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Commotio Cordis 710 Lesson

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was supine during auscultation.

Description

This lesson presents commotio cordis, a 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 this example, 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 which is produced by rapid filling of the left atrium due to torrential mitral regurgitation.

The auscultation position is the mitral valve area.

Phonocardiogram

Anatomy

Commotio Cordis 710


Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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