The Straight Dope

Go Back   Straight Dope Message Board > Main > General Questions

Reply
 
Thread Tools Display Modes
  #1  
Old 06-27-2004, 10:06 AM
drhess drhess is offline
Registered User
 
Join Date: May 2002
pronounce and explain commotio cordis

Howdy all,

1) How do you pronounce "commotio cordis"

2) Can somebody put the VC and AP terms in laymans terms? Thanks.

"Biomechanical aspects were given consideration early by Schlomka et al (17,18), who determined the risk of commotio cordis to be proportional to both the speed and force of the impact and inversely proportional to the size of the contact area. Much later, Bir and Viano (30) reviewed studies that evaluated the biomechanical response of the thorax to blunt trauma; factors investigated included the magnitude of chest compression, rate of chest deformation, and the viscous criterion (VC) as predictors of the degree of cardiac injury. Review showed that the VC (an index of the magnitude of chest wall deflection plus the velocity of deflection, normalized for AP thickness) was the best predictor of commotio cordis (30). The VC was proportional to the likelihood of an adverse cardiac effect. Mechanisms considered to produce the cardiac effect include abrupt deceleration of the heart as it strikes the sternum or spine (7,31), a direct concussive effect from chest wall impact (5), and, in more severe chest blows such as those occurring in vehicular accidents, a crush injury as the heart is compressed between the sternum and the spine (7,31)." Source: http://www.physsportsmed.com/issues..._00/vincent.htm

Thanks!
Reply With Quote
Advertisements  
  #2  
Old 06-27-2004, 01:59 PM
Nametag Nametag is offline
Charter Member
 
Join Date: Apr 2002
Location: California
Posts: 7,657
Commotio cordis is cardiac concussion, a heart stoppage due to a blow to the chest. http://www.la12.org/articles/commotio_cordis.htm

Pronunced "com-MOT-ee-oh CAR-dis"

Can't help with the biomechanics terms, sorry.
Reply With Quote
  #3  
Old 06-27-2004, 03:22 PM
bibliophage bibliophage is offline
Charter Member
Charter Member
 
Join Date: Apr 2000
Location: Maine
Posts: 9,247
Cecil Adams recently discussed commotio cordis in his column Is the "ninja death touch" real?
Quote:
Commotio cordis, also known as cardiac concussion. This is a syndrome in which a nonpenetrating impact to the chest causes heart failure but little or no structural damage. The classic victim is a kid or young adult who takes a baseball, hockey puck, or other hard object in the chest, but a 44-year-old teacher died when she caught an elbow while breaking up a fight at school. About half the time the victim collapses immediately, and in the balance of cases within a minute or two. Death is thought to result from ventricular fibrillation, a state in which the lower heart chambers start fluttering and stop pumping blood. One study of 128 cases found that 84 percent of the victims died, and nearly all the survivors received prompt defibrillation. Relatively little force is required for the killing blow--one researcher estimates that the blunt instrument need be moving at only 30 mph. Don't think this is something you'll be able to pull on the next ninja who leaps from the shadows, though. Animal experiments suggest that you’d have to strike within a 15-20 millisecond window in the heartbeat cycle to have a reasonably good chance of taking down your attacker.
Reply With Quote
  #4  
Old 06-28-2004, 09:15 AM
drhess drhess is offline
Registered User
 
Join Date: May 2002
Quote:
Originally Posted by bibliophage
Cecil Adams recently discussed commotio cordis in his column Is the "ninja death touch" real?
Yes. I know that, but that doesn't answer the question. I posted the question in the comment section on this article, but no body answered it. I was wondering what all the physics/physiology lingo meant. May have to wait for an MD to wonder by.
Reply With Quote
Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off

Forum Jump


All times are GMT -5. The time now is 07:26 PM.


Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2014, vBulletin Solutions, Inc.

Send questions for Cecil Adams to: cecil@chicagoreader.com

Send comments about this website to: webmaster@straightdope.com

Terms of Use / Privacy Policy

Advertise on the Straight Dope!
(Your direct line to thousands of the smartest, hippest people on the planet, plus a few total dipsticks.)

Publishers - interested in subscribing to the Straight Dope?
Write to: sdsubscriptions@chicagoreader.com.

Copyright © 2013 Sun-Times Media, LLC.