题目内容

女，38岁。心悸2天，无胸痛，2周前发热、流涕。査体:T36.5℃，心界不大，心率102次/分，律齐，未闻及心脏杂音和心包摩擦音。心电图示:P-R间期0.21s，余未见异常，血清肌钙蛋白升高。最可能的诊断是

A. 急性心肌梗死
B. 甲状腺功能亢进症
C. 急性心包炎
D. 急性心肌炎
E. 心肌病

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