impairment at the level of conduction of the pulse,
    • ventricular fibrillation,
    • transverse cardiac blockade in full;
  • dizziness,
  • may be a pain in the heart,
  • if peripheral circulation is disturbed, symptoms:
    • arterial pressure decreases,
    • value of venous pressure increases;
  • in case of a negative development of events:
    • loss of consciousness,
    • can get a skin bluish tint,
    • heartbeat is not bugged,
    • lacks breathing, pulse;
    • lethal outcome.

Cardiac disorders can go away quickly. Another development scenario when a lethal outcome occurs:

  • instant death,
  • , the person with whom a heart concussion happened, still does some actions, and then there is a fatal outcome.

Diagnosis

Patient examination involves determining:

  • whether there is circulation in the patient,
  • , if breathing is not violated,
  • what kind of pressure, pulse;
  • blood and urine tests;
  • conducts studies in the chest area:
    • echocardiography,
    • electrocardiogram,
    • radiography.

Whether such a heart attack requires surgical treatment, read on.

Treatment of

To save a person who has a concussion of the heart, a defibrillation can be performed in a timely manner. Therefore, in halls where competitions are held or simply sports training, it is prudent to have a defibrillator.

However, this exercise does not always help with ventricular fibrillation as a result of concussion. In such cases, the victims die.

Prevention

Activities that relate to prophylactic measures to avoid a concussion of the heart, provide:

  • Avoid such circumstances so that a stroke in the heart can be possible.
  • In sport, observe safety techniques to protect the heart. It is necessary to teach players the ability to evade a flying object, with the threat of a blow to the heart. If it is possible to accidentally hit the ball, then try to pick up the projectile so that it is not very stiff.

Complications of

To undesirable consequences can be attributed to the lethal outcome of the patient. If the specialists managed to lead to a normal condition of the victims who had ventricular fibrillation, then such patients were trapped by another danger.

Some people developed ischemic encephalopathy, and these patients died as a result of the consequences of this pathology.

Forecast

Patients whose concussion caused temporary rhythm disturbances do not have consequences associated with a stroke in the heart. The activity of the organ is restored.

Cases when there was an acute situation, ventricular fibrillation occurred, according to statistics, 15% of patients get saved.

Even more useful information about heart concussion contains the following video for those who speak English:

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