E) The apparent mechanism for death is ventricular fibrillation induced by an abrupt blunt precordial blow during a specific period in the cardiac cycle.
is the mechanism of death in persons with commotio cordis. It is induced by a blunt precordial blow occurring in the up-slope of the T wave
, causing sudden death in athletes.
Although there have been discussions about chest protectors among little league baseball, no requirements currently exist.
More deadly outcomes are associated with baseballs thrown at more than 40 mph
as well as blows in the precordial area and the center of the chest.
Less than 10% of persons with commotio cordis survive despite automated external defibrillator maneuvers and rapid defibrillation.
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