{"id":1297,"date":"2023-04-08T12:54:43","date_gmt":"2023-04-08T05:54:43","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1297"},"modified":"2023-04-17T10:17:31","modified_gmt":"2023-04-17T03:17:31","slug":"hoi-chung-tim-than","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-tim-than\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng tim th\u1eadn"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng tim th\u1eadn x\u1ea3y ra khi c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tim v\u00e0 th\u1eadn g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng cho c\u1ea3 hai c\u01a1 quan. C\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tim bao g\u1ed3m b\u1ec7nh van tim, b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh v\u00e0 suy tim, trong khi c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 th\u1eadn bao g\u1ed3m b\u1ec7nh th\u1eadn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn m\u00e0ng v\u00e0 suy th\u1eadn.<\/strong><\/p>\n

1. T\u1ed5ng quan<\/strong><\/h1>\n

H\u1ed9i ch\u1ee9ng tim th\u1eadn (Cadiorenal syndrome – CRS) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa ch\u1ee9c n\u0103ng tim v\u00e0 th\u1eadn. CRS \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 m\u1ed9t s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a c\u1ea3 tim v\u00e0 th\u1eadn, v\u00e0 s\u1ef1 suy gi\u1ea3m c\u1ea5p t\u00ednh ho\u1eb7c m\u1ea1n t\u00ednh c\u1ee7a m\u1ed9t c\u01a1 quan d\u1eabn \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m c\u1ea5p t\u00ednh ho\u1eb7c m\u1ea1n t\u00ednh c\u1ee7a c\u01a1 quan kia.<\/p>\n

CRS \u0111\u01b0\u1ee3c chia th\u00e0nh 5 lo\u1ea1i kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh l\u00fd<\/p>\n

    \n
  • Type 1: T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p do b\u1ec7nh l\u00fd tim c\u1ea5p.<\/li>\n
  • Type 2: B\u1ec7nh th\u1eadn m\u1ea1n do b\u1ec7nh l\u00fd tim m\u1ea1n.<\/li>\n
  • Type 3: B\u1ec7nh tim c\u1ea5p t\u00ednh do t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p.<\/li>\n
  • Type 4: B\u1ec7nh tim m\u1ea1n t\u00ednh do b\u1ec7nh th\u1eadn m\u1ea1n.<\/li>\n
  • Type 5: Bao g\u1ed3m s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a tim v\u00e0 th\u1eadn do c\u00e1c r\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng c\u1ea5p t\u00ednh ho\u1eb7c m\u1ea1n t\u00ednh kh\u00e1c (nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft)<\/li>\n<\/ul>\n

    2. C\u01a1 ch\u1ebf c\u1ee7a h\u1ed9i ch\u1ee9ng tim th\u1eadn.<\/strong><\/h2>\n

    Trong c\u00e1c th\u1eadn c\u00f3 t\u1eeb 500.000 \u0111\u1ebfn 1 tri\u1ec7u vi c\u1ea7u th\u1eadn. \u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn t\u00f9y thu\u1ed9c v\u00e0o ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u00fai mao m\u1ea1ch hi\u1ec7n di\u1ec7n trong c\u00e1c vi c\u1ea7u th\u1eadn n\u00e0y. Do \u0111\u00f3 gi\u1ea3m \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn ph\u1ea3n \u00e1nh r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n \u1edf m\u1ee9c vi m\u1ea1ch. S\u1ef1 hi\u1ec7n di\u1ec7n albumin trong n\u01b0\u1edbc ti\u1ec3u c\u0169ng ph\u1ea3n \u00e1nh r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n \u1edf m\u1ee9c vi m\u1ea1ch c\u0169ng nh\u01b0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 s\u1edf gi\u1ea3i th\u00edch s\u1ef1 t\u01b0\u01a1ng t\u00e1c b\u1ec7nh l\u00fd tim-th\u1eadn.<\/p>\n

    S\u1ef1 t\u0103ng ho\u1ea1t t\u00ednh h\u1ec7 renin-angiotensin c\u0169ng l\u00e0 m\u1ed9t c\u01a1 ch\u1ebf quan tr\u1ecdng trong t\u01b0\u01a1ng t\u00e1c tim-th\u1eadn. S\u1ef1 t\u0103ng ho\u1ea1t t\u00ednh h\u1ec7 renin-angiotensin m\u1ed9t m\u1eb7t l\u00e0 h\u1ec7 qu\u1ea3 c\u1ee7a r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tim, m\u1eb7t kh\u00e1c l\u1ea1i c\u00f3 \u1ea3nh h\u01b0\u1edfng b\u1ea5t l\u1ee3i \u0111\u1ed1i v\u1edbi c\u1ea3 h\u1ec7 tim m\u1ea1ch l\u1eabn th\u1eadn : g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u, ph\u00ec \u0111\u1ea1i tim v\u00e0 th\u00e0nh m\u1ea1ch, t\u00e1i \u0111\u1ecbnh d\u1ea1ng m\u1ea1ch m\u00e1u, r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng trong c\u1ea7u th\u1eadn, x\u01a1 h\u00f3a v\u00e0 m\u1ea5t nephron trong th\u1eadn.<\/p>\n

    Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y \u1edf ng\u01b0\u1eddi b\u1ec7nh th\u1eadn m\u1ea1n, nh\u1ea5t l\u00e0 ng\u01b0\u1eddi c\u00f3 gi\u1ea3m \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn, c\u00f3 s\u1ef1 t\u0103ng stress oxy h\u00f3a, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam (bi\u1ec3u hi\u1ec7n l\u00e0 t\u0103ng CRP), s\u1ef1 t\u00edch t\u1ee5 phosphate d\u1eabn \u0111\u1ebfn v\u00f4i h\u00f3a l\u1edbp trung m\u1ea1c \u0111\u1ed9ng m\u1ea1ch, hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u m\u1ea1n v\u00e0 ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i. T\u1ea5t c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y \u0111\u1ec1u l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch.<\/p>\n

    \"\"
    Minh h\u1ecda c\u01a1 ch\u1ebf c\u1ee7a H\u1ed9i ch\u1ee9ng tim th\u1eadn (CRS)<\/strong>. Ngu\u1ed3n:<\/strong> Cardiorenal Syndrome: Classi\ufb01cation, Pathophysiology, Diagnosis, and Treatment Strategies A Scienti\ufb01c Statement From the American Heart Association<\/em><\/figcaption><\/figure>\n

    3. \u0110i\u1ec1u tr\u1ecb\u00a0<\/strong><\/h2>\n

    \u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng tim th\u1eadn (CRS) ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh l\u00fd v\u00e0 \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a cho t\u1eebng b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, gi\u1ea3i ph\u00e1p ch\u00ednh c\u1ee7a \u0111i\u1ec1u tr\u1ecb CRS l\u00e0 gi\u1ea3i quy\u1ebft s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a tim ho\u1eb7c th\u1eadn g\u1ed1c. Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng:<\/p>\n

    3.1. S\u1eed d\u1ee5ng thu\u1ed1c.<\/strong><\/p>\n

    H\u1ec7 renin-angiotensin \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong b\u1ec7nh sinh c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a h\u1ec7 tim m\u1ea1ch v\u00e0 th\u1eadn, do \u0111\u00f3 c\u00f3 m\u1ed9t c\u00e2u h\u1ecfi \u0111\u01b0\u1ee3c nhi\u1ec1u nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u1eb7t ra l\u00e0 li\u1ec7u \u1ee9c ch\u1ebf h\u1ec7 n\u00e0y c\u00f3 mang l\u1ea1i m\u1ed9t l\u1ee3i \u00edch th\u00eam v\u00e0o l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c h\u1ea1 huy\u1ebft \u00e1p hay kh\u00f4ng.<\/p>\n

    Nghi\u00ean c\u1ee9u HOPE (Heart Outcomes Prevention Evaluation) cung c\u1ea5p ch\u1ee9ng c\u1ee9 thuy\u1ebft ph\u1ee5c v\u1ec1 hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 tim m\u1ea1ch \u0111\u1ed9c l\u1eadp v\u1edbi t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a li\u1ec7u ph\u00e1p \u1ee9c ch\u1ebf men chuy\u1ec3n \u1edf ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 ho\u1eb7c c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh tim m\u1ea1ch do x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

    M\u1ed9t ph\u00e2n t\u00edch h\u1ed3i c\u1ee9u v\u1ec1 nghi\u00ean c\u1ee9u Study of Left Ventricular Dysfunction (SOLVD) cho th\u1ea5y nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb HF v\u00e0 CKD trong nh\u00f3m Enalapril c\u00f3 l\u1ee3i \u00edch v\u1ec1 t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n ngay c\u1ea3 v\u1edbi c\u00e1c giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a CKD.<\/p>\n

    M\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a Ahmed v\u00e0 c\u1ed9ng s\u1ef1 theo d\u00f5i 1165 b\u1ec7nh nh\u00e2n \u2265 65 tu\u1ed5i, b\u1ecb suy tim t\u00e2m thu (ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u < 45%) v\u00e0 b\u1ec7nh th\u1eadn m\u1ea1n (eGFR < 60 mL\/ph\u00fat tr\u00ean 1,73 m2) trong \u0111\u00f3 1046 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n ho\u1eb7c ARB trong 8 n\u0103m. K\u1ebft qu\u1ea3 cho th\u1ea5y nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n ho\u1eb7c ARB \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 t\u1eed vong do m\u1ecdi nguy\u00ean nh\u00e2n v\u00e0 nh\u1eadp vi\u1ec7n do suy tim.<\/p>\n

    Do \u0111\u00f3, b\u1ec7nh nh\u00e2n m\u1eafc CRS n\u00ean \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n v\u00e0 li\u1ec1u l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh c\u1ea9n th\u1eadn. N\u00ean tr\u00e1nh s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi NSAID \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 suy gi\u1ea3m th\u00eam ch\u1ee9c n\u0103ng th\u1eadn. N\u00ean ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n ho\u1eb7c ARB \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc CRS tr\u1eeb khi c\u00f3 s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn n\u1eb7ng v\u00e0 t\u0103ng kali m\u00e1u. S\u1eed d\u1ee5ng ch\u1ea5t \u1ee9c ch\u1ebf men chuy\u1ec3n h\u00f3a angiotensin (ACEi), ch\u1ea5t \u0111\u1ed1i v\u1eadn receptor angiotensin II (ARB) v\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf renin \u0111\u1ec3 gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 gi\u1ea3m t\u1ea3i c\u00f4ng c\u1ee7a tim.<\/p>\n

    Thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u01b0 furosemide v\u00e0 spironolactone c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111\u1ed9 d\u00e0y c\u1ee7a d\u1ecbch c\u01a1 th\u1ec3 v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i h\u01a1n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 kh\u00e1c nh\u01b0 si\u00eau l\u1ecdc.<\/p>\n

    3.2. Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng<\/strong>: B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00fd \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3. \u0110i\u1ec1u n\u00e0y bao g\u1ed3m gi\u1ea3m l\u01b0\u1ee3ng mu\u1ed1i v\u00e0 ch\u1ea5t b\u00e9o, t\u0103ng l\u01b0\u1ee3ng tr\u00e1i c\u00e2y v\u00e0 rau xanh, v\u00e0 gi\u1ea3m c\u00e2n n\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec.<\/p>\n

    3.3. \u0110i\u1ec1u tr\u1ecb thay th\u1ebf<\/strong>: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, nh\u01b0 suy tim, suy th\u1eadn ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng, c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf nh\u01b0 l\u1ecdc m\u00e1u ho\u1eb7c th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i kh\u1ecfi c\u01a1 th\u1ec3.<\/p>\n

    Trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n

    H\u1ed9i ch\u1ee9ng tim th\u1eadn l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p v\u00e0 nguy hi\u1ec3m, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng tim ho\u1eb7c th\u1eadn. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, bao g\u1ed3m ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng tim v\u00e0 th\u1eadn v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, vi\u1ec7c theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n

    V\u00ec v\u1eady, t\u00ecm hi\u1ec3u v\u1ec1 h\u1ed9i ch\u1ee9ng tim th\u1eadn v\u00e0 h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n.<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    H\u1ed9i ch\u1ee9ng tim th\u1eadn x\u1ea3y ra khi c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tim v\u00e0 th\u1eadn g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng cho c\u1ea3 hai c\u01a1 quan. C\u00e1c b\u1ec7nh l\u00fd v\u1ec1 tim bao g\u1ed3m b\u1ec7nh van tim, b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh v\u00e0 suy tim, trong khi c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 th\u1eadn bao g\u1ed3m b\u1ec7nh th\u1eadn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng tim th\u1eadn - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng tim th\u1eadn (Cadiorenal syndrome - CRS) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa ch\u1ee9c n\u0103ng tim v\u00e0 th\u1eadn\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng tim th\u1eadn - 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