{"id":281647,"date":"2025-03-03T14:25:54","date_gmt":"2025-03-03T07:25:54","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/tam-soat-benh-mach-vanh-2\/"},"modified":"2025-11-08T10:24:07","modified_gmt":"2025-11-08T03:24:07","slug":"tam-soat-benh-mach-vanh-2","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/tam-soat-benh-mach-vanh-2\/","title":{"rendered":"T\u1ea7m so\u00e1t b\u1ec7nh m\u1ea1ch v\u00e0nh"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Tr\u00e1i tim l\u00e0 c\u01a1 quan quan tr\u1ecdng nh\u1ea5t trong c\u01a1 th\u1ec3, \u0111\u1ea3m nh\u1eadn vai tr\u00f2 b\u01a1m m\u00e1u gi\u00e0u oxy v\u00e0 dinh d\u01b0\u1ee1ng \u0111\u1ebfn nu\u00f4i c\u00e1c c\u01a1 quan, t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3. B\u1ea3n th\u00e2n tr\u00e1i tim c\u0169ng c\u00f3 1 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u nu\u00f4i c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ec7 m\u1ea1ch v\u00e0nh. Khi m\u1ea1ch v\u00e0nh c\u00f3 v\u1ea5n \u0111\u1ec1, tr\u00e1i tim s\u1ebd kh\u00f4ng kho\u1ebb v\u00e0 ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1ee3c nh\u01b0 b\u00ecnh th\u01b0\u1eddng, g\u00e2y c\u00e1c b\u1ec7nh l\u00fd n\u1eb7ng n\u1ec1 nguy hi\u1ec3m nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim, suy tim v\u00e0 \u0111\u1ed9t t\u1eed. Trong c\u00e1c b\u1ec7nh l\u00fd t\u1ea1i \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch do x\u01a1 v\u1eefa l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u trong c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch. Do \u0111\u00f3, hi\u1ec3u v\u1ec1 b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch \u0111\u1ec3 c\u00f3 th\u1ec3 d\u1ef1 ph\u00f2ng b\u1eb1ng c\u00e1ch t\u1ea7m so\u00e1t s\u1edbm, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng s\u1ebd gi\u00fap k\u00e9o d\u00e0i th\u1eddi gian di\u1ec5n ti\u1ebfn b\u1ec7nh v\u00e0 gi\u1ea3m m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m khi m\u1eafc ph\u1ea3i b\u1ec7nh l\u00fd n\u00e0y.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. Gi\u1edbi thi\u1ec7u b\u1ec7nh m\u1ea1ch v\u00e0nh<\/h2>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\"><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ec7 th\u1ed1ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c m\u1ea1ch l\u1edbn (\u0111\u1ed9ng m\u1ea1ch \u1edf th\u01b0\u1ee3ng t\u00e2m m\u1ea1c), c\u00e1c ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch (arterioles), v\u00e0 vi m\u1ea1ch. Nh\u1eefng ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch n\u00e0y cung c\u1ea5p m\u1ed9t m\u1ea1ng l\u01b0\u1edbi mao m\u1ea1ch phong ph\u00fa mang m\u00e1u gi\u00e0u oxy cho c\u01a1 tim. \u0110\u1ed9ng m\u1ea1ch v\u00e0nh bao quanh to\u00e0n b\u1ed9 tim chia ra hai nh\u00e1nh ch\u00ednh l\u00e0&nbsp;<a href=\"https:\/\/vi.wikipedia.org\/wiki\/%C4%90%E1%BB%99ng_m%E1%BA%A1ch_v%C3%A0nh_tr%C3%A1i\" target=\"_blank\" rel=\"noopener\">\u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i<\/a>&nbsp;v\u00e0&nbsp;<a href=\"https:\/\/vi.wikipedia.org\/wiki\/%C4%90%E1%BB%99ng_m%E1%BA%A1ch_v%C3%A0nh_ph%E1%BA%A3i\" target=\"_blank\" rel=\"noopener\">\u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i<\/a>&nbsp;, nh\u00e1nh th\u00e2n chung \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i chia ra l\u00e0m 2 nh\u00e1nh ch\u00ednh l\u00e0 \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc v\u00e0 \u0111\u1ed9ng m\u1ea1ch m\u0169.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p do m\u1ed9t qu\u00e1 tr\u00ecnh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch (ph\u1ed5 bi\u1ebfn nh\u1ea5t), x\u01a1 c\u1ee9ng \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c x\u01a1 c\u1ee9ng ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra khi c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa (\u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a cholesterol v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c) t\u00edch t\u1ee5 theo th\u1eddi gian trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch. Khi m\u1ea3ng x\u01a1 v\u1eefa g\u00e2y h\u1eb9p c\u00f3 \u00fd ngh\u0129a, s\u1ebd l\u00e0m gi\u1ea3m d\u00f2ng ch\u1ea3y \u0111\u1ebfn nu\u00f4i d\u01b0\u1ee1ng c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c c\u01a1n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh, c\u01a1n \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh, ho\u1eb7c t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u ho\u00e0n to\u00e0n do bong tr\u00f3c l\u1edbp x\u01a1 v\u1eefa, v\u00e0 c\u00f3 huy\u1ebft kh\u1ed1i \u0111\u1ebfn g\u00e2y ngh\u1ebdn t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y suy tim c\u1ea5p, ho\u1eb7c \u0111\u1ed9t t\u1eed.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Mach-vanh-bi-hep-do-mot-qua-trinh-duoc-goi-la-xo-vua-dong-mach-1024x1024-1.png\" alt=\"\" class=\"wp-image-172711\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>M\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p do m\u1ed9t qu\u00e1 tr\u00ecnh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. Tri\u1ec7u ch\u1ee9ng<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh m\u1ea1ch v\u00e0nh (coronary artery disease) do x\u01a1 v\u1eefa c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng n\u00e0o do tim ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 m\u1ed9t th\u1eddi gian th\u00edch nghi d\u00e0i, ho\u1eb7c do \u0111\u00e3 c\u00f3 c\u00e1c m\u1ea1ch m\u00e1u b\u00e0ng h\u1ec7 h\u1ed7 tr\u1ee3 gi\u1ea3m t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u01a1 tim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 g\u1eb7p l\u00e0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au th\u1eaft ng\u1ef1c:<\/li>\n\n\n\n<li>V\u1ecb tr\u00ed b\u00ean tr\u00e1i, ho\u1eb7c gi\u1eefa ng\u1ef1c, sau x\u01b0\u01a1ng \u1ee9c.<\/li>\n\n\n\n<li>\u0110au c\u00f3 th\u1ec3 lan l\u00ean h\u00e0m, c\u00e1nh tay, b\u1ea3 vai, l\u01b0ng k\u00e8m t\u00ea m\u1ecfi l\u01b0\u1ee1i, \u0111au ki\u1ec3u b\u00f3p ngh\u1eb9t, c\u1ea3m gi\u00e1c \u0111\u00e1 \u0111\u00e8, v\u1ea3 m\u1ed3 h\u00f4i trong c\u01a1n \u0111au.<\/li>\n\n\n\n<li>Xu\u1ea5t hi\u1ec7n c\u00f3 t\u00ednh ch\u1ea5t quy lu\u1eadt, t\u0103ng l\u00ean sau g\u1eafng s\u1ee9c, x\u00fac c\u1ea3m m\u1ea1nh, g\u1eb7p l\u1ea1nh,\u2026 k\u00e9o d\u00e0i 3-15 ph\u00fat tr\u1edf l\u00ean<\/li>\n\n\n\n<li>\u0110au ng\u1ef1c gi\u1ea3m khi ngh\u1ec9 ng\u01a1i ho\u1eb7c khi d\u00f9ng c\u00e1c thu\u1ed1c gi\u00e3n m\u1ea1ch nh\u01b0 nitrat.<\/li>\n\n\n\n<li>C\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi, y\u1ebfu ng\u01b0\u1eddi v\u00e0 kh\u00f3 th\u1edf.<\/li>\n\n\n\n<li>Th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c cho\u00e1ng v\u00e1ng, ch\u00f3ng m\u1eb7t<\/li>\n\n\n\n<li>C\u1ea3m gi\u00e1c tim \u0111\u1eadp lo\u1ea1n nh\u1ecbp, h\u1ed3i h\u1ed9p<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Bieu-hien-dau-that-nguc-la-trieu-chung-thuong-gap-o-benh-mach-vanh-1-1024x1024-1.png\" alt=\"\" class=\"wp-image-172708\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Bi\u1ec3u hi\u1ec7n \u0111au th\u1eaft ng\u1ef1c l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh m\u1ea1ch v\u00e0nh<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. <strong>\u0110\u1ed1i t\u01b0\u1ee3ng c\u1ea7n t\u1ea7m so\u00e1t b\u1ec7nh m\u1ea1ch v\u00e0nh<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ng\u01b0\u1eddi l\u1edbn t\u1eeb 40-75 tu\u1ed5i c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch: t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u00e9o ph\u00ec, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, h\u00fat thu\u1ed1c l\u00e1,\u2026 n\u00ean t\u1ea7m so\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch th\u01b0\u1eddng xuy\u00ean.<\/li>\n\n\n\n<li>Ng\u01b0\u1eddi l\u1edbn 20-39 tu\u1ed5i n\u00ean \u0111\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ec7nh m\u1ea1ch v\u00e0nh m\u1ed7i 4-6 n\u0103m\/ l\u1ea7n<\/li>\n<\/ul>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\"><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy b\u1ec7nh m\u1ea1ch v\u00e0nh ch\u1ee7 y\u1ebfu x\u1ea3y ra \u1edf nh\u00f3m tu\u1ed5i tr\u00ean 40, nh\u01b0ng nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i h\u01a1n v\u1eabn c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh. Nhi\u1ec1u nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y <strong><em>\u0111\u1ed9 tu\u1ed5i m\u1eafc&nbsp;b\u1ec7nh m\u1ea1ch v\u00e0nh \u0111ang ng\u00e0y c\u00e0ng tr\u1ebb ho\u00e1<\/em><\/strong>. B\u1ec7nh m\u1ea1ch v\u00e0nh h\u00ecnh th\u00e0nh l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh di\u1ec5n ti\u1ebfn r\u1ea5t l\u00e2u d\u00e0i, b\u1eaft \u0111\u1ea7u t\u1eeb c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa trong l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, x\u01a1 v\u1eefa ph\u00e1t tri\u1ec3n l\u1edbn d\u1ea7n theo t\u1eebng ng\u00e0y trong r\u1ea5t nhi\u1ec1u n\u0103m.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/DSC02475-Do-tuoi-mac-benh-mach-vanh-dang-ngay-cang-tre-hoa-1024x1024-2.png\" alt=\"\" class=\"wp-image-172709\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\u0110\u1ed9 tu\u1ed5i m\u1eafc&nbsp;b\u1ec7nh m\u1ea1ch v\u00e0nh \u0111ang ng\u00e0y c\u00e0ng tr\u1ebb ho\u00e1<\/em>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. <strong>C\u00e1c y\u1ebfu t\u1ed1 g\u00e2y t\u0103ng nguy c\u01a1 b\u1ec7nh m\u1ea1ch v\u00e0nh<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh tim s\u1edbm (nam &lt;55 tu\u1ed5i, n\u1eef &lt;65 tu\u1ed5i)<\/li>\n\n\n\n<li>T\u0103ng m\u1ee1 trong m\u00e1u nguy\u00ean ph\u00e1t (LDL-C 160-189 mg\/dl,[4,1-4,8 mmol\/l] ; nonHDL-C 190-219 mg\/dl [4,9-5,6 mmol\/l]<\/li>\n\n\n\n<li>H\u1ed9i ch\u1ee9ng chuy\u1ec3n ho\u00e1- khi c\u00f3 \u2265 3\/5 y\u1ebfu t\u1ed1 sau:\n<ul class=\"wp-block-list\">\n<li>V\u00f2ng eo >90cm\/nam, >80cm\/n\u1eef<\/li>\n\n\n\n<li>T\u0103ng Triglyceride (>150mg\/dl)<\/li>\n\n\n\n<li>T\u0103ng huy\u1ebft \u00e1p<\/li>\n\n\n\n<li>T\u0103ng Glucose m\u00e1u<\/li>\n\n\n\n<li>HDL-C th\u1ea5p (&lt;40mg\/dl\/ nam, &lt;50mg\/dl \u1edf n\u1eef)<\/li>\n\n\n\n<li>B\u1ec7nh th\u1eadn m\u1ea1n<\/li>\n\n\n\n<li>B\u1ec7nh vi\u00eam m\u1ea1n t\u1ef1 mi\u1ec5n (Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lupus \u0111\u1ecf h\u1ec7 th\u1ed1ng, b\u1ec7nh v\u1ea3y n\u1ebfn)<\/li>\n\n\n\n<li>M\u00e3n kinh s\u1edbm &lt;40 tu\u1ed5i<\/li>\n\n\n\n<li>T\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3<\/li>\n\n\n\n<li>H\u00fat thu\u1ed1c l\u00e1<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">5. <strong>T\u1ea7m so\u00e1t b\u1ec7nh m\u1ea1ch v\u00e0nh<\/strong><\/h2>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\"><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Khi b\u1ea1n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, nh\u01b0ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, c\u1ea7n \u0111\u1ebfn kh\u00e1m t\u1ea1i khoa n\u1ed9i tim m\u1ea1ch \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1, ph\u00e2n t\u1ea7ng nguy c\u01a1 \u0111\u1ec3 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u cho vi\u1ec7c x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng h\u1eb9p c\u1ee7a m\u1ea1ch v\u00e0nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c x\u00e9t nghi\u1ec7m bao g\u1ed3m<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m m\u00e1u: C\u00f4ng th\u1ee9c m\u00e1u, \u0110\u01b0\u1eddng huy\u1ebft, M\u1ee1 trong m\u00e1u (LDL-Cholesterol, Triglyceride, HDL- Cholesterol, non-HDL Cholesterol)<\/li>\n\n\n\n<li>Ch\u1ee9c n\u0103ng th\u1eadn, ch\u1ee9c n\u0103ng gan<\/li>\n\n\n\n<li>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3, \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (hay c\u00f2n g\u1ecdi l\u00e0 \u0111o \u0111i\u1ec7n tim, ECG \u2013 Electrocardiogram): gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 nh\u1ecbp tim. Chi ph\u00ed th\u1ea5p, kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 c\u01a1 quan n\u00e0o.<\/li>\n\n\n\n<li>Si\u00eau \u00e2m tim:&nbsp;l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2, ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng c\u1ee7a tim d\u1ef1a v\u00e0o vi\u1ec7c s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m t\u1ea7n s\u1ed1 cao, gi\u00fap thu \u0111\u01b0\u1ee3c nh\u1eefng h\u00ecnh \u1ea3nh r\u00f5 n\u00e9t li\u00ean quan \u0111\u1ebfn c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a tim bao g\u1ed3m: C\u01a1 tim, h\u1ec7 th\u1ed1ng van tim, m\u00e0ng ngo\u00e0i tim, c\u00e1c m\u1ea1ch m\u00e1u xu\u1ea5t ph\u00e1t t\u1eeb tim, s\u1ee9c co b\u00f3p, kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim. L\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng s\u1eed d\u1ee5ng b\u1ee9c x\u1ea1, do \u0111\u00f3 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n \u0111\u1ec3 theo d\u00f5i t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/IMG_3576-Bac-si-sieu-am-tim-cho-nguoi-benh-1024x1024-2.png\" alt=\"\" class=\"wp-image-172710\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e1c s\u0129 si\u00eau \u00e2m tim cho ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-Quang tim ph\u1ed5i \u2013 ki\u1ec3m tra c\u00e1c v\u1ea5n \u0111\u1ec1 b\u1ec7nh l\u00fd tim m\u1ea1ch th\u1ec3 hi\u1ec7n tr\u00ean phim X-Quang, c\u0169ng nh\u01b0 \u0111\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh l\u00fd t\u1ea1i ph\u1ed5i g\u00e2y \u0111au ng\u1ef1c.<\/li>\n\n\n\n<li>C\u00e1c x\u00e9t nghi\u1ec7m g\u1eafng s\u1ee9c:Ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 ch\u1ea9n \u0111o\u00e1n nghi ng\u1edd d\u1ef1a tr\u00ean tu\u1ed5i, gi\u1edbi t\u00ednh, v\u00e0 l\u00e2m s\u00e0ng, bao g\u1ed3m c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t th\u01b0\u1eddng tr\u00ean ECG. D\u00f9ng \u0111\u1ec3 ph\u00e2n t\u1ea7ng nguy c\u01a1, \u0111\u00e1nh gi\u00e1 ph\u00e2n \u0111\u1ed9 ch\u1ee9c n\u0103ng, v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u1edf b\u1ec7nh nh\u00e2n nghi ng\u1edd ho\u1eb7c bi\u1ebft b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh; \u0111\u00e1nh gi\u00e1 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 bi\u1ebft b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh m\u00e0 c\u00f3 s\u1ef1 thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng<\/li>\n\n\n\n<li>ECG g\u1eafng s\u1ee9c : ng\u01b0\u1eddi b\u1ec7nh ch\u1ea1y tr\u00ean thi\u1ebft b\u1ecb th\u1ea3m l\u0103n (gi\u1ed1ng m\u00e1y t\u1eadp th\u1ec3 d\u1ee5c) t\u1eeb 8-12 ph\u00fat, trong th\u1eddi gian ch\u1ea1y c\u00f3 theo d\u00f5i \u0111i\u1ec7n tim, huy\u1ebft \u00e1p li\u00ean t\u1ee5c. Ph\u00e1t hi\u1ec7n ch\u00ednh x\u00e1c kh\u1ea3 n\u0103ng c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh 72%.<\/li>\n\n\n\n<li>Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c:&nbsp; ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 tri\u1ec7u ch\u1ee9ng nghi ng\u1edd b\u1ec7nh m\u1ea1ch v\u00e0nh + ECG nghi ng\u1edd ho\u1eb7c d\u1ec5 g\u00e2y nh\u1ea7m l\u1eabn; ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ch\u1ea1y g\u1eafng s\u1ee9c (l\u1edbn tu\u1ed5i, th\u1ec3 l\u1ef1c y\u1ebfu, ch\u00e2n h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng, ch\u00f3ng m\u1eb7t, b\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng&#8230;). Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c si\u00eau \u00e2m trong khi \u0111\u01b0\u1ee3c truy\u1ec1n thu\u1ed1c t\u0103ng co b\u00f3p c\u01a1 tim lo\u1ea1i Dobutamin, \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng th\u00e0nh c\u01a1 tim khi tim g\u1eafng s\u1ee9c. Ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c kh\u1ea3 n\u0103ng c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh kho\u1ea3ng 88%<\/li>\n\n\n\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:\n<ul class=\"wp-block-list\">\n<li>Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p trong v\u00f2ng 2 ng\u00e0y<\/li>\n\n\n\n<li>\u0110au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh<\/li>\n\n\n\n<li>R\u1ed1i lo\u1ea1n nh\u1ecbp tim ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c g\u00e2y tri\u1ec7u ch\u1ee9ng ho\u1eb7c g\u00e2y r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng<\/li>\n\n\n\n<li>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 n\u1eb7ng v\u00e0 c\u00f3 tri\u1ec7u ch\u1ee9ng<\/li>\n\n\n\n<li>B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u1ea5p<\/li>\n\n\n\n<li>Suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c<\/li>\n\n\n\n<li>Thuy\u00ean t\u1eafc ho\u1eb7c nh\u1ed3i m\u00e1u ph\u1ed5i c\u1ea5p<\/li>\n\n\n\n<li>Vi\u00eam c\u01a1 tim ho\u1eb7c vi\u00eam m\u00e0ng ngo\u00e0i tim c\u1ea5p<\/li>\n\n\n\n<li>H\u1eb9p th\u00e2n chung m\u1ea1ch v\u00e0nh<\/li>\n\n\n\n<li>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 trung b\u00ecnh<\/li>\n\n\n\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c<\/li>\n\n\n\n<li>R\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/li>\n\n\n\n<li>B\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i v\u00e0 nh\u1eefng d\u1ea1ng kh\u00e1c c\u1ee7a t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra th\u1ea5t tr\u00e1i<\/li>\n\n\n\n<li>Suy y\u1ebfu tinh th\u1ea7n v\u00e0 th\u1ec3 ch\u1ea5t d\u1eabn \u0111\u1ebfn kh\u00f4ng th\u1ec3 g\u1eafng s\u1ee9c m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7<\/li>\n\n\n\n<li>Block nh\u0129 th\u1ea5t cao \u0111\u1ed9.<\/li>\n\n\n\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (MSCT) \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 c\u1ea3n quang: \u0110\u00e1nh gi\u00e1 ch\u1ec9 s\u1ed1 v\u00f4i ho\u00e1, m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn m\u1ea1ch v\u00e0nh, c\u00e1c b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu, c\u00e1c b\u1ec7nh l\u00fd van tim, c\u01a1 tim\u2026<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Ch\u1ec9 \u0111\u1ecbnh:\n<ul class=\"wp-block-list\">\n<li>Y\u1ebfu t\u1ed1 nguy c\u01a1 cao<\/li>\n\n\n\n<li>\u0110au ng\u1ef1c b\u1ea5t th\u01b0\u1eddng, kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/li>\n\n\n\n<li>ECG v\u00e0 ho\u1eb7c si\u00eau \u00e2m&nbsp; tim\/c\u00e1c x\u00e9t nghi\u1ec7m g\u1eafng s\u1ee9c nghi ng\u1edd c\u00f3 b\u1ea5t th\u01b0\u1eddng .<\/li>\n\n\n\n<li>Suy tim kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/li>\n\n\n\n<li>Nguy c\u01a1 trung b\u00ecnh, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c<\/li>\n\n\n\n<li>\u0110\u1ed9 ch\u00ednh x\u00e1c &gt;90%<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:\n<ul class=\"wp-block-list\">\n<li>D\u1ecb \u1ee9ng v\u1edbi ch\u1ea5t c\u1ea3n quang<\/li>\n\n\n\n<li>Ph\u1ee5 n\u1eef mang thai<\/li>\n\n\n\n<li>Nh\u1ecbp tim&nbsp;kh\u00f4ng \u0111\u1ec1u<\/li>\n\n\n\n<li>Suy th\u1eadn<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed hen ph\u1ebf qu\u1ea3n,\u2026<\/li>\n\n\n\n<li>Ch\u1ee5p DSA \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n): ch\u00ednh x\u00e1c &gt;95%<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">6. <strong>\u00a0\u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ef1 ph\u00f2ng ti\u00ean ph\u00e1t <a id=\"_ftnref1\" href=\"#_ftn1\"><sup>[1]<\/sup><\/a> b\u1ec7nh m\u1ea1ch v\u00e0nh:<\/p>\n\n\n\n<ul start=\"6\" class=\"wp-block-list\">\n<li>Ng\u01b0ng thu\u1ed1c l\u00e1<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e2n<\/li>\n\n\n\n<li>T\u1eadp th\u1ec3 d\u1ee5c m\u1ee9c \u0111\u1ed9 v\u1eeba s\u1ee9c theo kh\u1ea3 n\u0103ng<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, huy\u1ebft \u00e1p<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t m\u1ee1 trong m\u00e1u: thu\u1ed1c statin<\/li>\n\n\n\n<li>Thu\u1ed1c kh\u00e1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u (Aspirin ho\u1eb7c Clopidogrel\u2026)<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng gi\u1ea3m \u0111au ng\u1ef1c (Nitrate, Trimetazidine, Ch\u1eb9n Beta, Ch\u1eb9n Canxi, Nicorandil\u2026); gi\u1ea3m nh\u1ecbp tim; gi\u1ea3m lo l\u1eafng.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u<\/li>\n\n\n\n<li>Statin v\u00e0 c\u00e1c thu\u1ed1c h\u1ea1 m\u1ee1 m\u00e1u ph\u1ed1i h\u1ee3p<\/li>\n\n\n\n<li>Kh\u00e1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u<\/li>\n\n\n\n<li>Thu\u1ed1c huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t l\u00e0m ch\u1eadm nh\u1ecbp tim<\/li>\n\n\n\n<li>Can thi\u1ec7p \u0110\u1ed9ng m\u1ea1ch v\u00e0nh:<\/li>\n\n\n\n<li>Nong b\u1eb1ng b\u00f3ng<\/li>\n\n\n\n<li>\u0110\u1eb7t stent m\u1ea1ch v\u00e0nh<\/li>\n\n\n\n<li>M\u1ed5 b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/TAI_0311-Ekip-chup-mach-so-hoa-xoa-nen-dang-trien-khai-dat-stent-mach-vanh-cho-nguoi-benh-1024x577-2.png\" alt=\"\" class=\"wp-image-172712\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Ekip ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n \u0111ang tri\u1ec3n khai \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>T\u1ed5ng k\u1ebft<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00f4ng \u0111i\u1ec7p c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) n\u0103m 2016: B\u1ec7nh tim m\u1ea1ch hi\u1ec7n \u0111\u00e3 tr\u1edf th\u00e0nh nguy\u00ean nh\u00e2n m\u1eafc b\u1ec7nh v\u00e0 t\u1eed vong h\u00e0ng \u0111\u1ea7u. B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CHD) \u0111\u00e3 chi\u1ebfm t\u1edbi 14% t\u1eed vong to\u00e0n c\u1ea7u v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh l\u00e0m gi\u1ea3m s\u1ed1 n\u0103m s\u1ed1ng c\u00f2n (YLLs) v\u00e0 s\u1ed1 n\u0103m s\u1ed1ng trong b\u1ec7nh t\u1eadt hi\u1ec7u ch\u1ec9nh (DALYs).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u1ea7n \u0111\u01b0\u1ee3c quan t\u00e2m. Theo c\u00e1c chuy\u00ean gia, 80% b\u1ec7nh tim m\u1ea1ch giai \u0111o\u1ea1n \u0111\u1ea7u c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c. Do \u0111\u00f3, vi\u1ec7c <strong>t\u1ea7m so\u00e1t s\u1edbm tr\u00ean ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1, ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e0 c\u1ea7n thi\u1ebft<\/strong>. C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n c\u00f3 th\u1ec3 g\u1ee3i \u00fd t\u00ecnh tr\u1ea1ng b\u1ec7nh tim m\u1ea1ch s\u1edbm \u0111\u1ec3 t\u1eeb \u0111\u00f3 c\u00f3 chi\u1ebfn l\u01b0\u1ee3c d\u1ef1 ph\u00f2ng s\u1edbm gi\u00fap k\u00e9o d\u00e0i th\u1eddi gian di\u1ec5n ti\u1ebfn b\u1ec7nh. B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng sinh ho\u1ea1t h\u00e0ng ng\u00e0y v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c s\u1ebd gi\u00fap ch\u00fang ta ph\u00f2ng tr\u00e1nh c\u00e1c b\u1ec7nh tim m\u1ea1ch n\u00f3i chung, b\u1ec7nh m\u1ea1ch v\u00e0nh n\u00f3i ri\u00eang \u0111\u1ec3 n\u00e2ng cao tu\u1ed5i th\u1ecd v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ea3n th\u00e2n v\u00e0 gia \u0111\u00ecnh.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/bac-si-tim-mach-tham-kham-cho-nguoi-benh-1024x1024-1.png\" alt=\"\" class=\"wp-image-172713\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e1c s\u0129 tim m\u1ea1ch th\u0103m kh\u00e1m cho ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u1ea3ng 1.1. C\u00e1c nguy\u00ean nh\u00e2n t\u1eed vong ch\u00ednh do b\u1ec7nh tim m\u1ea1ch 2013<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Bang-1.1.-Cac-nguyen-nhan-tu-vong-chinh-do-benh-tim-mach-2013-1024x1024-1.png\" alt=\"\" class=\"wp-image-172714\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>(Roth GA, Huffman MD2, Moran AE, et al: Global and regional patterns in cardiovascular mortality from 1990 to 2013, Circulation. 2015 Oct 27; 132 (17):1667-1678)<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>THAM KH\u1ea2O<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e2u l\u1ea1c b\u1ed9 s\u1ee9c kh\u1ecfe Ho\u00e0n M\u1ef9:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ea7m so\u00e1t b\u1ec7nh m\u1ea1ch v\u00e0nh | Khoa N\u1ed9i Tim M\u1ea1ch &#8211; CLB S\u1ee9c Kh\u1ecfe Ho\u00e0n M\u1ef9: <a href=\"https:\/\/youtube.com\/live\/Oh-xGYxjFnM\" target=\"_blank\" rel=\"noopener\">https:\/\/youtube.com\/live\/Oh-xGYxjFnM<\/a><\/li>\n\n\n\n<li>Ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh kh\u00f4ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb | Khoa Tim m\u1ea1ch: <a href=\"https:\/\/youtube.com\/live\/bCT3x6V0uOc\" target=\"_blank\" rel=\"noopener\">https:\/\/youtube.com\/live\/bCT3x6V0uOc<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>_ThS.BS. L\u00ea Ng\u1ecdc Lan Thanh, Khoa N\u1ed9i Tim M\u1ea1ch_<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"#_ftnref1\" id=\"_ftn1\">[1]<\/a> l\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p nh\u1eb1m tr\u00ec ho\u00e3n ho\u1eb7c ng\u0103n ng\u1eeba kh\u1edfi ph\u00e1t b\u1ec7nh (c\u00f3 tri\u1ec7u ch\u1ee9ng hay kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng) \u1edf nh\u1eefng ng\u01b0\u1eddi ch\u01b0a c\u00f3 b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u00e1i tim l\u00e0 c\u01a1 quan quan tr\u1ecdng nh\u1ea5t trong c\u01a1 th\u1ec3, \u0111\u1ea3m nh\u1eadn vai tr\u00f2 b\u01a1m m\u00e1u gi\u00e0u oxy v\u00e0 dinh d\u01b0\u1ee1ng \u0111\u1ebfn nu\u00f4i c\u00e1c c\u01a1 quan, t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3. B\u1ea3n th\u00e2n tr\u00e1i tim c\u0169ng c\u00f3 1 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u nu\u00f4i c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ec7 m\u1ea1ch v\u00e0nh. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":281648,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-281647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281647"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281647\/revisions"}],"predecessor-version":[{"id":296790,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281647\/revisions\/296790"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281648"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281647"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281647"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}