Tanguy Espejo, Lukas Terhalle, Alexandra Malinovska, Henk B Riedel, Laura Arntz, Livia Hafner, Karen Delport-Lehnen, Joanna Zuppinger, Nicolas Geigy, Jörg Leuppi, Rajan Somasundaram, Roland Bingisser, Christian H Nickel
BACKGROUND: Emergency department (ED) presentations after a ground-level fall (GLF) are common. Falls were suggested to be another possible presenting feature of a myocardial infarction (MI), as unrecognized MIs are common in older adults. Elevated high-sensitivity cardiac troponin (hs-cTn) concentrations could help determine the etiology of a GLF in ED. We investigated the prevalence of both MI and elevated high-sensitivity cardiac troponin T (hs-cTnT) and I (hs-cTnI), as well as the diagnostic accuracy of hs-cTnT and hs-cTnI regarding MI, and their prognostic value in older ED patients presenting after a GLF...
March 26, 2024: Academic Emergency Medicine