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Related Experiment Videos

Echocardiogram in sternal fracture.

Y Wiener1, B Achildiev, T Karni

  • 1Department of General Surgery B, Assaf Harofeh Medical Center, Zeriffin, Israel. wiyiya@inter.net.il

The American Journal of Emergency Medicine
|September 14, 2001
PubMed
Summary

Echocardiogram (ECHO) is vital for diagnosing myocardial contusion in sternal fracture patients. "Benign" pericardial effusions detected by ECHO do not require prolonged observation.

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Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Sternal fractures often result from blunt chest trauma.
  • Cardiac complications following sternal fractures require accurate diagnosis.

Purpose of the Study:

  • To assess the utility of electrocardiogram, creatine kinase MB isoenzyme, and echocardiogram (ECHO) in diagnosing myocardial contusion in patients with sternal fractures.
  • To evaluate the incidence and significance of pericardial effusion in this patient population.

Main Methods:

  • Retrospective review of 50 consecutive patients with sternal fractures due to blunt chest trauma.
  • Analysis of cardiac test results including electrocardiogram, creatine kinase MB isoenzyme, and echocardiogram (ECHO).

Main Results:

  • 22% of patients had abnormal cardiac tests; only 6% had symptomatic myocardial contusion.
  • Echocardiogram (ECHO) identified myocardial contusion in one case where other tests were normal.
  • 22.5% of ECHO studies revealed pericardial effusion, often without clinical significance or association with injury severity.

Conclusions:

  • Echocardiogram (ECHO) is a valuable diagnostic and triage tool for sternal fracture patients with associated injuries.
  • Patients with "benign" pericardial effusion identified by ECHO can be discharged once medically stable.

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