Title: Troponin in geriatric fall patients?<br/>
Author: Robert Flint<br/>
<a href='mailto:rflint@som.umaryland.edu'>[Click to email author]</a><hr/>
Link: <a href='https://umem.org/educational_pearls/4524/'>https://umem.org/educational_pearls/4524/</a><hr/><p>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.”</p>
<fieldset><legend>References</legend><p><strong>Diagnostic and prognostic value of cardiac troponins in emergency department patients presenting after a fall: A prospective, multicenter study</strong></p>
<p><a href="https://onlinelibrary.wiley.com/authored-by/Espejo/Tanguy">Tanguy Espejo</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Terhalle/Lukas">Lukas Terhalle</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Malinovska/Alexandra">Alexandra Malinovska MD</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Riedel/Henk+B.">Henk B. Riedel MD</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Arntz/Laura">Laura Arntz MD</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Hafner/Livia">Livia Hafner</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Delport%E2%80%90Lehnen/Karen">Karen Delport-Lehnen MD</a>, <a href="https://onlinelibrary.wiley.com/authored-by/Zuppinger/Joanna">Joanna Zuppinger MD</a>,  </p>
<p>First published: 26 March 2024</p>
<p> Academic Emergency Medicine</p>
<p><a href="https://doi.org/10.1111/acem.14897"><strong>https://doi.org/10.1111/acem.14897</strong></a></p>
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