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Eijsvogels TM, , , , , “Exercise-Induced Cardiac Troponin Release: Real-Life Clinical Confusion,” Current Medicinal Chemistry, 18(23), 3457-61, 2011.

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Article

Increasing Cardiac Biomarkers in the Setting of Strenuous Exercise

1Lenox Hill Hospital, Department of Internal Medicine, New York, NY, 10075


American Journal of Medical Case Reports. 2020, Vol. 8 No. 10, 358-360
DOI: 10.12691/ajmcr-8-10-9
Copyright © 2020 Science and Education Publishing

Cite this paper:
Sana Ahmad, William Chang. Increasing Cardiac Biomarkers in the Setting of Strenuous Exercise. American Journal of Medical Case Reports. 2020; 8(10):358-360. doi: 10.12691/ajmcr-8-10-9.

Correspondence to: Sana  Ahmad, Lenox Hill Hospital, Department of Internal Medicine, New York, NY, 10075. Email: sahmad11@northwell.edu

Abstract

Exercise is recommended for both primary and secondary prevention of cardiovascular disease. Exercise-associated elevations of cardiac biomarkers can be present especially after prolonged and strenuous endurance exercise bouts but the exact mechanism and clinical significance is unclear [1]. This case report is of a patient with recent increase in exercise activity who presented to the emergency department with atypical symptoms and increasing cardiac biomarkers concerning for myocardial infarction. He was admitted and taken for left heart catheterization which showed non-obstructive coronary artery disease. The lack of awareness of this phenomenon may lead to inappropriate management of these patients.

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