Reported is a case of myocardial infarction following electrical injury in a previously healthy 57-year-old man. After coming into contact with high tension electrical current, the patient noted chest pain and electrical burns to his extremities. An electrocardiographic diagnosis of inferior wall myocardial infarction was made in the emergency department and was later substantiated by cardiac enzyme and angiographic studies. Although myocardial infarction following electrical injury has rarely been reported in the literature, most cases of severe electrical injury probably warrant cardiac monitoring.