title: Acute embolic myocardial infarction in a patient with paroxysmal atrial fibrillation receiving direct-current cardioversion.
abstract: 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.
authors.affiliation: Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.
authors.forename: Tung-Chao
authors.initials: TC
authors.lastname: Lin
authors.forename: Yu-Cheng
authors.initials: YC
authors.lastname: Hsieh
authors.forename: Wen-Lieng
authors.initials: WL
authors.lastname: Lee
authors.forename: Yung-Kai
authors.initials: YK
authors.lastname: Lin
authors.forename: Chih-Tai
authors.initials: CT
authors.lastname: Ting
authors.forename: Tsu-Juey
authors.initials: TJ
authors.lastname: Wu
mesh_terms: 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*