HY USMLE Q #1385 – ECGs

A 62-year-old woman is evaluated in hospital with an ECG performed. She has a history of diabetes mellitus type II, hypertension, and lupus managed with multiple medications.

Which of the following is the most likely explanation for this patient’s findings?

A) Atheromatous plaque with calcification of the right main coronary
B) Atherosclerotic occlusion of the left anterior descending artery
C) Fibrillatory conduction within the left and right atrial conduits
D) Inflammation of the parietal and visceral pericardial linings
E) Re-entrant accessory pathway with anterograde bundle of Kent