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患者,男,60岁,因患结石性胆囊炎,拟行择期胆囊切除术,既往有2型糖尿病,冠状动脉粥样硬化心脏病,15年前发生急性心肌梗死,2年前安置人工心脏起搏器。根据2007年美国心脏病学会(ACC/AHA)围术期心血管危险性(心肌梗死、心力衰竭或死亡)估计,中危因素包括以下哪项()。
A . A.轻度心绞痛
B . 心肌梗死病史或Q波异常
C . 代偿性心力衰竭或有心衰病史
D . 糖尿病(胰岛素依赖型)
E . 肾功能不全
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