Literature DB >> 7502390

[Management of isolated sternum fracture: screening for heart contusion with troponin T].

H M Gabl1, P Mair, J Mair.   

Abstract

In all of our reported cases a seat belt injury was the reason for the sternal fracture. Only 4 of 27 patients of this prospective study suffered from a heart contusion. None of our patients showed complications. An isolated sternal fracture with or without heart contusion seems to be of minor clinical significance. Referring to our patients a screening of a heart contusion with CKMB/CK activity and ECG seems to be sufficient when the trauma is not older than 12 hours. The longer persisting plasma concentrations of cardiac troponin T (cTnT) enables a diagnosis of a heart contusion even after a few days.

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Year:  1995        PMID： 7502390     DOI： 10.1007/bf02588766

Source DB:  PubMed          Journal:  Unfallchirurgie        ISSN： 0340-2649


  15 in total

1.  Development and in vitro characterization of a new immunoassay of cardiac troponin T.

Authors:  H A Katus; S Looser; K Hallermayer; A Remppis; T Scheffold; A Borgya; U Essig; U Geuss
Journal:  Clin Chem       Date:  1992-03       Impact factor: 8.327

2.  Incidence of abnormal RNA studies and dysrhythmias in patients with blunt chest trauma.

Authors:  R F McLean; J H Devitt; J Dubbin; B A McLellan
Journal:  J Trauma       Date:  1991-07

3.  Focal myocardial injury following blunt chest trauma: a comparison of indium-111 antimyosin scintigraphy with other noninvasive methods.

Authors:  R C Hendel; S Cohn; G Aurigemma; S Whitfield; S Dahlberg; L Pape; J Leppo
Journal:  Am Heart J       Date:  1992-05       Impact factor: 4.749

4.  Myocardial contusion in blunt trauma: clinical characteristics, means of diagnosis, and implications for patient management.

Authors:  T C Fabian; E C Mangiante; C R Patterson; L W Payne; M L Isaacson
Journal:  J Trauma       Date:  1988-01

5.  Myocardial contusion: when does it have clinical significance?

Authors:  R Beresky; R Klingler; J Peake
Journal:  J Trauma       Date:  1988-01

6.  Myocardial contusion. When can the diagnosis be eliminated?

Authors:  F B Miller; C R Shumate; J D Richardson
Journal:  Arch Surg       Date:  1989-07

7.  Cardiac troponin T in diagnosis of acute myocardial infarction.

Authors:  J Mair; E Artner-Dworzak; P Lechleitner; J Smidt; I Wagner; F Dienstl; B Puschendorf
Journal:  Clin Chem       Date:  1991-06       Impact factor: 8.327

8.  Diagnosis of traumatic cardiac contusion utilizing single photon-emission computed tomography.

Authors:  R Holness; K Waxman
Journal:  Crit Care Med       Date:  1990-01       Impact factor: 7.598

9.  Sternal fractures: associated injuries and management.

Authors:  M W Hills; A M Delprado; S A Deane
Journal:  J Trauma       Date:  1993-07

10.  Sternal fractures: a red flag or a red herring?

Authors:  A Roy-Shapira; I Levi; J Khoda
Journal:  J Trauma       Date:  1994-07
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