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Treadmill exercise tests reproduced his symptoms and demonstrated a vasovagal mechanism. During recovery, despite lying supine, he remained hypotensive for 5 min, with profound bradycardia and ST segment depression. We suspected that intense cardiovagal neural activity may have caused the troponin leak.<\/jats:p>","DOI":"10.1111\/imj.14403","type":"journal-article","created":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T23:39:37Z","timestamp":1565134777000},"page":"1040-1043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Troponin release after exertional vasovagal syncope"],"prefix":"10.1111","volume":"49","author":[{"given":"Olivia","family":"Quinn","sequence":"first","affiliation":[{"name":"Department of General Medicine Christchurch Hospital  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5925-7623","authenticated-orcid":false,"given":"David","family":"Jardine","sequence":"additional","affiliation":[{"name":"Department of General Medicine Christchurch Hospital  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Florkowski","sequence":"additional","affiliation":[{"name":"Clinical Biochemistry Unit Canterbury Health Laboratories  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Than","sequence":"additional","affiliation":[{"name":"Emergency Department Christchurch Hospital  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000053736.51903.0E"},{"key":"e_1_2_4_3_1","article-title":"Elevated troponin assay predicts outcome in syncope","volume":"12","author":"Reed M","year":"2012","journal-title":"Emerg Med J"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.2000.88.5.1749"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvx183"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2005.071282"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31826e1058"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1278262"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp298"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004417"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.71.6.554"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.75.5.528"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(64)90346-1"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10286-011-0134-6"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.143.9.1821"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e31812f5105"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.RES.46.1.100"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.14403","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T11:26:16Z","timestamp":1694258776000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.14403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":16,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1111\/imj.14403"],"URL":"https:\/\/doi.org\/10.1111\/imj.14403","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2019,8]]},"assertion":[{"value":"2018-11-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}