A Soldier With an Exertional Heat Injury, Ischemic-Appearing Electrocardiogram, and Elevated Troponins: A Clinical Case Report

J Spec Oper Med. 2017 Spring;17(1):14-16. doi: 10.55460/KA54-5LBT.


Heat injuries are a common occurrence in the military training setting due to both the physically demanding nature of the training and the environments in which we train. Testing is often done after the diagnosis of a heat injury to screen for abnormalities. We present the case of a 20-year-old male Soldier with an abnormal electrocardiogram (ECG) with a possible injury pattern and an elevated troponin level. He underwent a diagnostic cardiac angiogram, which demonstrated no abnormal findings. He was returned to duty upon recovery from the catheterization. Ischemic-appearing ECG and troponin findings may be noted after heat injury. In this case, it was not associated with any cardiac lesions.

Publication types

  • Case Reports

MeSH terms

  • Coronary Angiography
  • Creatine Kinase / metabolism*
  • Diagnosis, Differential
  • Electrocardiography
  • Heat Stress Disorders / diagnosis*
  • Heat Stress Disorders / metabolism
  • Heat Stress Disorders / physiopathology
  • Humans
  • Male
  • Military Personnel*
  • Myocardial Ischemia / diagnosis*
  • Myocardial Ischemia / metabolism
  • Myocardial Ischemia / physiopathology
  • Troponin / metabolism*
  • Young Adult


  • Troponin
  • Creatine Kinase