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Spanish footballer Jesús de Miguel, 30, died after a goalkeeper’s knee struck his chest during a match. He lost consciousness and then suffered cardiorespiratory arrest. However, commotio cordis has not been confirmed as the cause of death; it has been raised as a possible explanation pending test results and a medical investigation. Commotio cordis occurs when a direct blow to the chest lands at a vulnerable moment in the heart’s electrical cycle, triggering ventricular fibrillation and preventing the heart from pumping blood—even in people with no pre-existing heart condition. Survival depends on calling emergency services immediately, starting CPR at a rate of 100 to 120 compressions per minute, and using a defibrillator as soon as possible. Chest protectors, emergency plans, and first-aid training may also help reduce the risks.
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