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Commotio Cordis

Commotio Cordis

This 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.


Auscultation Sounds

auscultation sound from lesson
waveform





Position

Patient position
The patient's position should be supine.

Listening Tips

Systole:Rectangular murmur in first half of systole then decrescendo


Waveform (Phonocardiogram)

Observe

//embedding heart animation

Authors

These authors contributed the audio recordings and text found in this reference guide: Jon Keroes, MD,Diane Wrigley, PA, and David Lieberman.
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.

Sources


Sources




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