http://en.cppreference.com/w/cpp/atomic/memory_order has a good example at the bottomat the bottom that only works with memory_order_seq_cst. Essentially memory_order_acq_rel provides read and write orderings relative to the atomic variable, while memory_order_seq_cst provides read and write ordering globally. That is, the sequentially consistent operations are visible in the same order across all threads.
The example boils down to this:
bool x= false; bool y= false; int z= 0; a() { x= true; } b() { y= true; } c() { while (!x); if (y) z++; } d() { while (!y); if (x) z++; } // kick off a, b, c, d, join all threads assert(z!=0); Operations on z are guarded by two atomic variables, not one, so you can't use acquire-release semantics to enforce that z is always incremented.