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

Greg Whyte | Zendy; Gregory P. Whyte | Zendy; Natalie Stephens | Zendy; Roxy Senior | Zendy; K. George | Zendy; Rob Shave | Zendy; Melissa Wilson | Zendy; Sanjay Sharma | Zendy

Open Access

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

Author(s) -

Greg Whyte,

Gregory P. Whyte,

Natalie Stephens,

Roxy Senior,

K. George,

Rob Shave,

Melissa Wilson,

Sanjay Sharma

Publication year - 2009

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.08.2008.0756

Subject(s) - medicine , troponin , endurance training , cardiology , physical therapy , blood test , sports medicine , intensive care medicine , myocardial infarction

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.

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