Original Article

Predicting Factors for Cardiovascular Injuries and and Indication for Emergency Echocardiography in Sternal Fractures

Chan Woong Kim, Ji Yeong Ryu, Young Jin Cheon
Author Information & Copyright
Department of Emergency Medicine, Ewha Womans University, Korea.

Copyright ⓒ 2001. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Mar 31, 2001



To determine the predicting factors related to cardiovascular injuries and To suggest a clinical indication for emergency echocardiography in sternal fractures.

Methods and Results

A total mumber of 40 patients with sternal fractures a over 5-year period were retrospectively assessed on clinical, echocardiographic and biochemical status. We analyzed the following 4 factors as predicting factors for cardiovascular injuries in sternal fractures : 1) presence of restraint, 2) presence of associated injuries, 3) presence of a past medical history involving cardiovascular system, 4) Revised Trauma Score(RTS).

We, also, assessed the utility of conventional diagnostic methods for cardiovascular injuries, such as ECG, chest X-ray, and enzyme levels. Based on the methods, we tried to infer an indication for emergency echocardiography in sternal fractures.


The presence of a past medical history involving cardiovascular system and abnormal RTS on admission were significant predicting factors. Emergency echocardiography was performed according to the predicting factors and the results from conventional evaluations. These data can suggest that indications for emergency echocardiography in sternal fractures include as 1) if more than two studies reveal abnormality without any significant predicting factors. 2) if more than one study reveal abnormality with any significant predicting factors.


The past medical history involving cardiovascular system and initial vital signs imply the presence of associated cardiovascular injuries in sternal fractures. And if possible, emergency echocardiography is recommended.

Keywords: Sternl fracture; Predicting factors; Emergency echocardiography


We are pleased to announce the recent appointment of Dr. Sun Huh as the new editor-in-chief, starting in September 2023. Dr. Ryung-Ah Lee, who previously served as editor-in-chief, dedicated over a decade to her role from January 2013 to August 2023. Her diligent efforts were instrumental in establishing a robust and contemporary system for journal submission and publishing.

Dr. Sun Huh, a former President of the Korean Association of Medical Journal Editors (KAMJE), has graciously accepted the position at Ewha Medical Journal. You can explore his mission and goals as the editor-in-chief of EMJ in the editorial featured in this issue.

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