[Troponin positive acute coronary syndromes in the course of acute carbon monoxide poisoning as the factor exposing primary coronary heart disease previously undiagnosed].

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.