UMEM Educational Pearls

Category: Trauma

Title: Troponin in geriatric fall patients?

Keywords: troponin fall geriatric trauma (PubMed Search)

Posted: 6/20/2024 by Robert Flint, MD (Updated: 7/14/2024)
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A prospective European study of patients over age 65 presenting with a ground level fall obtained troponin levels to ascertain if myocardial infarction was a cause of the ground level fall. Troponin levels were elevated in a majority of patients however only 0.5% were defined as having a myocardial infarction. Of the 3% who died within 1 year, troponin was found to be higher than those that survived the one-year study period.  The authors concluded “Our data do not support the opinion that falls may be a common presenting feature of MI. We discourage routine troponin testing in this population. However, hs-cTnT and hs-cTnI were both found to have prognostic properties for mortality prediction up to 1?year.”

References

Diagnostic and prognostic value of cardiac troponins in emergency department patients presenting after a fall: A prospective, multicenter study

Tanguy EspejoLukas TerhalleAlexandra Malinovska MDHenk B. Riedel MDLaura Arntz MDLivia HafnerKaren Delport-Lehnen MDJoanna Zuppinger MD,  

First published: 26 March 2024

 Academic Emergency Medicine

https://doi.org/10.1111/acem.14897