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单选题 患者女性,45岁。近两年来经常头痛、头晕、耳鸣、心悸、记忆力减退、手脚麻木,近一年来于清晨睡醒时经常出现心前区疼痛并向右肩部放散。就诊时,血压170/105mmHg,心电图表现为弓背向下型S-T段抬高。此患者最可能的临床诊断是

A、 重度高血压
B、 重度高血压伴心功能不全
C、 中度高血压伴心绞痛
D、 轻度高血压伴心肌炎
E、 轻度高血压伴扩张性心肌病

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