PT - JOURNAL ARTICLE AU - G Whyte AU - N Stephens AU - R Senior AU - K George AU - R Shave AU - M Wilson AU - S Sharma TI - Treat the patient not the blood test: the implications of an increase in cardiac troponin after prolonged endurance exercise AID - 10.1136/bjsm.2006.033720 DP - 2007 Sep 01 TA - British Journal of Sports Medicine PG - 613--615 VI - 41 IP - 9 4099 - http://bjsm.bmj.com/content/41/9/613.short 4100 - http://bjsm.bmj.com/content/41/9/613.full SO - Br J Sports Med2007 Sep 01; 41 AB - 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.