{"id":20284,"date":"2023-04-13T19:41:17","date_gmt":"2023-04-13T12:41:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20284"},"modified":"2023-04-18T15:32:23","modified_gmt":"2023-04-18T08:32:23","slug":"tiep-can-chan-doan-roi-loan-chuc-nang-tam-thu-that-trai-khong-trieu-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/tiep-can-chan-doan-roi-loan-chuc-nang-tam-thu-that-trai-khong-trieu-chung\/","title":{"rendered":"Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng"},"content":{"rendered":"

Nhi\u1ec1u r\u1ed1i lo\u1ea1n tim c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i (LVEF) m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng (ALVSD).\u00a0Ph\u00e1t hi\u1ec7n ALVSD c\u1ea7n \u0111\u00e1nh gi\u00e1 th\u00eam \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a<\/strong><\/h2>\n

ALVSD \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a LVEF <55% trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim<\/a>.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n ALVSD ph\u1ee5 thu\u1ed9c v\u00e0o LVEF;\u00a0C\u00e1c ph\u00e9p \u0111o ch\u1ee9c n\u0103ng t\u00e2m thu kh\u00e1c kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 thi\u1ebft l\u1eadp ch\u1ea9n \u0111o\u00e1n ALVSD, m\u1eb7c d\u00f9 c\u00e1c ph\u00e9p \u0111o n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ee9ng th\u1ef1c vi\u1ec7c ph\u00e1t hi\u1ec7n EF th\u1ea5p.<\/p>\n

2. D\u1ecbch t\u1ec5 h\u1ecdc<\/strong><\/h2>\n

T\u1ef7 l\u1ec7 m\u1eafc ALVSD l\u00e0 t\u1eeb 1 \u0111\u1ebfn 8% tr\u00ean th\u1ebf gi\u1edbi nh\u01b0ng thay \u0111\u1ed5i theo ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV.<\/p>\n

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  • R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1eb1ng si\u00eau \u00e2m tim.<\/strong> Khi \u0111\u00e1nh gi\u00e1 b\u1eb1ng si\u00eau \u00e2m tim, t\u1ef7 l\u1ec7 v\u00e0 m\u1ee9c \u0111\u1ed9 ALVSD c\u00f3 th\u1ec3 d\u1ef1a tr\u00ean LVEF. Trong nghi\u00ean c\u1ee9u Strong Heart, khi c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a th\u00e0nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV, 5% b\u1ec7nh nh\u00e2n m\u1eafc ALVSD. Trong m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c di\u1ec5n ra t\u1ea1i Anh, 1 ph\u1ea7n tr\u0103m b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc c\u00f3 LVEF d\u01b0\u1edbi 40 ph\u1ea7n tr\u0103m kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim.<\/li>\n
  • R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1eb1ng h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim m\u1ea1ch.<\/strong> Trong nghi\u00ean c\u1ee9u Framingham, nh\u1eefng ng\u01b0\u1eddi tham gia \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim m\u1ea1ch v\u00e0 t\u1ef7 l\u1ec7 m\u1eafc ALVSD l\u00e0 6,5%. <\/span>\u01af\u1edbc t\u00ednh n\u00e0y bao g\u1ed3m nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV to\u00e0n b\u1ed9 ho\u1eb7c b\u1ea5t th\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng th\u00e0nh v\u00f9ng.\u00a0B\u1ea5t th\u01b0\u1eddng chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a th\u00e0nh c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 gi\u1edbi t\u00ednh nam v\u00e0 t\u0103ng huy\u1ebft \u00e1p<\/li>\n<\/ul>\n

    Hi\u1ec7n t\u1ea1i, ch\u01b0a c\u00f3 s\u1ed1 li\u1ec7u ch\u00ednh th\u1ee9c v\u1ec1 t\u1ef7 l\u1ec7 m\u1eafc r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng t\u1ea1i Vi\u1ec7t Nam.<\/p>\n

    \"tiep-can-chan-doan-roi-loan-chuc-nang-tam-thu-that-trai-khong-trieu-chung\"<\/p>\n

    Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng<\/p>\n

    3. \u0110\u00e1nh gi\u00e1<\/strong><\/h2>\n

    B\u1ec7nh nh\u00e2n c\u00f3 k\u1ebft qu\u1ea3 kh\u00e1m ph\u00f9 h\u1ee3p v\u1edbi suy tim: <\/strong>\u1ede b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, k\u1ebft qu\u1ea3 kh\u00e1m th\u1ef1c th\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u00e1nh gi\u00e1 th\u00eam v\u1ec1 ch\u1ee9c n\u0103ng LV c\u0169ng gi\u1ed1ng nh\u01b0 k\u1ebft qu\u1ea3 \u1edf b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng (v\u00ed d\u1ee5: c\u0103ng t\u0129nh m\u1ea1ch c\u1ed5, ti\u1ebfng tim S3 ho\u1eb7c ph\u00f9 ngo\u1ea1i vi).<\/p>\n

    B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh tim: <\/strong>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 bi\u1ebft b\u1ec7nh tim (v\u00ed d\u1ee5 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u1ec7nh van hai l\u00e1), nghi ng\u1edd r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV v\u00e0 nhu c\u1ea7u \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi b\u1ec7nh tim ti\u1ec1m \u1ea9n. C\u00e1c b\u1ec7nh c\u00f3 th\u1ec3 y\u00eau c\u1ea7u x\u00e9t nghi\u1ec7m ALVSD bao g\u1ed3m:<\/p>\n

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    • Nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n
    • H\u1edf van hai l\u00e1.<\/li>\n
    • H\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<\/ul>\n

      B\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh tim kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c: <\/strong>B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim (Heart failure – HF) nh\u01b0ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh tim n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u1ec1 b\u1ea5t th\u01b0\u1eddng c\u1ee5 th\u1ec3 c\u1ee7a h\u1ecd v\u1edbi \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV nh\u01b0 \u0111\u00e3 ch\u1ec9 \u0111\u1ecbnh. D\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh tim bao g\u1ed3m:<\/p>\n

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      • \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 b\u1ea5t th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u00f3ng Q, ph\u00ec \u0111\u1ea1i LV v\u00e0 block nh\u00e1nh tr\u00e1i<\/li>\n
      • C\u00e1c b\u1ea5t th\u01b0\u1eddng trong x\u00e9t nghi\u1ec7m, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng peptid l\u1ee3i ni\u1ec7u lo\u1ea1i B (BNP) ho\u1eb7c N-terminal pro-BNP.<\/li>\n
      • X quang b\u1ea5t th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 tim to ho\u1eb7c ph\u00f9 ph\u1ed5i.<\/li>\n<\/ul>\n

        Nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c c\u00f3 nguy c\u01a1 b\u1ecb gi\u1ea3m ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u:<\/strong> B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh (v\u00ed d\u1ee5: virus g\u00e2y suy gi\u1ea3m mi\u1ec5n d\u1ecbch \u1edf ng\u01b0\u1eddi [HIV]) ho\u1eb7c ph\u01a1i nhi\u1ec5m ch\u1ea5t g\u00e2y \u0111\u1ed9c cho tim (v\u00ed d\u1ee5: h\u00f3a tr\u1ecb li\u1ec7u d\u1ef1a tr\u00ean anthracycline) li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV theo c\u00e1c ti\u00eau chu\u1ea9n cho nh\u1eefng b\u1ec7nh v\u00e0 ph\u01a1i nhi\u1ec5m \u0111\u00f3. Nh\u1eefng v\u00ed d\u1ee5 bao g\u1ed3m:<\/p>\n

          \n
        • B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb li\u1ec7u c\u00f3 ch\u1ee9a anthracycline.<\/li>\n
        • B\u1ec7nh nh\u00e2n nhi\u1ec5m HIV<\/li>\n<\/ul>\n

          4. Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n nghi ng\u1edd ALVSD<\/strong><\/h2>\n

          \u0110\u00e1nh gi\u00e1 l\u1ea1i c\u00e1c tri\u1ec7u ch\u1ee9ng suy tim: <\/strong>B\u1ec7nh nh\u00e2n c\u00f3 b\u1eb1ng ch\u1ee9ng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u1ea1i c\u00e1c tri\u1ec7u ch\u1ee9ng khi g\u1eafng s\u1ee9c v\u00e0 ngh\u1ec9 ng\u01a1i \u0111\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ef1c s\u1ef1 kh\u00f4ng c\u00f3;\u00a0vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 LVEF < 40%, kh\u00e1c bi\u1ec7t r\u00f5 r\u1ec7t so v\u1edbi vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n

          \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n m\u00e0 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1ebd thay \u0111\u1ed5i d\u1ef1a tr\u00ean s\u1ef1 hi\u1ec7n di\u1ec7n hay v\u1eafng m\u1eb7t c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng suy tim (v\u00ed d\u1ee5: \u0111\u1eb7t m\u00e1y kh\u1eed rung tim) v\u00e0 ti\u1ec1n s\u1eed ch\u1ee7 quan l\u00e0 kh\u00f4ng thuy\u1ebft ph\u1ee5c, c\u00e1c b\u00e0i t\u1eadp g\u1eafng s\u1ee9c \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh gi\u1edbi h\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb.<\/p>\n

          Th\u1ef1c hi\u1ec7n si\u00eau \u00e2m tim: <\/strong>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV (v\u00ed d\u1ee5: tim to, ph\u00f9), r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ban \u0111\u1ea7u b\u1eb1ng si\u00eau \u00e2m tim.<\/p>\n

          \u0110\u00e1nh gi\u00e1 si\u00eau \u00e2m tim: <\/strong>\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c si\u00eau \u00e2m tim ho\u1eb7c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u00e1c cho th\u1ea5y LVEF <55%, ch\u1ea5t l\u01b0\u1ee3ng ch\u1ea9n \u0111o\u00e1n c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 x\u00e1c nh\u1eadn r\u1eb1ng ph\u00e9p \u0111o LVEF th\u1ea5p l\u00e0 ch\u00ednh x\u00e1c. C\u00e1c t\u00ecnh hu\u1ed1ng ph\u1ed5 bi\u1ebfn c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn LVEF th\u1ea5p gi\u1ea3 \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng LV b\u00ecnh th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n

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          • Ch\u1ea5t l\u01b0\u1ee3ng h\u00ecnh \u1ea3nh k\u00e9m (v\u00ed d\u1ee5: thi\u1ebfu \u0111\u1ecbnh ngh\u0129a n\u1ed9i t\u00e2m m\u1ea1c, c\u1eeda s\u1ed5 \u00e2m thanh k\u00e9m do b\u00e9o ph\u00ec)<\/li>\n
          • \u0110\u00e1nh gi\u00e1 \u0111\u1ecbnh t\u00ednh ho\u1eb7c tr\u1ef1c quan ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u<\/li>\n<\/ul>\n

            N\u1ebfu \u0111\u00e1nh gi\u00e1 si\u00eau \u00e2m tim cho th\u1ea5y s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t ho\u1eb7c nhi\u1ec1u y\u1ebfu t\u1ed1 n\u00e0y, c\u00e1c l\u1ef1a ch\u1ecdn ti\u1ebfp theo bao g\u1ed3m:<\/p>\n

              \n
            • L\u1eb7p l\u1ea1i si\u00eau \u00e2m tim v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng si\u00eau \u00e2m tim c\u00f3 c\u1ea3n \u00e2m ho\u1eb7c \u0111\u1ecbnh l\u01b0\u1ee3ng LVEF ch\u00ednh th\u1ee9c b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c h\u00ecnh \u1ea3nh si\u00eau \u00e2m tim hi\u1ec7n c\u00f3.<\/li>\n
            • S\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c c\u1ee7a ch\u1ee9c n\u0103ng t\u00e2m thu LV gi\u1ea3m \u0111\u1ec3 ch\u1ee9ng th\u1ef1c LVEF gi\u1ea3m (v\u00ed d\u1ee5: gi\u00e3n LV, \u0111o s\u1ee9c c\u0103ng d\u1ecdc to\u00e0n b\u1ed9)<\/li>\n<\/ul>\n

              B\u1ec7nh nh\u00e2n si\u00eau \u00e2m tim kh\u00f4ng ch\u1ea9n \u0111o\u00e1n: <\/strong>N\u1ebfu ch\u1ea9n \u0111o\u00e1n v\u1eabn c\u00f2n kh\u00f4ng ch\u1eafc ch\u1eafn sau khi l\u1eb7p l\u1ea1i si\u00eau \u00e2m tim c\u00f3 c\u1ea3n \u00e2m\u00a0 ho\u1eb7c sau khi xem x\u00e9t c\u00e1c h\u00ecnh \u1ea3nh, n\u00ean th\u1ef1c hi\u1ec7n m\u1ed9t ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh thay th\u1ebf. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n nh\u01b0 v\u1eady, c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim m\u1ea1ch \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim m\u1ea1ch (v\u00ed d\u1ee5: m\u00e1y t\u1ea1o nh\u1ecbp tim, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng gadolinium), m\u1eb7c d\u00f9 ch\u1ee5p t\u00e2m th\u1ea5t h\u1ea1t nh\u00e2n ph\u00f3ng x\u1ea1, ch\u1ee5p t\u00e2m th\u1ea5t c\u1ea3n quang x\u00e2m l\u1ea5n ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh t\u00e2m th\u1ea5t tr\u00e1i c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n

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

              Nhi\u1ec1u r\u1ed1i lo\u1ea1n tim c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i (LVEF) m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng (ALVSD).\u00a0Ph\u00e1t hi\u1ec7n ALVSD c\u1ea7n \u0111\u00e1nh gi\u00e1 th\u00eam \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u […]<\/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":"\nR\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u00eam \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb.\" \/>\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=\"R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng - 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