Low incidence of severe cardiac complications in traumatic sternal fractures: Rethinking routine rhythm monitoring.
Severe cardiac complications are rare in suspected blunt cardiac injury after sternal fracture
Low incidence of severe cardiac complications in traumatic sternal fractures: Rethinking routine rhythm monitoring.
Blunt cardiac injury (blunt cardiac injury) is a common finding after traumatic sternal fracture.
Were excluded in case of non-blunt trauma, military status, transfer from another hospital > 24 h after trauma, transfer to another hospital during admission, or cardiopulmonary resuscitation prior to imaging.
Four patients (1.1%) developed cardiac arrest during admission due to a secondary non-cardiac cause.
In total, 40 patients (11.4%) had 31 patients had new abnormalities, 7 patients showed changes in pre-existing cardiac conditions, and 2 patients had potential cardiac syncope as trauma cause.
No major structural cardiac injury was found on echocardiography; 6 patients (1.7%) showed minor abnormalities on echocardiography.
Severe cardiac complications are rare after traumatic sternal fracture. Cardiac arrest occurred secondary to trauma-related, non-cardiac causes.
These findings suggest that suspected blunt cardiac injury alone is not a sufficient indication for routine cardiac rhythm monitoring, and that admission to a monitored unit should be based on the patient's overall clinical condition.
Non-urgent cardiac abnormalities were common, underlining the importance of cardiology consultation in these patients.