患者男，63岁。体胖，有高血压和糖尿 病史。饱餐后突感心前区闷痛，伴有气 短痰多，纳呆恶心，含服硝酸甘油2分 钟疼痛缓解。舌苔浊腻，脉滑。心电图 示V3〜V6导联T波倒置，心肌酶谱正 常。应首先考虑的病证结合诊断是

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