• English
    • Welsh
  • English 
    • English
    • Welsh
  • Login
Search DSpace:
  • Home
  • Research at Cardiff Met
  • Library Services
  • Contact Us
View item 
  • DSpace home
  • Cardiff School of Sport and Health Sciences
  • Sport Research Groups
  • View item
  • DSpace home
  • Cardiff School of Sport and Health Sciences
  • Sport Research Groups
  • View item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Exercise-induced cardiac troponin release: real-life clinical confusion

Thumbnail
Author
Eijsvogels, Thijs
Shave, Rob
van Dijk, A.
Hopman, Maria T.E.
Thijssen, D.H.J.
Date
2011
Type
Article
ISSN
0929-8673
Metadata
Show full item record
Abstract
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.
Journal/conference proceeding
Current Medical Chemistry
Citation
MH Eijsvogels, T., Shave, R., van Dijk, A., TE Hopman, M. and HJ Thijssen, D. (2011) 'Exercise-induced cardiac troponin release: real-life clinical confusion', Current medicinal chemistry, 18(23), pp.3457-3461
URI
http://hdl.handle.net/10369/4381
DOI
http://dx.doi.org/10.2174/092986711796642526
Collections
  • Sport Research Groups [1088]

Related items

Showing items related by title, author, subject and abstract.

  • Thumbnail

    Exercise-associated increases in cardiac biomarkers 

    Scharhag, Jurgen; George, Keith; Shave, Rob; Urhausen, Axel; Kindermann, Wilfried (2008)
    At present, the risk of myocardial damage by endurance exercise is under debate because of reports on exercise-associated increases in cardiac biomarkers troponin and B-type natriuretic peptide (BNP); these markers are ...
  • Thumbnail

    Cardiac troponin I is released following highintensity short-duration exercise in healthy humans. 

    Shave, Rob; Ross, Peter; Low, David A.; George, Keith; Gaze, David (2010)
    It has been previously shown that cardiac troponin (cTn) is released in response to prolonged endurance exercise. The influence of short-duration high-intensity exercise upon the release of cTn is not known. We examined ...
  • Thumbnail

    The impact of exercise duration and intensity on the release of cardiac biomarkers 

    Serrano-Ostariz, E.; Terreros-Blanco, J.L.; Legaz-Arrese, A.; George, Keith; Shave, Rob; Bocos-Terraz, P.; Izquierdo-Alvarez, S.; Bancalero, J.L.; Echavarri, J.M.; Quilez, J.; Carranza-Garcia, L.E.; Aragones, M.T. (2009)
    Numerous studies have observed cardiac biomarker release with prolonged exercise. Despite this, we are unsure as to the constituent aspects of any given exercise bout that may be important in promoting cardiac biomarker ...

Browse

DSpace at Cardiff MetCommunities & CollectionsBy issue dateAuthorsTitlesSubjectsThis collectionBy issue dateAuthorsTitlesSubjects

My Account

Login

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

DSpace software copyright © 2002-2015  DuraSpace
Contact us | Send feedback | Administrator