{"id":18580,"date":"2023-04-13T17:00:44","date_gmt":"2023-04-13T10:00:44","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18580"},"modified":"2023-04-14T12:26:23","modified_gmt":"2023-04-14T05:26:23","slug":"tang-huyet-ap-dinh-nghia-phan-loai-phuong-phap-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/tang-huyet-ap-dinh-nghia-phan-loai-phuong-phap-chan-doan\/","title":{"rendered":"T\u0103ng huy\u1ebft \u00e1p: \u0110\u1ecbnh ngh\u0129a, ph\u00e2n lo\u1ea1i, ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>B\u1ec7nh t\u0103ng huy\u1ebft \u00e1p (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh cao huy\u1ebft \u00e1p) l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nguy hi\u1ec3m v\u00e0 ph\u1ed5 bi\u1ebfn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. B\u1ec7nh n\u00e0y x\u1ea3y ra khi \u00e1p l\u1ef1c m\u00e1u trong \u0111\u1ed9ng m\u1ea1ch t\u0103ng cao, g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00e0 x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 \u0111\u1ed9t qu\u1ef5, suy tim, suy th\u1eadn v\u00e0 th\u1eadm ch\u00ed l\u00e0 t\u1eed vong. Trong b\u00e0i n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 m\u1ed9t s\u1ed1 \u0111\u1ecbnh ngh\u0129a, nguy\u00ean nh\u00e2n, ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p.<\/strong><\/p>\n<figure style=\"width: 606px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"\" src=\"https:\/\/i.imgur.com\/cIL1JzR.png\" alt=\"Minh ho\u1ea1 t\u0103ng huy\u1ebft \u00e1p\" width=\"606\" height=\"376\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 t\u0103ng huy\u1ebft \u00e1p<\/figcaption><\/figure>\n<h2><strong>1. \u0110\u1ecbnh ngh\u0129a<\/strong><\/h2>\n<p>&#8211; Huy\u1ebft \u00e1p (HA) l\u00e0 \u00e1p l\u1ef1c c\u1ee7a m\u00e1u t\u00e1c d\u1ee5ng l\u00ean th\u00e0nh m\u1ea1ch (hay c\u00f2n \u0111\u01b0\u1ee3c hi\u1ec3u\u00a0l\u00e0 \u00e1p su\u1ea5t c\u1ee7a m\u00e1u trong l\u00f2ng m\u1ea1ch).<\/p>\n<h2><strong>2. Ph\u00e2n lo\u1ea1i huy\u1ebft \u00e1p<\/strong><\/h2>\n<p>Trong m\u1ed9t chu tr\u00ecnh tim, \u00e1p l\u1ef1c m\u00e1u lu\u00f4n thay \u0111\u1ed5i m\u1ed9t c\u00e1ch nh\u1ecbp nh\u00e0ng c\u00f3 m\u1ee9c t\u1ed1i \u0111a v\u00e0 t\u1ed1i thi\u1ec3u.<\/p>\n<ul>\n<li><strong>HA t\u00e2m thu<\/strong> l\u00e0 \u00e1p su\u1ea5t c\u1ee7a m\u00e1u \u0111o \u0111\u01b0\u1ee3c trong th\u1eddi k\u1ef3 t\u00e2m thu (HA t\u1ed1i \u0111a): Ph\u1ee5 thu\u1ed9c v\u00e0o l\u1ef1c co b\u00f3p c\u1ee7a tim v\u00e0 th\u1ec3 t\u00edch t\u00e2m thu &#8211; y\u1ebfu t\u1ed1 thay \u0111\u1ed5i c\u1ee7a HA<\/li>\n<li><strong>HA t\u00e2m tr\u01b0\u01a1ng<\/strong> l\u00e0 \u00e1p su\u1ea5t c\u1ee7a m\u00e1u \u0111o trong th\u1eddi k\u00ec \u00a0t\u00e2m tr\u01b0\u01a1ng (HA t\u1ed1i thi\u1ec3u): Bi\u1ec3u hi\u1ec7n s\u1ee9c c\u1ea3n c\u1ee7a c\u00e1c \u0110M &#8211; y\u1ebfu t\u1ed1 b\u1ec1n v\u1eefng c\u1ee7a HA.<\/li>\n<li><strong>HA hi\u1ec7u s\u1ed1 (hi\u1ec7u \u00e1p):<\/strong> Kho\u1ea3ng ch\u00eanh l\u1ec7ch gi\u1eefa HATT v\u00e0 HATTr =&gt; \u0111i\u1ec1u ki\u1ec7n c\u1ea7n cho tu\u1ea7n ho\u00e0n m\u00e1u.<\/li>\n<\/ul>\n<p>&#8211; <strong>Hi\u1ec7u \u00e1p<\/strong> \u2264 50 mmHg: \u00cdt c\u00f3 nguy c\u01a1 bi\u1ebfn c\u1ed1 tim m\u1ea1ch<br \/>\n+ Hi\u1ec7u \u00e1p t\u0103ng (\u0111\u1eb7c bi\u1ec7t gi\u1ea3m HATT) \u2192 gi\u1ea3m t\u01b0\u1edbi m\u00e1u m\u1ea1ch v\u00e0nh, t\u0103ng bi\u1ebfn c\u1ed1 tim m\u1ea1ch, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy tim do thi\u1ebfu m\u00e1u c\u01a1 tim.<\/p>\n<p>+ HA k\u1eb9t l\u00e0 hi\u00eau s\u1ed1 gi\u1eefa huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u1eddng nh\u1ecf h\u01a1n ho\u1eb7c b\u1eb1ng 20mmHg:<br \/>\nHATT &#8211; HATT \u2264 20mmHg =&gt; HA k\u1eb9t<\/p>\n<p>+ Huy\u1ebft \u00e1p trung b\u00ecnh ( Huy\u1ebft \u00e1p h\u1eefu hi\u1ec7u): Trung b\u00ecnh c\u1ee7a t\u1ea5t c\u1ea3 \u00e1p su\u1ea5t m\u00e1u \u0111o \u0111\u01b0\u1ee3c trong m\u1ed9t chu k\u00ec th\u1eddi gian, th\u1ec3 hi\u1ec7n s\u1ee9c l\u00e0m vi\u1ec7c th\u1ef1c s\u1ef1 c\u1ee7a tim. <strong>c\u00f4ng th\u1ee9c?<\/strong><\/p>\n<ul>\n<li>HA trung b\u00ecnh b\u00ecnh th\u01b0\u1eddng thay \u0111\u1ed5i 70-95 mmHg<\/li>\n<li>HA trung b\u00ecnh &lt; 70mmHg gi\u1ea3m t\u01b0\u1edbi m\u00e1u c\u00e1c c\u01a1 quan ( b\u1ec7nh nh\u00e2n s\u1ed1c)<\/li>\n<\/ul>\n<p>T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi th\u1ed1ng nh\u1ea5t m\u1ed9t ng\u01b0\u1eddi l\u1edbn t\u0103ng huy\u1ebft \u00e1p khi:<br \/>\nHuy\u1ebft \u00e1p t\u00e2m thu \u2265 140mmHg V\u00e0 ho\u1eb7c Huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng \u2265 90mmHg<\/p>\n<p><strong>* Nh\u01b0\u1ee3c \u0111i\u1ec3m:<\/strong> Tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p kh\u00f4ng ho\u00e0n to\u00e0n \u1ed5n \u0111\u1ecbnh v\u00e0 huy\u1ebft \u00e1p thay \u0111\u1ed5i theo tu\u1ed5i, gi\u1edbi t\u00ednh<\/p>\n<h2><strong>2. Ph\u00e2n lo\u1ea1i\u00a0t\u0103ng huy\u1ebft \u00e1p<\/strong><\/h2>\n<p><strong>&#8211; T\u0103ng huy\u1ebft \u00e1p ti\u00ean ph\u00e1t:<\/strong> ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, chi\u1ebfm t\u1ef7 l\u1ec7 90-95% c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p><strong>&#8211; T\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t:<\/strong> g\u1eb7p trong m\u1ed9t s\u1ed1 b\u1ec7nh th\u1ef1c th\u1ec3, chi\u1ebfm t\u1ef7 l\u1ec7 5-10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<h2><strong>3. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 li\u00ean quan\u00a0<\/strong><\/h2>\n<h3><strong>3.1. Y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p ti\u00ean ph\u00e1t:<\/strong><\/h3>\n<p>\u2022 Tu\u1ed5i: tu\u1ed5i c\u00e0ng cao, s\u1ef1 \u0111\u00e0n h\u1ed3i c\u1ee7a m\u1ea1ch m\u00e1u c\u00f3 s\u1ef1 \u1ea3nh h\u01b0\u1edfng, t\u0103ng nguy c\u01a1 g\u00e2y ra b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p.<br \/>\n\u2022 Y\u1ebfu t\u1ed1 di truy\u1ec1n: th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf nh\u00f3m ng\u01b0\u1eddi tr\u01b0\u1edbc 50 tu\u1ed5i c\u00f3 ng\u01b0\u1eddi th\u00e2n trong gia \u0111\u00ecnh b\u1ecb t\u0103ng huy\u1ebft \u00e1p.<br \/>\n\u2022 Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: \u0103n nhi\u1ec1u mu\u1ed1i (NaCl), \u0103n \u00edt protid, th\u1ef1c ph\u1ea9m ch\u1ee9a \u00edt Kali, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u, u\u1ed1ng n\u01b0\u1edbc m\u1ec1m \u00edt Ca2+ , Mg2+ , K+<br \/>\n\u2022 B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 b\u00e9o ph\u00ec.<br \/>\n\u2022 Y\u1ebfu t\u1ed1 t\u00e2m l\u00fd: c\u0103ng th\u1eb3ng (stress) th\u01b0\u1eddng xuy\u00ean.<br \/>\n\u2022 Thu\u1ed1c l\u00e1.<\/p>\n<h3><strong>3.2. Y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t<\/strong><\/h3>\n<p><strong>*B\u1ec7nh th\u1eadn:<\/strong> vi\u00eam c\u1ea7u th\u1eadn c\u1ea5p, vi\u00eam c\u1ea7u th\u1eadn m\u1ea1n hai b\u00ean do m\u1eafc ph\u1ea3i, th\u1eadn \u0111a nang, \u1ee9 n\u01b0\u1edbc b\u1ec3 th\u1eadn, u th\u1eadn l\u00e0m ti\u1ebft renin, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn,&#8230;<br \/>\nT\u0103ng huy\u1ebft \u00e1p do th\u1eadn l\u00e0 nguy\u00ean nh\u00e2n quan tr\u1ecdng g\u00e2y t\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t<\/p>\n<p><strong>*N\u1ed9i ti\u1ebft:<\/strong><br \/>\n\u2022 U t\u1ea1i t\u1ee7y th\u01b0\u1ee3ng th\u1eadn t\u0103ng ti\u1ebft catecholamin : n\u1ed3ng \u0111\u1ed9 catecholamin t\u0103ng cao trong m\u00e1u g\u00e2y co m\u1ea1ch v\u00e0 t\u0103ng nh\u1ecbp tim, t\u0103ng l\u1ef1c co b\u00f3p c\u01a1 tim t\u00e1c \u0111\u1ed9ng g\u00e2y t\u0103ng huy\u1ebft \u00e1p.<br \/>\n\u2022 H\u1ed9i ch\u1ee9ng Cushing: t\u0103ng glucocorticoid g\u00e2y t\u0103ng t\u00e1i h\u1ea5p thu natri v\u00e0 n\u01b0\u1edbc, \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng t\u00ednh nh\u1ea1y c\u1ea3m c\u1ee7a m\u1ea1ch \u0111\u1ed1i v\u1edbi k\u00edch th\u00edch co m\u1ea1ch d\u1eabn \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p.<br \/>\n\u2022 H\u1ed9i ch\u1ee9ng Cohn: u v\u1ecf th\u01b0\u1ee3ng th\u1eadn t\u0103ng ti\u1ebft aldosteron ti\u00ean ph\u00e1t g\u00e2y t\u0103ng t\u00e1i h\u1ea5p thu natri v\u00e0 n\u01b0\u1edbc d\u1eabn \u0111\u1ebfn t\u0103ng th\u1ec3 t\u00edch m\u00e1u.<\/p>\n<p><strong>* B\u1ec7nh tim m\u1ea1ch:<\/strong> b\u1ec7nh h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, vi\u00eam h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng ch\u1ed7 xu\u1ea5t ph\u00e1t c\u1ee7a \u0111\u1ed9ng m\u1ea1ch th\u1eadn, h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<br \/>\n\u2022 Nhi\u1ec5m \u0111\u1ed9c glycerin\/ u\u1ed1ng nhi\u1ec1u r\u1ec5 cam th\u1ea3o: \u1ee9c ch\u1ebf enzym 11B Hydroxysteroid dehydrogenase chuy\u1ec3n corticoid th\u00e0nh cortisol l\u00e0m t\u0103ng t\u00e1i h\u1ea5p thu n\u01b0\u1edbc v\u00e0 natri.<br \/>\n\u2022 Thu\u1ed1c: c\u00e1c hormone ng\u1eeba thai, cam th\u1ea3o, Carbenoxolone, A.C.T.H., Corticoides, cyclosporine, c\u00e1c ch\u1ea5t g\u00e2y ch\u00e1n \u0103n, c\u00e1c IMAO, ch\u1ea5t ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00f2ng,&#8230;<br \/>\n\u2022 Thai ngh\u00e9n: c\u00f3 th\u1ec3 do t\u0103ng hormon\/ c\u01a1 th\u1ec3 b\u1ecb d\u1ecb \u1ee9ng mi\u1ec5n d\u1ecbch.<br \/>\n\u2022 C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c: B\u1ec7nh c\u01b0\u1eddng gi\u00e1p, b\u1ec7nh Beri-beri, b\u1ec7nh Paget x\u01b0\u01a1ng, b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u; h\u1ed9i ch\u1ee9ng carcinoid, toan h\u00f4 h\u1ea5p, t\u0103ng s\u1ecd n\u00e3o,&#8230;<\/p>\n<h2><strong>3. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p ch\u1ec9 c\u00f3 c\u00e1ch duy nh\u1ea5t l\u00e0 \u0111o huy\u1ebft \u00e1p (2). Hi\u1ec7n nay, c\u00f3 3 c\u00e1ch \u0111o huy\u1ebft \u00e1p \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh g\u1ed3m:<br \/>\n<strong>\u2022 \u0110o huy\u1ebft t\u1ea1i ph\u00f2ng kh\u00e1m:<\/strong> HA \u2265 140\/90 mmHg<br \/>\n<strong>\u2022 \u0110o huy\u1ebft \u00e1p t\u1ea1i nh\u00e0:<\/strong> HA \u2265 135\/85 mmHg<br \/>\n<strong>\u2022 M\u00e1y theo d\u00f5i huy\u1ebft \u00e1p li\u00ean t\u1ee5c 24 gi\u1edd (m\u00e1y Holter huy\u1ebft \u00e1p):<\/strong> HA \u2265 130\/80 mmHg.<\/p>\n<p><strong>\u0110O HUY\u1ebeT \u00c1P L\u01afU \u0110\u1ed8NG BAO G\u1ed2M HUY\u1ebeT \u00c1P\u00a0 BAN NG\u00c0Y, HUY\u1ebeT \u00c1P\u00a0BAN \u0110\u00caM V\u00c0 24H<\/strong><\/p>\n<figure style=\"width: 259px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/OBiSwed.png\" alt=\"Minh ho\u1ea1 HA t\u1ed1i \u0111a v\u00e0 HA t\u1ed1i thi\u1ec3u\" width=\"259\" height=\"194\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 HA t\u1ed1i \u0111a v\u00e0 HA t\u1ed1i thi\u1ec3u<\/figcaption><\/figure>\n<p><strong>* Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><br \/>\nC\u1ea7n l\u01b0u \u00fd hi\u1ec7n t\u01b0\u1ee3ng (huy\u1ebft \u00e1p gi\u1ea3) g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi gi\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn do s\u1ef1 x\u01a1 c\u1ee9ng v\u00e1ch \u0111\u1ed9ng m\u1ea1ch l\u00e0m cho tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p \u0111o \u0111\u01b0\u1ee3c cao h\u01a1n tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p n\u1ed9i m\u1ea1ch. C\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb b\u1eb1ng c\u00e1ch d\u00f9ng <strong>\u201cth\u1ee7 thu\u1eadt\u201d Osler<\/strong> hay ch\u00ednh x\u00e1c nh\u1ea5t l\u00e0 <em><strong>\u0111o huy\u1ebft \u00e1p tr\u1ef1c ti\u1ebfp.<\/strong><\/em><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/tu-van-bac-si\/hoi-chung-tang-huyet-ap-ao-choang-trang-la-gi\/#:~:text=T%C4%83ng%20huy%E1%BA%BFt%20%C3%A1p%20%C3%A1o%20cho%C3%A0ng%20tr%E1%BA%AFng%20l%C3%A0%20t%C3%ACnh%20tr%E1%BA%A1ng%20huy%E1%BA%BFt,%E1%BB%9F%20c%C6%A1%20s%E1%BB%9F%20y%20t%E1%BA%BF.\">T\u0103ng huy\u1ebft \u00e1p \u00e1o cho\u00e0ng tr\u1eafng<\/a> (white coat hypertension)<\/strong> x\u1ea3y ra khi huy\u1ebft \u00e1p \u0111o t\u1ea1i b\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m lu\u00f4n \u1edf m\u1ee9c cao (140\/90 mmHg ho\u1eb7c cao h\u01a1n). Th\u1ebf nh\u01b0ng khi v\u1ec1 nh\u00e0, huy\u1ebft \u00e1p l\u1ea1i tr\u1edf v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u00f4ng h\u1ec1 \u1ea3nh h\u01b0\u1edfng g\u00ec \u0111\u1ebfn s\u1ee9c kh\u1ecfe. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y ch\u1ee7 y\u1ebfu xu\u1ea5t ph\u00e1t t\u1eeb t\u00e2m l\u00fd lo s\u1ee3, h\u1ed3i h\u1ed9p khi \u0111i kh\u00e1m b\u00e1c s\u0129, khi\u1ebfn tim \u0111\u1eadp nhanh h\u01a1n v\u00e0 t\u0103ng \u00e1p l\u1ef1c l\u00ean th\u00e0nh m\u1ea1ch m\u00e1u.<\/li>\n<li><strong>T\u0103ng huy\u1ebft \u00e1p \u1ea9n gi\u1ea5u<\/strong> l\u00e0 t\u00ecnh tr\u1ea1ng huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng d\u01b0\u1edbi 140\/90mmHg khi \u0111o t\u1ea1i c\u01a1 s\u1edf y t\u1ebf, c\u00f2n khi \u0111o ngo\u00e0i c\u01a1 s\u1edf y t\u1ebf (t\u1ea1i nh\u00e0 ho\u1eb7c \u0111o huy\u1ebft \u00e1p l\u01b0u \u0111\u1ed9ng trong 24 gi\u1edd) c\u00f3 ch\u1ec9 s\u1ed1 trung b\u00ecnh tr\u00ean 135\/85 mmHg.<\/li>\n<li><strong>T\u0103ng huy\u1ebft \u00e1p t\u00e2m thu \u0111\u01a1n \u0111\u1ed9c<\/strong> \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 khi tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p t\u00e2m thu \u2265 140 mmHg v\u00e0 huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng &lt; 90 mmHg.<\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/tang-huyet-ap-tam-thu-don-doc-su-hinh-thanh-va-nguy-co-gay-benh-tim-mach\/\"><strong>T\u0103ng huy\u1ebft \u00e1p t\u00e2m thu \u0111\u01a1n \u0111\u1ed9c \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/huyet-ap-tam-truong-cao-nhung-dieu-can-biet\/\"><strong>T\u0103ng huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng \u0111\u01a1n \u0111\u1ed9c<\/strong><\/a><\/li>\n<\/ul>\n<p><strong>Ngu\u1ed3n: <\/strong><\/p>\n<ul>\n<li>Gi\u00e1o tr\u00ecnh b\u1ec7nh h\u1ecdc n\u1ed9i khoa nh\u00e0 xu\u1ea5t b\u1ea3n \u0110\u1ea1i h\u1ecdc Hu\u1ebf 2019<\/li>\n<li>ISH Global Hypertension<\/li>\n<li>H\u1ed9i Tim M\u1ea1ch H\u1ecdc Vi\u1ec7t Nam<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh t\u0103ng huy\u1ebft \u00e1p (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh cao huy\u1ebft \u00e1p) l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nguy hi\u1ec3m v\u00e0 ph\u1ed5 bi\u1ebfn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. B\u1ec7nh n\u00e0y x\u1ea3y ra khi \u00e1p l\u1ef1c m\u00e1u trong \u0111\u1ed9ng m\u1ea1ch t\u0103ng cao, g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00e0 x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u0103ng huy\u1ebft \u00e1p: \u0110\u1ecbnh ngh\u0129a, ph\u00e2n lo\u1ea1i, ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh t\u0103ng huy\u1ebft \u00e1p (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh cao huy\u1ebft \u00e1p) l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nguy hi\u1ec3m v\u00e0 ph\u1ed5 bi\u1ebfn tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.\" \/>\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 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