Raised troponin T and echocardiographic abnormalities after prolonged strenuous exercise - The Australian ironman triathlon

British Journal of Sports Medicine

Volumn 40, Issue 7, 2006, Pages 605-609

  Tulloh, Louise ^a,b   Robinson, D ^b   Patel, A ^c   Ware, A ^d   Prendergast, C ^d   Sullivan, D ^d   Pressley, L ^d  

^a NSOSMC   (Australia)

^b North Sydney Orthopaedic and Sports Medicine Centre   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

^d ROYAL PRINCE ALFRED HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CREATINE KINASE; TROPONIN T;

ADULT; ARTICLE; ATHLETE; AUSTRALIA; CLINICAL ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; CREATINE KINASE BLOOD LEVEL; DEMOGRAPHY; ECHOCARDIOGRAPHY; EXERCISE INTENSITY; FEMALE; HEART EJECTION FRACTION; HEART INJURY; HEART LEFT VENTRICLE FUNCTION; HEART OUTPUT; HEART STROKE VOLUME; HEART VENTRICLE WALL MOTION; HUMAN; MALE; PROTEIN BLOOD LEVEL; TRIATHLON;

ADULT; AUSTRALIA; BICYCLING; CARDIAC OUTPUT; ECHOCARDIOGRAPHY; FEMALE; HUMANS; MALE; PHYSICAL ENDURANCE; RUNNING; STROKE VOLUME; SWIMMING; TROPONIN T; VENTRICULAR DYSFUNCTION, LEFT;

EID: 33745810559     PISSN: 03063674     EISSN: None     Source Type: Journal    
DOI: 10.1136/bjsm.2005.022319     Document Type: Article

References (26)

1. Rifai N, Douglas PS, O'Toole M, et al. Cardiac troponin T and I, electrocardiographic wall motion analyses, and ejection fractions in athletes participating in the Hawaii Ironman Triathlon. Am J Cardiol 1999;83:1085-9.
2. Whyte GP, George K, Sharma S, et al. Cardiac fatigue following prolonged endurance exercise of differing distances. Med Sci Sports Exerc 2000;32:1067-72.
3. Laslett L, Eisenbud E, Lind R. Evidence of myocardial injury during prolonged strenuous exercise. Am J Cardiol 1996;78:488-90.
4. Neumayr G, Gaenzer H, Pfister R, et al. Plasma levels of cardiac troponin I after prolonged strenuous endurance exercise. Am J Cardiol. 2001;87:369-71, A10).
5. Neumayr G, Pfister R, Mitterbauer G, et al. Effect of the "Race Across The Alps" in elite cyclists on plasma cardiac troponins I and T. Am J Cardiol 2002;89:484-6.
6. Ohba H, Takada H, Musha H, et al. Effects of prolonged strenuous exercise on plasma levels of atrial natriuretic peptide and brain natriuretic peptide in healthy men. Am Heart J 2001;141:751-8.
7. Shave RE, Dawson E, Whyte G, et al. Evidence of exercise-induced cardiac dysfunction and elevated cTnT in separate cohorts competing in an ultra-endurance mountain marathon race. Int J Sports Med 2002;23:489-94.
8. Denvir MA, Galloway PJ, Meighan AS, et al. Changes in skeletal and cardiac muscle enzymes during the Scottish Coast to Coast Triathlon. Scot Med J 1999;44:49-51.
9. Rowe WJ. Extraordinary unremitting endurance exercise and permanent injury to normal heart. Lancet 1992;340:712-14.
10. Muller-Bardorff M, Hallermayer K, Schroder A, et al. Improved troponin T ELISA specific for cardiac troponin T isoform: assay development and analytical and clinical validation. Clin Chem 1997;43:458-66.
11. Bonetti A, Tirelli F, Albertini R, et al. Serum cardiac troponin T after repeated endurance exercise events. Int J Sports Med 1996;17:259-62.
12. Ohman EM, Armstrong PW, Christenson RH, et al. Cardiac troponin T levels for risk stratification in acute ischemia. N Engl J Med 1996;335:1333-41.
13. Jaffe AS, Ravkilde J, Roberts R, et al. It's time for a change to troponin standard. Circulation 2000;102:1216.
14. Lucia A, Serratosa L, Saborido A, et al. Short-term effects of marathon running: no evidence of cardiac dysfunction. Med Sci Sports Exerc 1999;31:1414-21.
15. Koller A, Summer P, Moser H. Regular exercise and subclinical myocardial injury during prolonged aerobic activity. JAMA 1999;282:1816.
16. Douglas PS, O'Toole ML, Hiller WD, et al. Cardiac fatigue after prolonged exercise. Circulation 1987;76:1206-13.
17. McGavock JM, Warburton DER, Taylor D, et al. The effects of prolonged strenuous exercise on left ventricular function: a brief review. Heart Lung 2002;31:279-92.
18. Seals DR, Rogers MA, Hagberg JM, et al. Left ventricular function after prolonged strenuous exercise in healthy subjects. Am J Cardiol 1988;61:875-9.
19. Hikida RS, Staron RS, Hagerman FC, et al. Muscle fiber necrosis associated with human marathon runners. J Neurol Sci 1983;59:185-203.
20. Ebbeling CB, Clarkson PM. Exercise-induced muscle damage and adaptation. Sports Med 1989;7:207-34.
21. Komulainen J, Vihko V. Exercise-induced necrotic muscle damage and enzyme release in the four days following prolonged submaximal running in rats. Pflugers Arch 1994;428:346-51.
22. Armstrong RB. Muscle damage and endurance events. Sports Med 1986;3:370-81.
23. Chen Y, Serfass RC, Mackey-Bojack SM, et al. Cardiac troponin T alterations in myocardium and serum of rats after stressful, prolonged intense exercise.[comment]. J Appl Physiol 2000;88:1749-55.
24. Rowe WJ. A world record marathon runner with silent ischaemia without coronary atherosclerosis. Chest 1991;99:1306-8.
25. Carraro U, Franceschi C. Apoptosis of skeletal and cardiac muscles and physical exercise. Aging (Milan) 1997;9(1-2):19-34.
26. Rossi L. Structural and non-structural disease underlying high-risk cardiac arrhythmias relevant to sports medicine. J Sports Med Phys Fitness 1995;35:79-86.