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• W2023448774 abstract "<h3>Objectives</h3> To assess the clinical significance of unsuspected rise in cardiac troponin I (cTnI) levels in elderly patients who have fallen. <h3>Design</h3> Monocentre prospective observational pilot study <h3>Participants</h3> Consecutive elderly patients (age >65 years) referred to the emergency department after being immobilised on the ground after a fall. <h3>Measurements</h3> Clinical, laboratory and Doppler echocardiography data were collected on admission to assess the cardiac correlates of increased cTnI. The survival endpoint was a composite of death or cardiovascular event. <h3>Results</h3> 60 patients were included in this study. Mean age was 81±8 years. Cardiac TnI was ≥0.05 ng/ml in at least one blood sample in 40 patients (67%). New diagnosis of cardiac disease was performed in 14 patients, 13 of them had cTnI ≥0.05 ng/ml. Transient apical ballooning was diagnosed in six patients. During a median follow-up of 92 (49–131) days death occurred in six patients, myocardial infarction in three, stroke in one and acute heart failure in five. Cardiac TnI ≥0.05 ng/ml was a predictor of these events (p=0.034). <h3>Conclusion</h3> An unsuspected rise in cTnI correlates with new diagnosis of cardiac disease and is a potential marker of stress induced cardiomyopathy in elderly patients who fall. Cardiac TnI might be a strong predictor of outcome in these patients." @default.
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• W2023448774 date "2010-06-01" @default.
• W2023448774 modified "2023-10-17" @default.
• W2023448774 title "Clinical significance of unsuspected rise in cardiac troponin in the setting of falls in older people" @default.
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• W2023448774 doi "https://doi.org/10.1136/emj.2009.076406" @default.
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