Audio Qbank – Q50 – A 65M with an arrhythmia

 

A 65-year-old man experiences crushing substernal chest pain and is brought to the emergency room. ECG shows ST-segment elevation in leads V2, V3, and V4. A coronary stent is placed and blood flow restored. Two hours later, he develops a wide-complex tachycardia. Which of the following is the most likely explanation for his abnormal rhythm?

  Decreased free radical scavenging
  Generation of reactive oxygen species
  Incomplete restoration of left circumflex artery blood flow
  Increased free radical scavenging
  Lipid acetylation

Cut-to-the-chase Answer (0:46):

HY USMLE Answer (2:16):