{"id":17860,"date":"2023-04-10T19:50:03","date_gmt":"2023-04-10T12:50:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17860"},"modified":"2023-04-20T17:30:33","modified_gmt":"2023-04-20T10:30:33","slug":"sieu-am-tim-gang-suc-la-gi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/sieu-am-tim-gang-suc-la-gi\/","title":{"rendered":"Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 g\u00ec, c\u00f3 an to\u00e0n kh\u00f4ng?"},"content":{"rendered":"

Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c (stress echocardiography)<\/a> l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim trong t\u00ecnh tr\u1ea1ng t\u1eadp luy\u1ec7n ho\u1eb7c t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng si\u00eau \u00e2m \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a tim tr\u00ean m\u00e0n h\u00ecnh, trong khi b\u1ec7nh nh\u00e2n t\u1eadp luy\u1ec7n ho\u1eb7c \u0111\u01b0\u1ee3c ti\u00eam thu\u1ed1c d\u01b0\u1ee3c \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim.<\/strong><\/p>\n

1.Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 g\u00ec?\u00a0<\/strong><\/h1>\n

Si\u00eau \u00e2m l\u00e0 k\u1ef9 thu\u1eadt an to\u00e0n, kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 th\u0103m d\u00f2 c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c b\u1ed9 ph\u1eadn b\u00ean trong c\u01a1 th\u1ec3. Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c v\u1ec1 c\u01a1 b\u1ea3n c\u0169ng gi\u1ed1ng c\u00e1c k\u1ef9 thu\u1eadt si\u00eau \u00e2m th\u00f4ng th\u01b0\u1eddng nh\u01b0 \u0111\u1ed1i v\u1edbi c\u00e1c c\u01a1 quan kh\u00e1c (si\u00eau \u00e2m d\u1ea1 d\u00e0y, si\u00eau \u00e2m bu\u1ed3ng tr\u1ee9ng,…), ch\u1ec9 c\u00f3 kh\u00e1c \u1edf ch\u1ed7 l\u00e0 b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t trong tr\u1ea1ng th\u00e1i v\u1eadn \u0111\u1ed9ng ho\u1eb7c \u0111\u01b0\u1ee3c k\u00edch th\u00edch b\u1eb1ng thu\u1ed1c \u0111\u1ec3 c\u01a1 th\u1ec3 ph\u1ea3n \u1ee9ng nh\u01b0 l\u00fac \u0111ang t\u1eadp th\u1ec3 d\u1ee5c (\u0111i\u1ec1u n\u00e0y \u00e1p d\u1ee5ng v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb li\u1ec7t ho\u1eb7c y\u1ebfu kh\u00f4ng v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c).<\/p>\n

Trong qu\u00e1 tr\u00ecnh t\u1eadp luy\u1ec7n ho\u1eb7c t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng, nhu c\u1ea7u oxy c\u1ee7a c\u01a1 th\u1ec3 t\u0103ng l\u00ean, bu\u1ed9c tim ph\u1ea3i b\u01a1m m\u00e1u nhanh h\u01a1n \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u n\u00e0y. B\u1eb1ng c\u00e1ch quan s\u00e1t h\u00ecnh \u1ea3nh chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a tim trong khi b\u1ec7nh nh\u00e2n v\u1eadn \u0111\u1ed9ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 tr\u1ef1c ti\u1ebfp kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a tim v\u1edbi vi\u1ec7c t\u0103ng l\u00ean v\u1ec1 nhu c\u1ea7u oxy, qua \u0111\u00f3 c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ee9c n\u0103ng tim, bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 van tim, t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c.<\/p>\n

\"Si\u00eau
Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111\u1ea1p xe \u1edf t\u01b0 th\u1ebf n\u1eb1m trong khi b\u00e1c s\u0129 th\u1ef1c hi\u1ec7n si\u00eau \u00e2m tim tr\u00ean b\u1ec7nh nh\u00e2n.<\/figcaption><\/figure>\n

2.Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c c\u00f3 an to\u00e0n kh\u00f4ng?<\/strong><\/h1>\n

Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 an to\u00e0n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim, v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd v\u1ec1 b\u1ec7nh tim m\u1ea1ch. Tuy nhi\u00ean, nh\u01b0 v\u1edbi b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0o, k\u1ef9 thu\u1eadt si\u00eau \u00e2m n\u00e0y c\u0169ng c\u00f3 nh\u1eefng gi\u1edbi h\u1ea1n v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c t\u1ea5t c\u1ea3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ee9c n\u0103ng tim. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n cao.<\/p>\n

3.Khi n\u00e0o c\u1ea7n ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n si\u00eau \u00e2m g\u1eafng s\u1ee9c?<\/strong><\/h1>\n

Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c (stress echocardiography) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n

    \n
  1. \u0110\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng b\u1ec7nh tim m\u1ea1ch<\/strong>: \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh tim m\u1ea1ch nh\u01b0 \u0111au th\u1eaft ng\u1ef1c (angina), kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi ho\u1eb7c ch\u00f3ng m\u1eb7t. K\u1ef9 thu\u1eadt n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim trong \u0111i\u1ec1u ki\u1ec7n t\u1eadp luy\u1ec7n ho\u1eb7c t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng, t\u1eeb \u0111\u00f3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee7a tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/li>\n
  2. \u0110\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch:<\/strong> N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch nh\u01b0 ti\u1ec1n s\u1eed gia \u0111\u00ecnh, h\u00fat thu\u1ed1c, ti\u1ec3u \u0111\u01b0\u1eddng, huy\u1ebft \u00e1p cao ho\u1eb7c m\u1ee1 m\u00e1u cao, k\u1ef9 thu\u1eadt si\u00eau \u00e2m n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim v\u00e0 x\u00e1c \u0111\u1ecbnh nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch.<\/li>\n
  3. \u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/strong>: k\u1ef9 thu\u1eadt si\u00eau \u00e2m g\u1eafng s\u1ee9c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch, v\u00ed d\u1ee5 nh\u01b0 sau khi th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt ho\u1eb7c \u0111\u1eb7t stent. K\u1ef9 thu\u1eadt n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00ean ch\u1ee9c n\u0103ng tim v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo.<\/li>\n
  4. \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc khi t\u1eadp th\u1ec3 d\u1ee5c<\/strong>: k\u1ef9 thu\u1eadt si\u00eau \u00e2m tim n\u00e0y c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u1eadp th\u1ec3 d\u1ee5c ho\u1eb7c th\u1ec3 thao, gi\u00fap \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng c\u1ee7a tim \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi ho\u1ea1t \u0111\u1ed9ng t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c gi\u1edbi h\u1ea1n an to\u00e0n trong vi\u1ec7c t\u1eadp th\u1ec3 d\u1ee5c.<\/li>\n<\/ol>\n

    4.C\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/strong><\/h1>\n

    M\u1eb7c d\u00f9 si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim an to\u00e0n v\u00e0 ph\u1ed5 bi\u1ebfn, tuy nhi\u00ean n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nh\u01b0 sau:<\/p>\n

      \n
    1. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c<\/strong> c\u00f3 ch\u1ee9a dipyridamole ho\u1eb7c dobutamine s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m tim g\u1eafng s\u1ee9c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c n\u00e0y.<\/li>\n
    2. B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh nh\u00e2n suy tim n\u1eb7ng, h\u1ed9i ch\u1ee9ng gi\u1ea3m \u00e1p \u0111\u1ed9t ng\u1ed9t ho\u1eb7c suy tim c\u1ea5p<\/strong> c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m.<\/li>\n
    3. B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd ph\u1ed5i n\u1eb7ng<\/strong> ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim.<\/li>\n
    4. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh n\u1eb7ng, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1ea3i qua ph\u1eabu thu\u1eadt<\/strong> t\u1ea1o b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CABG-Coronary Artery Bypass Graft) trong v\u00f2ng 3 th\u00e1ng tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n
    5. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh nh\u00e2n lo\u1ea1n nh\u1ecbp n\u1eb7ng ho\u1eb7c \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp<\/strong> c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n si\u00eau \u00e2m.<\/li>\n<\/ol>\n

      T\u00f3m l\u1ea1i, Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 an to\u00e0n v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd v\u1ec1 b\u1ec7nh tim m\u1ea1ch. Quy\u1ebft \u0111\u1ecbnh si\u00eau \u00e2m tim g\u1eafng s\u1ee9c ch\u1ec9 \u0111\u01b0\u1ee3c \u0111\u01b0a ra t\u00f9y tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 b\u1edfi ch\u1ec9 \u0111\u1ecbnh v\u00e0 gi\u00e1m s\u00e1t th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n cao \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c (stress echocardiography) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim trong t\u00ecnh tr\u1ea1ng t\u1eadp luy\u1ec7n ho\u1eb7c t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng si\u00eau \u00e2m \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a tim […]<\/p>\n","protected":false},"author":45,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,32],"tags":[3],"yoast_head":"\nSi\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 g\u00ec? C\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/title>\n<meta name=\"description\" content=\"Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim trong t\u00ecnh tr\u1ea1ng t\u1eadp luy\u1ec7n ho\u1eb7c t\u0103ng c\u01b0\u1eddng v\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=\"Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 g\u00ec? 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