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Case Reports
. 2007 Sep;41(9):613-5; discussion 615.
doi: 10.1136/bjsm.2006.033720. Epub 2007 Jan 29.

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

G Whyte  1 , N Stephens, R Senior, K George, R Shave, M Wilson, S Sharma
Affiliations
Case Reports

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

G Whyte et al. Br J Sports Med. 2007 Sep.

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.

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Conflict of interest statement

Conflict of interest: None declared.

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