Document Detail

Exercise-Induced Cardiac Troponin Release: Real-Life Clinical Confusion.
MedLine Citation:
PMID:  21756239     Owner:  NLM     Status:  Publisher    
Exercise training represents a successful and powerful strategy to prevent future cardiovascular disease. Paradoxically, performance of exercise is also associated with an increased risk of acute cardiac events. Accordingly, patients may present to hospital with cardiac symptoms following a bout of unaccustomed physical effort (e.g. exercise). Current guidelines for the identification of an acute myocardial infarction (AMI) importantly depend on the presence of cardiac troponin as a highly sensitive marker of cardiac damage. However, a number of studies have reported elevated cardiac troponin levels in asymptomatic, healthy subjects after endurance exercise (such as a marathon, prolonged cycling or prolonged walking). These observations indicate that elevated cardiac troponin levels can be the result of cardiac ischemia, and subsequent necrosis, but also may be related to strenuous exercise. In this paper, we present three different clinical cases of post-exercise elevations in cardiac troponins, each with a distinct clinical presentation. These case studies emphasize that a detailed assessment of all symptoms and a thorough patient-history are prerequisite for accurate interpretation of a positive cardiac troponin test following exercise.
T M H Eijsvogels; R Shave; A van Dijk; M T E Hopman; D H J Thijssen
Related Documents :
2748509 - Assessment of neuromuscular blockade produced by atracurium in the rat diaphragm prepar...
10730999 - Vagal and cardiac reactivity to psychological stressors in trained and untrained men.
10517779 - Muscle pump and central command during recovery from exercise in humans.
10726919 - Glucoregulation during and after intense exercise: effects of alpha-adrenergic blockade.
3693209 - Effect of spontaneous recovery or retraining after hindlimb suspension on aerobic capac...
530789 - Validity of perceptions during recovery from maximal exercise in men and women.
1877449 - Single- versus dual-chamber sensor-driven pacing: comparison of cardiac outputs.
22976739 - Effects of 12 weeks of aerobic exercise on body composition and vascular compliance in ...
14665899 - Initial evaluation of robotic technology for microsurgical vasovasostomy.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-14
Journal Detail:
Title:  Current medicinal chemistry     Volume:  -     ISSN:  1875-533X     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440157     Medline TA:  Curr Med Chem     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Physiology (143), Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The Perils, Pitfalls and Opportunities of Using High Sensitivity Cardiac Troponin.
Next Document:  The Influence of a Half-Marathon Race Upon Cardiac Troponin T Release in Adolescent Runners.