Treat the patient not the blood test: the implications of an increase in cardiac troponin after prolonged endurance exercise

Br J Sports Med. 2007 Sep;41(9):613-5; discussion 615. doi: 10.1136/bjsm.2006.033720. Epub 2007 Jan 29.

Abstract

Collapse after prolonged endurance exercise is common and usually benign. This case study reports a triathlete who suffered a vaso-vagal associated collapsed after exercise. Misdiagnosis of myocardial injury in the presence of elevated cardiac troponins and ECG anomalies led to inappropriate management and highlights the difficulty in treating the collapsed athlete following arduous exercise.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bicycling / physiology
  • Diagnosis, Differential
  • Electrocardiography
  • Hematologic Tests
  • Humans
  • Male
  • Myocarditis / diagnosis
  • Pericarditis / diagnosis
  • Physical Endurance / physiology*
  • Running / physiology
  • Sports / physiology*
  • Swimming / physiology
  • Syncope, Vasovagal / diagnosis*
  • Syncope, Vasovagal / etiology
  • Troponin I / metabolism*

Substances

  • Troponin I