Sternal fractues need troponin I , Echo

Date First Published:
September 5, 2008
Last Updated:
September 9, 2008
Report by:
Lakshmanan Subramanian, Clinical fellow ED (Northampton general Hospital)
Search checked by:
Lakshmanan Subramanian, Northampton general Hospital
Three-Part Question:
In [patients with positive sternal fracture on xray following steering wheel injury in road traffic accident with normal ECG] are [troponin I and echocardiogarm] helpful in [identifying cardiac injuries]
Clinical Scenario:
A patient with sternal fracture following sterring wheel injury after Road traffic accident was complaining of chest pain . His ECG was within normal limits. I wonder whether he merits admission for 12 hour troponin I and echocardiogram to identify cardiac injuries