Commotio cordis, revisited

Am J Forensic Med Pathol. 1984 Sep;5(3):249-51. doi: 10.1097/00000433-198409000-00015.


Nonpenetrating cardiac injuries due to direct precordial blunt impacts are a commonly encountered phenomenon in medicolegal offices. These injuries vary from contusions to valvular lacerations, or papillary muscle rupture to coronary arterial injury with resulting infarction. A less commonly occurring manifestation of nonpenetrating injury is a concussion of the heart (commotio cordis), often with dramatic physiological consequences but no morphologic cardiac injury. We describe four case reports of this entity. The cases were collected over a 5-year period (1978-1983) from the Wayne County Medical Examiner's Office in Detroit, Michigan.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Heart Injuries / etiology*
  • Humans
  • Male
  • Wounds, Nonpenetrating / complications*