Cardiovascular: MI, Heart Failure, Arrhythmias · USMLE Step 1

A patient with syncope has prolonged QT interval on ECG. Which arrhythmia is he at risk for?

  1. Ventricular fibrillation
  2. Atrial flutter
  3. Torsades de pointes
  4. AV nodal reentrant tachycardia
Show answer and explanation

Correct answer: Torsades de pointes

Prolonged QT predisposes to torsades de pointes, a polymorphic ventricular tachycardia that may degenerate into ventricular fibrillation.

Difficulty: Medium Question 8 of 20

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