A 65-Year-Old Man Has a Cardiac Arrest in a Shopping

A 65-year-old man has a cardiac arrest in a shopping mall.  Resuscitation is initiated in the field, and the patient is successfully defibrillated.  In the emergency department, he is found to have ST segment elevations in the inferior leads and then has an episode of sustained ventricular tachycardia that is treated with intravenous amiodarone.  The patient is taken to the cardiac catheterization lab and is found to have a thrombotic occlusion of the right coronary artery, which is successfully treated with percutaneous coronary intervention.  On the second day of hospitalization he demonstrates full neurologic recovery and is asymptomatic.  Laboratory results are as follows: The patient's laboratory results were within normal limits 1 week prior to admission.  Which of the following is the most likely cause of the new findings?

A) Acalculous cholecystitis
B) Acute viral hepatitis
C) Hepatocyte ischemia
D) Medication-induced liver injury
E) Muscle injury

Correct Answer:

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