Acute embolic myocardial infarction in a patient with paroxysmal atrial fibrillation receiving direct-current cardioversion.
Coronary embolism with acute myocardial infarction (MI) following direct-current (DC) cardioversion of atrial fibrillation (AF) has rarely been reported. We present the case of a 34-year-old female with severe aortic regurgitation and highly symptomatic paroxysmal AF. Acute embolic MI occurred 4 days after DC cardioversion of AF, although there was no left atrial thrombus detected before this procedure. Insufficient anticoagulation therapy during the post-cardioversion period was the cause, leading to embolic MI.
Lin
Tung-Chao
TC
Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.
Hsieh
Yu-Cheng
YC
Lee
Wen-Lieng
WL
Lin
Yung-Kai
YK
Ting
Chih-Tai
CT
Wu
Tsu-Juey
TJ
D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000628:therapy*; D004554:Electric Countershock / Q000009:adverse effects* / Q000379:methods; D004617:Embolism / Q000209:etiology*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*