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It’s one of the most sudden and shocking causes of cardiac arrest, a seemingly harmless blow to the chest, followed by collapse. No broken ribs. No massive trauma. Just a perfectly timed impact that sends the heart into chaos. Commotio cordis occurs when a blunt impact to the chest, strikes directly over the heart during a critical 20–30 millisecond window of the cardiac cycle. If that impact happens during ventricular repolarization (the upstroke of the T-wave), it can trigger ventricular fibri
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