患者，男，60岁。突发心前区疼痛4小时，心电图示ST段呈弓背向上型抬高，既往无高血压史、癫痫史和出血性疾病史。入院时心率80次/分，律齐，血压150/90mmHg，入院后2小时突然出现短暂意识丧失，抽搐，听不到心音。诊断该病的金标准是

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