Increasing Cardiac Biomarkers in the Setting of Strenuous Exercise

Sana Ahmad^1, and William Chang¹

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

Cite this paper

Sana Ahmad and 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

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.

Keywords

Exercise-induced troponin elevation, cardiac biomarkers, strenuous exercise, troponinemia, cardiovascular health

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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