Lichtarska Dorota, Feldman Ryszard
Szpital Praski, III Oddział Chorób Wewnetrznych ze Stołecznym Ośrodkiem Ostrych Zatruć, Stacja Dializ i Pododdziałem Leczenia Alkoholowych Zespołów Abstynencyjnych.
Przegl Lek. 2011;68(8):510-4.
Acute coronary syndrome (ACS) are the result of a sudden imbalance between myocardial demand for oxygen and its supply. The most common reason (90%) is the sudden reduction of coronary artery lumen by clot formation on a damaged atherosclerotic plaque. Among the uncommon causes, such as spasm, obstruction, inflammation or trauma of the coronary arteries, carbon monoxide poisoning could be the cause of ACS. Carbon monoxide intoxication can lead to ACS both healthy and non-critical restricted coronary artery The paper presents three cases of acute carbon monoxide poisoning complicated by acute coronary syndrome, troponino - positive. Case I: patient 60 years old, smoker, with symptoms of peripheral atherosclerosis of the lower limbs, Case II: patient 50 years old without signs of atherosclerotic disease. Case III: patients aged 20 previously healthy.
急性冠状动脉综合征（ACS）是心肌需氧量与供氧量突然失衡的结果。最常见的原因（90%）是受损动脉粥样硬化斑块上形成血栓，导致冠状动脉管腔突然变窄。在一些不常见的原因中，如冠状动脉痉挛、阻塞、炎症或创伤，一氧化碳中毒也可能是ACS的病因。一氧化碳中毒可导致健康人群以及冠状动脉无严重病变的人群发生ACS。本文介绍了三例急性一氧化碳中毒并发急性冠状动脉综合征且肌钙蛋白呈阳性的病例。病例一：60岁男性，吸烟者，有下肢外周动脉粥样硬化症状；病例二：50岁男性，无动脉粥样硬化疾病迹象；病例三：20岁，此前身体健康。
