Here is an example of commotio cordis as heard at the mitral valve area.
This condition is caused by blunt force trauma to the chest such as a baseball batter being hit in the chest by a pitch. Severe damage to the right and left ventricles and mitral and tricuspid valves may result.
In the example we are showing, the trauma is limited to the mitral valve leaflets. Rupture of a chordae tendinae has occurred resulting in a systolic murmur.
The first half of the murmur is rectangular. It is followed by a decrescendo late systolic component. This is caused by rapid filling of the left atrium due to torrential mitral regurgitation.
Commotio Cordis 69 Audio
Technique
The patient's position should be supine.
Auscultation Tips for Commotio Cordis 69
Systole:Rectangular murmur in first half of systole then decrescendoSound Wave
Commotio Cordis 69 Video
Authors and Sources
Authors and Reviewers
- EKG heart rhythm modules: Thomas O'Brien.
- EKG monitor simulation developer: Steve Collmann
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12 Lead Course: Dr. Michael Mazzini, MD.
- Spanish language EKG: Breena R. Taira, MD, MPH
- Medical review: Dr. Jonathan Keroes, MD
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Heart sounds and mentorship: W. Proctor Harvey, MD
- Medical review: Dr. Pedro Azevedo, MD, Cardiology
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Last Update: 1/8/2023
Sources
-
Electrocardiography for Healthcare Professionals, 5th Edition
Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019 -
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company -
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing -
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN - Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG
Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
Commotio Cordis 69 | Auscultation Cheat Sheet with Sounds & Video | #116
