{"id":20118,"date":"2023-04-14T12:53:13","date_gmt":"2023-04-14T05:53:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20118"},"modified":"2023-04-14T14:52:02","modified_gmt":"2023-04-14T07:52:02","slug":"bien-chung-sinh-thiet-noi-mac-co-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim"},"content":{"rendered":"<p><strong>Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch. Tuy nhi\u00ean, sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim c\u0169ng ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/strong><\/p>\n<h2>1. T\u1ed5ng quan v\u1ec1 sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim<\/h2>\n<p>Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 qu\u00e1 tr\u00ecnh l\u1ea5y m\u1eabu m\u1ed9t m\u1ea9u m\u00f4 t\u1eeb b\u1ec1 m\u1eb7t n\u1ed9i m\u1ea1c c\u1ee7a c\u01a1 tim \u0111\u1ec3 d\u00e1nh gi\u00e1. Th\u00f4ng th\u01b0\u1eddng, qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng kim sinh thi\u1ebft \u0111\u1ec3 l\u1ea5y m\u1eabu m\u00f4 t\u1eeb b\u1ec1 m\u1eb7t c\u01a1 tim. M\u1ee5c \u0111\u00edch c\u1ee7a sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim nh\u1eb1m theo d\u00f5i s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a th\u1ea3i gh\u00e9p \u0111\u1ed3ng lo\u1ea1i sau gh\u00e9p tim ho\u1eb7c, \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n, ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh v\u1ec1 c\u01a1 tim, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u1ea1ch m\u00e1u ho\u1eb7c nh\u1eefng bi\u1ebfn \u0111\u1ed5i c\u1ee7a c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim. K\u1ebft qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh sinh thi\u1ebft s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi m\u1eabu m\u00f4 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129 gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/p>\n<figure id=\"attachment_20122\" aria-describedby=\"caption-attachment-20122\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20122\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-300x200.jpeg\" alt=\"bien-chung-sinh-thiet-noi-mac-co-tim.j\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-300x200.jpeg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-1024x683.jpeg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-768x512.jpeg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-1536x1024.jpeg 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-2048x1365.jpeg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20122\" class=\"wp-caption-text\">3D render of a medical background with a heart<\/figcaption><\/figure>\n<h2>2. Ch\u1ec9 \u0111\u1ecbnh sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim<\/h2>\n<h3>2.1. Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/suy-tim-3262\/\">Suy tim<\/a> m\u1edbi kh\u1edfi ph\u00e1t kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c trong th\u1eddi gian d\u01b0\u1edbi hai tu\u1ea7n li\u00ean quan \u0111\u1ebfn t\u00e2m th\u1ea5t tr\u00e1i c\u00f3 k\u00edch th\u01b0\u1edbc b\u00ecnh th\u01b0\u1eddng ho\u1eb7c gi\u00e3n v\u1edbi t\u1ed5n th\u01b0\u01a1ng huy\u1ebft \u0111\u1ed9ng.<\/li>\n<li>Suy tim m\u1edbi kh\u1edfi ph\u00e1t kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i t\u1eeb hai tu\u1ea7n \u0111\u1ebfn ba th\u00e1ng li\u00ean quan \u0111\u1ebfn gi\u00e3n th\u1ea5t tr\u00e1i v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t m\u1edbi, block nh\u0129 th\u1ea5t (AV) \u0111\u1ed9 II Mobitz, block AV \u0111\u1ed9 ba ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi ch\u0103m s\u00f3c th\u00f4ng th\u01b0\u1eddng trong v\u00f2ng m\u1ed9t \u0111\u1ebfn hai tu\u1ea7n.<\/li>\n<\/ul>\n<h3>2.2. Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim \u0111\u01b0\u1ee3c g\u1ee3i \u00fd trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p<\/h3>\n<ul>\n<li>Suy tim kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n k\u00e9o d\u00e0i h\u01a1n ba th\u00e1ng li\u00ean quan \u0111\u1ebfn gi\u00e3n th\u1ea5t tr\u00e1i v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t m\u1edbi, block nh\u0129 th\u1ea5t \u0111\u1ed9 hai Mobitz lo\u1ea1i II, block nh\u0129 th\u1ea5t \u0111\u1ed9 ba ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi ch\u0103m s\u00f3c th\u00f4ng th\u01b0\u1eddng trong v\u00f2ng m\u1ed9t \u0111\u1ebfn hai tu\u1ea7n.<\/li>\n<li>Suy tim kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c v\u1edbi b\u1ec7nh c\u01a1 tim gi\u00e3n t\u1ea1i b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o li\u00ean quan \u0111\u1ebfn nghi ng\u1edd ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ngo\u00e0i t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan.<\/li>\n<li>Suy tim li\u00ean quan \u0111\u1ebfn b\u1ec7nh c\u01a1 tim nghi ng\u1edd do anthracycline n\u1ebfu nguy\u00ean nh\u00e2n g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tim l\u00e0 ch\u01b0a r\u00f5 r\u00e0ng, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p xem x\u00e9t vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c qu\u00e1 li\u1ec1u, ho\u1eb7c tham gia c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u1ec1 \u0111\u1ed9c t\u00ednh c\u1ee7a c\u00e1c thu\u1ed1c v\u00e0 ph\u00e1c \u0111\u1ed3 m\u1edbi.<\/li>\n<li>Suy tim li\u00ean quan \u0111\u1ebfn b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/li>\n<li>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ed1i u tim khi ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf l\u00e0 kh\u00f4ng ch\u1eafc ch\u1eafn v\u00e0 sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim c\u00f3 th\u1ec3 s\u1ebd thay \u0111\u1ed5i c\u00e1ch \u0111i\u1ec1u tr\u1ecb. Do nguy c\u01a1 thuy\u00ean t\u1eafc, kh\u00f4ng n\u00ean th\u1ef1c hi\u1ec7n sinh thi\u1ebft n\u1ebfu c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd u nh\u1ea7y.<\/li>\n<li>\u1ede nh\u1eefng tr\u1ebb em \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn c\u00f3 bi\u1ec3u hi\u1ec7n suy tim t\u1ed1i c\u1ea5p ho\u1eb7c c\u1ea5p t\u00ednh kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, ho\u1eb7c b\u1ec7nh c\u01a1 tim gi\u00e3n t\u1ef1 ph\u00e1t.<\/li>\n<li>Suy tim li\u00ean quan \u0111\u1ebfn ph\u00ec \u0111\u1ea1i th\u1ea5t kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, n\u1ebfu nghi ng\u1edd b\u1ec7nh th\u00e2m nhi\u1ec5m ho\u1eb7c b\u1ec7nh d\u1ef1 tr\u1eef v\u00e0 c\u00e1c \u0111\u00e1nh gi\u00e1 kh\u00e1c kh\u00f4ng thuy\u1ebft ph\u1ee5c.<\/li>\n<li>Nghi ng\u1edd b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y lo\u1ea1n nh\u1ecbp n\u1ebfu \u0111\u00e1nh gi\u00e1 kh\u00e1c kh\u00f4ng thuy\u1ebft ph\u1ee5c.<\/li>\n<\/ul>\n<h3>2.3. Gi\u00e1 tr\u1ecb c\u1ee7a sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/h3>\n<ul>\n<li>B\u1ec7nh c\u01a1 tim gi\u00e3n kh\u1edfi ph\u00e1t g\u1ea7n \u0111\u00e2y (k\u00e9o d\u00e0i t\u1eeb hai tu\u1ea7n \u0111\u1ebfn ba th\u00e1ng) kh\u00f4ng c\u00f3 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t m\u1edbi ho\u1eb7c block nh\u0129 th\u1ea5t \u0111\u1ed9 hai Mobitz lo\u1ea1i II, ho\u1eb7c block nh\u0129 th\u1ea5t \u0111\u1ed9 ba \u0111\u00e1p \u1ee9ng v\u1edbi ch\u0103m s\u00f3c th\u00f4ng th\u01b0\u1eddng trong v\u00f2ng m\u1ed9t \u0111\u1ebfn hai tu\u1ea7n.<\/li>\n<li>Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho b\u1ec7nh c\u01a1 tim gi\u00e3n m\u00e3n t\u00ednh.<\/li>\n<li>M\u1ed9t ngo\u1ea1i l\u1ec7 l\u00e0 nghi ng\u1edd qu\u00e1 t\u1ea3i s\u1eaft \u1edf c\u01a1 tim m\u00e0 sinh thi\u1ebft c\u00f3 th\u1ec3 h\u1eefu \u00edch khi c\u00e1c \u0111\u00e1nh gi\u00e1 kh\u00e1c kh\u00f4ng thuy\u1ebft ph\u1ee5c.<\/li>\n<li>Lo\u1ea1n nh\u1ecbp tim kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/li>\n<li>Rung nh\u0129 kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/li>\n<\/ul>\n<h2>3. T\u1ed5ng quan bi\u1ebfn ch\u1ee9ng sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim<\/h2>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim bao g\u1ed3m th\u1ee7ng c\u01a1 tim v\u1edbi ch\u00e8n \u00e9p m\u00e0ng ngo\u00e0i tim, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, kh\u1ed1i tim, tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, th\u1ee7ng \u0111\u1ed9ng m\u1ea1ch, thuy\u00ean t\u1eafc ph\u1ed5i, kh\u1ed1i ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh, t\u1ee5 m\u00e1u, t\u1ed5n th\u01b0\u01a1ng van ba l\u00e1, t\u1ea1o l\u1ed7 r\u00f2 \u0111\u1ed9ng m\u1ea1ch v\u00e0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u. T\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o n\u1eb1m trong kho\u1ea3ng t\u1eeb d\u01b0\u1edbi 1 \u0111\u1ebfn cao nh\u1ea5t l\u00e0 6 ph\u1ea7n tr\u0103m, bao g\u1ed3m:<\/p>\n<h3>3.1. Bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng<\/h3>\n<ul>\n<li>T\u1eed vong<\/li>\n<li>Th\u1ee7ng tim\/xu\u1ea5t huy\u1ebft m\u00e0ng ngo\u00e0i tim\/ch\u00e8n \u00e9p tim<\/li>\n<li>Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i\/thuy\u00ean t\u1eafc kh\u00ed<\/li>\n<li>Thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng van tim<\/li>\n<li>Lo\u1ea1n nh\u1ecbp n\u1eb7ng\/block nh\u0129 th\u1ea5t<\/li>\n<\/ul>\n<h3>3.2. Bi\u1ebfn ch\u1ee9ng nh\u1eb9<\/h3>\n<ul>\n<li>\u0110au ng\u1ef1c (tho\u00e1ng qua)<\/li>\n<li>Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u<\/li>\n<li>T\u1ee5 m\u00e1u t\u1ea1i ch\u1ed7 ch\u1ecdc\/li\u1ec7t d\u00e2y th\u1ea7n kinh<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p\/ng\u1ea5t do vaso-vagal<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch\/t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u\/l\u1ed7 r\u00f2<\/li>\n<\/ul>\n<p>Nh\u00ecn chung, c\u00f3 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c sinh thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u01a1 tim khi so s\u00e1nh v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c sinh thi\u1ebft \u0111\u1ec3 gh\u00e9p tim.<\/p>\n<p>Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim th\u1ea5t ph\u1ea3i th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn t\u0129nh m\u1ea1ch \u0111\u00f9i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n c\u0169ng cho th\u1ea5y t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng th\u1ea5p. C\u00e1c bi\u1ebfn ch\u1ee9ng l\u1edbn nh\u01b0 ch\u00e8n \u00e9p tim c\u1ea7n ch\u1ecdc m\u00e0ng ngo\u00e0i tim ho\u1eb7c block nh\u0129 th\u1ea5t ho\u00e0n to\u00e0n c\u1ea7n t\u1ea1o nh\u1ecbp v\u0129nh vi\u1ec5n l\u00e0 r\u1ea5t hi\u1ebfm. C\u00e1c bi\u1ebfn ch\u1ee9ng nh\u1ecf nh\u01b0 tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim, b\u1ea5t th\u01b0\u1eddng d\u1eabn truy\u1ec1n ho\u1eb7c r\u1ed1i lo\u1ea1n nh\u1ecbp tim x\u1ea3y ra \u1edf 0,20% \u0111\u1ebfn 5,5%.<\/p>\n<p>M\u1ed9t bi\u1ebfn ch\u1ee9ng ch\u1ee7 y\u1ebfu th\u1ea5y \u1edf nh\u1eefng ng\u01b0\u1eddi nh\u1eadn gh\u00e9p tim tr\u1ea3i qua sinh thi\u1ebft gi\u00e1m s\u00e1t l\u1eb7p \u0111i l\u1eb7p l\u1ea1i l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1edf van ba l\u00e1. H\u1edf van ba l\u00e1 th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u01b0ng \u0111\u00f4i khi c\u1ea7n ph\u1ea3i s\u1eeda ch\u1eefa ho\u1eb7c thay th\u1ebf van.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch. Tuy nhi\u00ean, sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim c\u0169ng ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. 1. T\u1ed5ng quan v\u1ec1 sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 qu\u00e1 [&hellip;]<\/p>\n","protected":false},"author":60,"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>Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim - Vinmec<\/title>\n<meta name=\"description\" content=\"Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch v\u00e0 ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng\" \/>\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=\"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch v\u00e0 ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng\" \/>\n<meta property=\"og:url\" content=\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-14T05:53:13+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-14T07:52:02+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-300x200.jpeg\" \/>\n<meta name=\"author\" content=\"L\u00ea Th\u1ecb \u00c1nh Kim\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u00ea Th\u1ecb \u00c1nh Kim\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/\",\"name\":\"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-14T05:53:13+00:00\",\"dateModified\":\"2023-04-14T07:52:02+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1305c078ca3c2cc0cf032df8e0acf054\"},\"description\":\"Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch v\u00e0 ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng\",\"breadcrumb\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1305c078ca3c2cc0cf032df8e0acf054\",\"name\":\"L\u00ea Th\u1ecb \u00c1nh Kim\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/639579dc40bf605edf728283afa4ebb3?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/639579dc40bf605edf728283afa4ebb3?s=96&d=mm&r=g\",\"caption\":\"L\u00ea Th\u1ecb \u00c1nh Kim\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/kimlethianhgmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim - Vinmec","description":"Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch v\u00e0 ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim - Vinmec","og_description":"Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch v\u00e0 ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng","og_url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/","og_site_name":"Vinmec","article_published_time":"2023-04-14T05:53:13+00:00","article_modified_time":"2023-04-14T07:52:02+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/bien-chung-sinh-thiet-noi-mac-co-tim-300x200.jpeg"}],"author":"L\u00ea Th\u1ecb \u00c1nh Kim","twitter_card":"summary_large_image","twitter_misc":{"Written by":"L\u00ea Th\u1ecb \u00c1nh Kim","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/","url":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/","name":"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-14T05:53:13+00:00","dateModified":"2023-04-14T07:52:02+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1305c078ca3c2cc0cf032df8e0acf054"},"description":"Sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong tim m\u1ea1ch v\u00e0 ti\u1ec1m \u1ea9n nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng","breadcrumb":{"@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/bien-chung-sinh-thiet-noi-mac-co-tim\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Bi\u1ebfn ch\u1ee9ng trong th\u1ee7 thu\u1eadt sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1305c078ca3c2cc0cf032df8e0acf054","name":"L\u00ea Th\u1ecb \u00c1nh Kim","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/639579dc40bf605edf728283afa4ebb3?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/639579dc40bf605edf728283afa4ebb3?s=96&d=mm&r=g","caption":"L\u00ea Th\u1ecb \u00c1nh Kim"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/kimlethianhgmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/20118"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/60"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=20118"}],"version-history":[{"count":2,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/20118\/revisions"}],"predecessor-version":[{"id":20680,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/20118\/revisions\/20680"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=20118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=20118"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=20118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}