{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:09:43Z","timestamp":1771632583815,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We describe a case of commotio cordis in which the patient had an extensive cardiac evaluation, including ECGs, a coronary angiogram, a left ventriculogram, repeated echocardiography and cardiovascular MRI (CMRI). A healthy 17-year-old boy sustained an open-handed blow to the anterior part of the chest from a friend with whom he was playing. On admission ECG was performed that showed ST-T alterations and a TNI increase, with echocardiographic evidence of a localised pericardial effusion associated with a persistent myocardial blush at selective angiography. In addition, CMRI confirmed a local delayed enhancement in the same zone. An echocardiogram examination performed 30\u2005days after discharge showed a complete disappearance of pericardial effusion and an improvement on ECG alterations. This is the first case report of a patient with commotio cordis, who did not show any arrhythmias and did not receive any resuscitation procedure, and was extensively studied by imaging methods.<\/jats:p>","DOI":"10.1136\/bcr-03-2011-3968","type":"journal-article","created":{"date-parts":[[2012,12,12]],"date-time":"2012-12-12T10:37:26Z","timestamp":1355308646000},"page":"bcr0320113968","source":"Crossref","is-referenced-by-count":2,"title":["Commotio cordis without arrhythmic event and resuscitation: ECG, echocardiographic, angiographic and cardiovascular resonance imaging study"],"prefix":"10.1136","volume":"2012","author":[{"given":"Giorgio","family":"Maringhini","sequence":"first","affiliation":[{"name":"Department of Cardiology, G.F. Ingrassia Hospital, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Fasullo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, G.F. Ingrassia Hospital, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"Vitrano","sequence":"additional","affiliation":[{"name":"Department of Cardiology, G.F. Ingrassia Hospital, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriella","family":"Terrazzino","sequence":"additional","affiliation":[{"name":"Department of Cardiology, G.F. Ingrassia Hospital, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Ganci","sequence":"additional","affiliation":[{"name":"Department of Cardiology, G.F. 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