Open AccessTreat the patient not the blood test: the implications of an increase in cardiac troponin after prolonged endurance exercise
Author(s) -
Gregory Whyte,
Nigel Stephens,
Roxy Senior,
Keith George,
Rob Shave,
Wilson Ml,
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.