{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:03:56Z","timestamp":1789729436432,"version":"4.0.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Commotio cordis is a rare, potentially fatal arrhythmic event precipitated by blunt trauma to the chest, typically during sports, in the absence of structural heart disease. The term, derived from Latin meaning \u2018agitation of the heart\u2019, reflects the mechanism in which a precisely timed impact during the vulnerable phase of ventricular repolarization induces ventricular fibrillation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 25-year-old male athlete with no past medical history or known cardiac conditions, and no family history of sudden cardiac death, suffered a cardiac arrest during an intermediate hurling championship match after a high-speed collision in which an opponent\u2019s knee struck his anterior chest. Ventricular fibrillation was detected, and spontaneous circulation was restored after 1\u00d7 shock. Extensive evaluation excluded structural or inherited cardiac disease. At 2-year follow-up, the patient remains asymptomatic, with serial echocardiograms and has resumed competitive hurling without restrictions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Commotio cordis occurs when blunt chest trauma, precisely timed during the upslope of the T-wave, induces ventricular fibrillation or ventricular tachycardia. Our case demonstrates classic features of commotio cordis: a previously healthy adult with no personal or family history of cardiac disease, cardiac arrest temporally related to a precordial impact, rapid restoration of circulation via automated external defibrillator, and favourable long-term outcome1 [Lampert R, Chung EH, Ackerman MJ, Drezner JA, Engel DJ, Gray B, et al. 2024 HRS expert consensus statement on arrhythmias in the athlete: evaluation, treatment, and return to play. Heart Rhythm 2024;21:e151\u2013e252.].<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag655","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T08:08:42Z","timestamp":1788336522000},"source":"Crossref","is-referenced-by-count":0,"title":["Sudden cardiac arrest from commotio cordis in a competitive hurling athlete: case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5895-3689","authenticated-orcid":false,"given":"Giulia","family":"Bruno","sequence":"first","affiliation":[{"name":"Cardiology Department, University Hospital Limerick , St Nessan\u2032s Road V94 F858, Limerick ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samari","family":"Blomerus","sequence":"additional","affiliation":[{"name":"Cardiology Department, University Hospital Limerick , St Nessan\u2032s Road V94 F858, Limerick ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8969-658X","authenticated-orcid":false,"given":"William","family":"Courtney","sequence":"additional","affiliation":[{"name":"Cardiology Department, University Hospital Limerick , St Nessan\u2032s Road V94 F858, Limerick ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J","family":"Kiernan","sequence":"additional","affiliation":[{"name":"Cardiology Department, University Hospital Limerick , St Nessan\u2032s Road V94 F858, Limerick ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cormac","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"Cardiology Department, University Hospital Limerick , St Nessan\u2032s Road V94 F858, Limerick ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"2026091806112986800_ytag655-B1","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.1016\/j.hrthm.2024.05.018","article-title":"2024 HRS expert consensus statement on arrhythmias in the athlete: evaluation, treatment, and return to play","volume":"21","author":"Lampert","year":"2024","journal-title":"Heart Rhythm"},{"key":"2026091806112986800_ytag655-B2","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1007\/s40279-023-01873-6","article-title":"Commotio cordis in 2023","volume":"53","author":"Peng","year":"2023","journal-title":"Sports Med"},{"key":"2026091806112986800_ytag655-B3","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1177\/1741826710389363","article-title":"Commotio cordis\u2014under-recognized in Europe?: A case report and review","volume":"18","author":"Solberg","year":"2011","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"2026091806112986800_ytag655-B4","doi-asserted-by":"crossref","first-page":"393","DOI":"10.14740\/jmc2941w","article-title":"Sudden cardiac arrest caused by a ball impact to the chest wall: commotio cordis","volume":"8","author":"Mandourah","year":"2017","journal-title":"J Med Cases"},{"key":"2026091806112986800_ytag655-B5","first-page":"P956","article-title":"Commotio cordis caused during hurling game","volume":"112","author":"Connellan","year":"2019","journal-title":"Ir Med J"},{"key":"2026091806112986800_ytag655-B6","first-page":"555","article-title":"A soccer shot with lengthy consequences: case report and current literature review of commotio cordis","volume":"45","author":"Schl\u00f6r","year":"2024","journal-title":"Int J Sports Med"},{"key":"2026091806112986800_ytag655-B7","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/j.1556-4029.2012.02292.x","article-title":"Commotio cordis\u2014a report of two similar cases","volume":"58","author":"Zheng","year":"2013","journal-title":"J Forensic Sci"},{"key":"2026091806112986800_ytag655-B8","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.forsciint.2007.09.008","article-title":"Commotio cordis as a result of a fight: report of a case considered to be imprudent homicide","volume":"177","author":"Lucena","year":"2008","journal-title":"Forensic Sci Int"},{"key":"2026091806112986800_ytag655-B9","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1016\/S0140-6736(14)60486-4","article-title":"Commotio cordis: a case of ventricular fibrillation caused by a cricket ball strike to the chest","volume":"383","author":"Spencer","year":"2014","journal-title":"Lancet"},{"key":"2026091806112986800_ytag655-B10","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.amjcard.2021.06.024","article-title":"Commotio cordis resulting from sibling rivalry","volume":"156","author":"Humble","year":"2021","journal-title":"Am J Cardiol"}],"container-title":["European Heart Journal - 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