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A healthy 20-year-old woman was running on a beach with friends when she fell on the wet sand. After briefly standing, she fell again, and within 30 seconds, became unresponsive. Her lips turned blue and she started gasping for breath. Her friends quickly called the paramedics and performed CPR, but it didn’t help, according to a recent report of her case.

She was pronounced dead within half an hour. What happened?

According to the case report, the impact of the woman’s body on the sand when she fell was enough to prompt a rare heart condition called commotio cordis, in which the heart is jolted into an arrhythmic pattern, after which it stops altogether. The report was published online Nov. 1 in the Journal of Forensic and Legal Medicine.

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Commotio Cordis fall on beach

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