患者，男,61岁。有急性广泛前壁心肌梗死病史。近日心悸不安，胸闷气短，四肢发凉，面色苍白，舌淡苔白，脉象沉弱。若病情未及正治，进一步加重出现心悸喘咳，不能平卧，小便不利,下肢浮肿，畏寒肢冷，舌淡苔水滑，脉弦滑。此为

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