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单选题 患者女性,48岁。与同事交谈时情绪激动,突然发觉言语不清,右侧肢体不能活动,意识模糊。无头痛、呕吐。有风湿性心脏病史18年,房颤5年。与患者此次发病最相关的因素是

A、 年龄
B、 性别
C、 房颤
D、 情绪激动
E、 与同事交谈

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