ST segment elevation myocardial infarction following elective direct current synchronised cardioversion for atrial fibrillation.

: Atrial fibrillation is the most common arrhythmia in clinical practice. There is no difference in mortality, incidence of stroke or quality of life regardless of whether the rhythm control or rate control strategy is used. However, in certain circumstances, such as when rate control is inadequate, rhythm control is a viable option. We present a 74-year-old Eurasian man with a history of hypertension who presented with new-onset atrial fibrillation and sustained an ST segment elevation myocardial infarction following elective direct current cardioversion.