Treat the patient not the blood test

The implications of an increase in cardiac troponin after prolonged endurance exercise

Gregory Whyte, Nigel Stephens, Roxy Senior, Keith George, Robert Shave, Mathew Wilson, Sanjay Sharma

Research output: Contribution to journalComment/debate

1 Citation (Scopus)


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.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalBMJ Case Reports
Publication statusPublished - 2 Feb 2009
Externally publishedYes


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