Ischemic atrial fibrillation

 JA Linares Vicente Servicio de Cardiología. Hospital Clínico Universitario “Lozano Blesa” Avda. San Juan Bosco, 15, 50009. Zaragoza. España E-mail address: [email protected] ABSTRACT Atrial fibrillation is the most common arrhythmia in the peri-acute myocardial infarction period, although its presence associated only to the acute phase of ischemia and its immediate cessation after early and effective revascularization is anecdotal in the literature, with a consequent lack of evidence for further treatment. A clinical case in which early coronary intervention managed to achieve a cardioversion of atrial fibrillation to sinus rhythm during an acute myocardial infarction is reported. Subsequently, it is discussed the strategy that must be followed with regard to arrhythmia in a patient with good clinical outcome after the event.