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首页> 外文期刊>The American Journal of Cardiology >A Lethal Blow to the Chest as an Underdiagnosed Cause of Sudden Death in United Kingdom Sports (Football, Cricket, Rugby)
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A Lethal Blow to the Chest as an Underdiagnosed Cause of Sudden Death in United Kingdom Sports (Football, Cricket, Rugby)

机译：对胸部的致命打击是联合王国运动突然死亡的令人难以置疑的原因（足球，板球，橄榄球）

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摘要

Nonpenetrating blunt force trauma to the front of the chest can lead to commotio cordis, a cardiac rhythm disturbance, which can result in cardiac arrest and death. The condition is particularly noted during sport. No series of such cases has been published in the UK. This study is a retrospective analysis of a database of 6000 cases of sudden cardiac death examining commotio cordis in the setting of collapse and death shortly following a blow to the precordium where no structural heart disease was identified at autopsy. Of the 17 cases, 16 were male, and 11 were 18 years old or younger. Eleven occurred whilst playing sport while 6 involved physical interaction including assault. The most common circumstance of death involved a youth being struck in the chest by a ball during sporting activity. In conclusion, this study demonstrates that cases of commotio cordis in the UK follow a similar circumstantial and age profile to those reported in the United States, and indicates that ball sports such as football, cricket, and rugby expose young participants to a similar risk. There is currently no nation-wide registry of deaths occurring during sporting activity in the UK, and although the true incidence of this condition is not currently known, it is most probably under-recognised and underdiagnosed. (C) 2019 Elsevier Inc. All rights reserved.
机译：胸部前部的非培养钝力创伤可能导致Cordis，一种心律失常的骚扰，这可能导致心脏骤停和死亡。在运动期间尤其注意到了这种情况。在英国没有出版任何此类案件。本研究是对6000例突然心脏死亡案例的数据库进行回顾性分析，在倒闭崩溃和死亡中崩溃和死亡中不久的崩溃和死亡术后，在尸检中没有鉴定了尸体术。 17例，16例是男性，11人18岁或以下。 11岁同时参加6次涉及体育互动，包括攻击。最常见的死亡情况涉及在体育活动期间被一个球在胸前撞到胸前。总之，本研究表明，英国的Compotio Cordis案件遵循类似的间接和年龄概况，并指出足球，板球和橄榄球等球体育，使年轻的参与者暴露出类似的风险。目前在英国的体育活动期间没有发生的死亡人数，虽然目前未知这种情况的真正发病率，但最可能不承认和下降。 （c）2019 Elsevier Inc.保留所有权利。

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