A recent study found that kids (ages 9-12) often had a very high rise in troponin following an intervention that is *claimed* to be healthy.

The dotted line shows the threshold of troponin that diagnoses a heart attack!
1/3
The intervention?
It was soccer.
(pubmed.ncbi.nlm.nih.gov/32033112/)
2/3
The same effect can be seen in e.g. competitive swimming! (doi.org/10.3390/ijerph…)

So... should we have kids stop swimming or kicking balls around?

Or maybe should we just be a little more careful when using troponin as an outcome?
😉
3/3

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More from @BrooksWalsh

27 Oct 20
Using lung #POCUS during a COVID surge
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And an injunction to vote to save lives.
(Full, enthusiastic pt permission)
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30s woman, had a C-section 7 days ago, discharged feeling fine
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LFTs up
Hx of preeclampsia with a prior pregnancy, so … Dx made?
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This is at the height of our COVID surge in the spring, mind you.
PCR is (-), but the CXR …
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Critically hypoxic patient came in early AM.
Incomplete story, but ?COVID from the patch.
Medic starting to move pt to resus room bed
Nurses/techs assembling outside room, getting PPE
It seemed like there was a note of ... concern? preoccupation? that i hadn't seen earlier in the night
I stopped everyone.
"Guys listen. Important.
That guy* does not look good. They could arrest right now, totally possible."

*may or many not have been a guy
Read 7 tweets

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