男性，34岁。发热1周伴胸痛，用硝酸甘油 无效。体检：心界向两侧扩大。心率115次/分。心音低沉，有舒张期附加音，血压110/ 80mmHg ( 14. 7/10. 7kPa )，肘部静脉压 180mmH20。心电图：ST段抬高，弓背向下， 未见病理性Q波。诊断可能为

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