Myocardial injury among participants in endurance sports—a model to study myocardial regeneration?

Cardiac troponins after a downhill marathon

“…Moreover, several studies have found an association between high levels of (NT-pro) BNP and ischemia. No elevations in ischemia-modified albumin (IMA) after prolonged strenuous eccentric and concentric exercise suggest that exercise-induced myocardial ischemia seems not to occur in healthy athletes [9]. IMA is a marker used to exclude myocardial ischemia, but only if cardiac troponin is also not increased.…”