We thank Prof. Joob1 for his interest in our recent article in the Journal of the Chinese Medical Association.2 Adamczyk et al. had demonstrated there is a 14% incidence of cardiac troponin I (cTnI) reactive IgG in the Hepatitic B virus (HBV) positive samples.3 If autoantibodies cause the problems in lab results, we expect to see a small group of runners having aberrant levels. However, cTnI elevation has been seen in most of the runners. Thus, it is less likely that the general cTnI elevation results from HBV-associated autoantibodies.
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