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Ann Noninvasive Electrocardiol. 2012 Jul;17(3):280-2. doi: 10.1111/j.1542-474X.2012.00518.x.

Complete heart block following a blow on the chest by a soccer ball: a rare manifestation of commotio cordis.

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Department of Internal Medicine Division of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA.


Commotio cordis is a rare type of blunt cardiac injury in which low impact chest trauma causes sudden cardiac arrest, usually occurs from being struck by a projectile during sports. The most common arrhythmia during commotio cordis is ventricular fibrillation, although complete heart block and an idioventricular rhythm have also been reported. We describe a case of a young patient who presented with a persistent third-degree atrioventricular block and a left bundle branch block, following blunt chest trauma, as a result of blow by soccer ball and subsequently needed a permanent pacemaker.

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