{"id":20700,"date":"2023-04-14T18:35:59","date_gmt":"2023-04-14T11:35:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20700"},"modified":"2023-04-18T12:40:48","modified_gmt":"2023-04-18T05:40:48","slug":"rung-nhi-tren-benh-nhan-hfref-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/rung-nhi-tren-benh-nhan-hfref-chan-doan-va-dieu-tri\/","title":{"rendered":"Rung nh\u0129 tr\u00ean b\u1ec7nh nh\u00e2n HFrEF: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Rung nh\u0129 v\u00e0 HFrEF c\u00f3 m\u1ed1i quan h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. HFrEF th\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn rung nh\u0129. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi c\u1ea3 rung nh\u0129 v\u00e0 HFrEF l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng th\u1ea5t tr\u00e1i ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n v\u00e0 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/strong><\/p>\n<h1>1.\u00a0 \u0110\u1ecbnh ngh\u0129a<\/h1>\n<p><a href=\"https:\/\/www.bing.com\/ck\/a?!&amp;&amp;p=433ea4dfecccc8a5JmltdHM9MTY4MTQzMDQwMCZpZ3VpZD0xMjk2YWM0MC1jZTUyLTY2NDctMjA0Mi1iZTNkY2Y1MzY3YmUmaW5zaWQ9NTE1OQ&amp;ptn=3&amp;hsh=3&amp;fclid=1296ac40-ce52-6647-2042-be3dcf5367be&amp;psq=rung+nh%c4%a9+vimec&amp;u=a1aHR0cHM6Ly93d3cudmlubWVjLmNvbS92aS90aW0tbWFjaC90aG9uZy10aW4tc3VjLWtob2UvcnVuZy1uaGktcm9pLWxvYW4tbmhpcC10aW0tdGh1b25nLWdhcC1uaGF0Lw&amp;ntb=1\">Rung nh\u0129<\/a> \u00a0l\u00e0 m\u1ed9t lo\u1ea1i r\u1ed1i lo\u1ea1n nh\u1ecbp tim, trong \u0111\u00f3 nh\u0129 tr\u00e1i ho\u1eb7c nh\u0129 ph\u1ea3i co b\u00f3p m\u1ed9t c\u00e1ch kh\u00f4ng \u0111\u1ed3ng b\u1ed9, d\u1eabn \u0111\u1ebfn d\u00f2ng m\u00e1u t\u1eeb nh\u0129 xu\u1ed1ng th\u1ea5t kh\u00f4ng ho\u00e0n to\u00e0n, c\u1ea3n tr\u1edf trong l\u01b0u th\u00f4ng m\u00e1u v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o \u0111i\u1ec7n c\u1ef1c trong tim.<\/p>\n<p>HFrEF (l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a c\u1ee5m t\u1eeb ti\u1ebfng Anh &#8220;Heart Failure with Reduced Ejection Fraction&#8221;,) c\u00f3 ngh\u0129a l\u00e0<a href=\"https:\/\/www.bing.com\/ck\/a?!&amp;&amp;p=a1abd2dd9f74115cJmltdHM9MTY4MTQzMDQwMCZpZ3VpZD0xMjk2YWM0MC1jZTUyLTY2NDctMjA0Mi1iZTNkY2Y1MzY3YmUmaW5zaWQ9NTE3MQ&amp;ptn=3&amp;hsh=3&amp;fclid=1296ac40-ce52-6647-2042-be3dcf5367be&amp;psq=suy+tim+ph%c3%a2n+su%e1%ba%a5t+t%e1%bb%91ng+m%c3%a1u+gi%e1%ba%a3m+vinmec+&amp;u=a1aHR0cHM6Ly93d3cudmlubWVjLmNvbS92aS90aW0tbWFjaC90aG9uZy10aW4tc3VjLWtob2UvdGh1b2MtZGlldS10cmktc3V5LXRpbS1kYWMtZGllbS12YS1sdXUteS1raGktc3UtZHVuZy8&amp;ntb=1\"> suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m<\/a> .Trong \u0111\u00f3 kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a th\u1ea5t tr\u00e1i kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3 , kh\u00f4ng \u0111\u1ee7 kh\u1ea3 l\u01b0\u1ee3ng m\u00e1u ra tu\u1ea7n ho\u00e0n \u0111i nu\u00f4i c\u01a1 th\u1ec3 . Ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u l\u00e0 t\u1ef7 l\u1ec7 gi\u1eefa l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c b\u01a1m ra kh\u1ecfi th\u1ea5t tr\u00e1i so v\u1edbi l\u01b0\u1ee3ng m\u00e1u nh\u1eadn \u0111\u01b0\u1ee3c t\u1eeb t\u0129nh m\u1ea1ch v\u00e0 ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi EF&lt; 40%.<\/p>\n<p>Rung nh\u0129 v\u00e0 HFrEF c\u00f3 m\u1ed1i quan h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. HFrEF th\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn rung nh\u0129. Khi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u c\u1ee7a th\u1ea5t tr\u00e1i gi\u1ea3m, c\u00e1c nh\u0129 b\u1eaft \u0111\u1ea7u ph\u1ea3i l\u00e0m vi\u1ec7c n\u1eb7ng h\u01a1n \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u b\u01a1m m\u00e1u nu\u00f4i c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u1ed5n th\u01b0\u01a1ng tr\u00ean nh\u0129, l\u00e0m cho ch\u00fang tr\u1edf n\u00ean suy v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn rung nh\u0129, l\u00e0m cho th\u1ea5t tr\u00e1i ho\u1ea1t \u0111\u1ed9ng k\u00e9m hi\u1ec7u qu\u1ea3 h\u01a1n. \u0110\u1ed3ng th\u1eddi, rung nh\u0129 c\u0169ng c\u00f3 th\u1ec3 l\u00e0m suy gi\u1ea3m ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u c\u1ee7a th\u1ea5t \u00a0tr\u00e1i, khi\u1ebfn HFrEF tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi c\u1ea3 rung nh\u0129 v\u00e0 HFrEF l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng th\u1ea5t tr\u00e1i ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n v\u00e0 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21354 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-3-300x192.jpg\" alt=\"\" width=\"300\" height=\"192\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-3-300x192.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/OIP-3.jpg 474w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h1>2. Tri\u1ec7u ch\u1ee9ng rung nh\u0129 \/HFrEF<\/h1>\n<ul>\n<li>Kh\u00f3 th\u1edf: \u0110\u00e2y l\u00e0 tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a rung nh\u0129 v\u00e0 HFrEF. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf khi th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y ho\u1eb7c khi n\u1eb1m nghi\u00eang. Kh\u00f3 th\u1edf c\u00f3 th\u1ec3 c\u00e0ng tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n khi b\u1ec7nh ti\u1ebfn tri\u1ec3n.<\/li>\n<li>M\u1ec7t m\u1ecfi: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/li>\n<li>\u0110au th\u1eaft ng\u1ef1c: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au th\u1eaft ng\u1ef1c ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng ng\u1ef1c.<\/li>\n<li>Ho:\u00a0 \u0111\u1eb7c bi\u1ec7t l\u00e0 ho \u0111\u00eam.<\/li>\n<li>Ph\u00f9: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n ph\u00f9 \u1edf ch\u00e2n, b\u00e0n tay v\u00e0 c\u00e1c v\u00f9ng kh\u00e1c tr\u00ean c\u01a1 th\u1ec3.<\/li>\n<li>Gi\u1ea3m c\u00e2n: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 gi\u1ea3m c\u00e2n m\u1ed9t c\u00e1ch kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c.<\/li>\n<li>Nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u ho\u1eb7c nhanh h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<h1>3. Bi\u1ebfn ch\u1ee9ng rung nh\u0129 \/HFrEF<\/h1>\n<ul>\n<li>T\u0103ng \u00e1p ph\u1ed5i: Rung nh\u0129 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c trong m\u1ea1ch ph\u1ed5i. Do kh\u1ea3 n\u0103ng t\u1ed1ng m\u00e1u c\u1ee7a th\u1ea5t tr\u00e1i\u00a0 b\u1ecb suy gi\u1ea3m, d\u1eabn \u0111\u1ebfn s\u1ef1 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 oxy \u0111\u1ebfn ph\u1ed5i. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 gi\u00e3n n\u1edf qu\u00e1 m\u1ee9c c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u trong ph\u1ed5i, d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c trong m\u1ea1ch ph\u1ed5i.<\/li>\n<li>\u0110\u1ed9t qu\u1ef5: rung nh\u0129 v\u00e0\u00a0 HFrEF\u00a0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 do s\u1ef1 gi\u1ea3m kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u c\u1ee7a tr\u00e1i tim, d\u1eabn \u0111\u1ebfn s\u1ef1 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 oxy\u00a0 \u0111\u1ebfn n\u00e3o.<\/li>\n<li>\u0110au th\u1eaft ng\u1ef1c: \u00a0thi\u1ebfu m\u00e1u v\u00e0 oxy \u0111\u1ebfn nu\u00f4i t\u1ebf b\u00e0o c\u01a1 tim<\/li>\n<li>Suy h\u00f4 h\u1ea5p: Rung nh\u0129 v\u00e0 HFrEF c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p do kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 cung c\u1ea5p oxy \u0111\u1ebfn ph\u1ed5i<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i: Rung nh\u0129 c\u00f3 th\u1ec3 g\u00e2y ra m\u1ea5t th\u0103ng b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i, g\u00e2y ra r\u1ed1i lo\u1ea1n nh\u1ecbp tim v\u00e0 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/li>\n<\/ul>\n<h1>4. \u0110i\u1ec1u tr\u1ecb rung nh\u0129\/ EFrEF<\/h1>\n<h2>4.1 Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p><img decoding=\"async\" loading=\"lazy\" class=\" wp-image-20753 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1d30fe9b-de53-4a89-a7c2-e19849a619a1-300x300.jpg\" alt=\"\" width=\"218\" height=\"218\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1d30fe9b-de53-4a89-a7c2-e19849a619a1-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1d30fe9b-de53-4a89-a7c2-e19849a619a1-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1d30fe9b-de53-4a89-a7c2-e19849a619a1-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1d30fe9b-de53-4a89-a7c2-e19849a619a1.jpg 1024w\" sizes=\"(max-width: 218px) 100vw, 218px\" \/><\/p>\n<ul>\n<li>Thu\u1ed1c\u00a0 beta-blocker \u00a0nh\u01b0 carvedilol, bisoprolol v\u00e0 metoprolol c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m t\u1ea7n s\u1ed1 rung nh\u0129, \u00a0gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng c\u1ee7a th\u1ea5t tr\u00e1i . C\u00e1c thu\u1ed1c beta-blocker c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 t\u1eed vong v\u00e0 gi\u1ea3m c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh tim m\u1ea1ch, bao g\u1ed3m c\u1ea3 rung nh\u0129 v\u00e0 suy tim.<\/li>\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n\u00a0 angiotensin (ACE) l\u00e0m gi\u1ea3m t\u1ea3i c\u00f4ng c\u1ee7a tim, gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng tim. C\u00e1c thu\u1ed1c ACEi ph\u1ed5 bi\u1ebfn bao g\u1ed3m enalapril, lisinopril, ramipril v\u00e0 quinapril.<\/li>\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3\u00a0 angiotensinII (ARB) gi\u00fap gi\u1ea3m t\u1ea3i c\u00f4ng c\u1ee7a tim, gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng tim. C\u00e1c thu\u1ed1c ARB ph\u1ed5 bi\u1ebfn bao g\u1ed3m losartan, valsartan, candesartan v\u00e0 olmesartan<\/li>\n<li>Thu\u1ed1c Aldosterone antagonist, gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng natri v\u00e0 n\u01b0\u1edbc trong c\u01a1 th\u1ec3 v\u00e0 \u0111\u1ed3ng th\u1eddi gi\u1ea3m t\u1ea3i c\u00f4ng c\u1ee7a tim, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng tim v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong \u1edf b\u1ec7nh nh\u00e2n HFrEF. C\u00e1c thu\u1ed1c Aldosterone antagonist ph\u1ed5 bi\u1ebfn bao g\u1ed3m spironolactone v\u00e0 eplerenone<\/li>\n<li>Thu\u1ed1c SGLT2 (sodium-glucose co-transporter 2 inhibitors) , gi\u1ea3m\u00a0 c\u00f4ng t\u1ea3i c\u1ee7a tim v\u00e0 gi\u1ea3m nguy c\u01a1 suy tim. Ngo\u00e0i ra, thu\u1ed1c SGLT2 c\u00f2n gi\u00fap gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 th\u1ec3, \u1ed5n \u0111\u1ecbnh \u00a0huy\u1ebft \u00e1p v\u00e0 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong \u1edf b\u1ec7nh nh\u00e2n HFrEF. C\u00e1c thu\u1ed1c SGLT2 ph\u1ed5 bi\u1ebfn bao g\u1ed3m dapagliflozin, empagliflozin v\u00e0 canagliflozin.<\/li>\n<\/ul>\n<h2>4.2 Thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3<\/h2>\n<p>Bao g\u1ed3m m\u00e1y t\u1ea1o nh\u1ecbp v\u00e0 m\u00e1y tr\u1ee3 tim, l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p \u0111i\u1ec1u tr\u1ecb rung nh\u0129 tr\u00ean HFrEF khi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00f4ng \u0111\u1ee7 hi\u1ec7u qu\u1ea3.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.bing.com\/ck\/a?!&amp;&amp;p=8251b44ca5c2eadcJmltdHM9MTY4MTQzMDQwMCZpZ3VpZD0xMjk2YWM0MC1jZTUyLTY2NDctMjA0Mi1iZTNkY2Y1MzY3YmUmaW5zaWQ9NTIwMA&amp;ptn=3&amp;hsh=3&amp;fclid=1296ac40-ce52-6647-2042-be3dcf5367be&amp;psq=m%c3%a1y+t%e1%ba%a1o+nh%e1%bb%8bp+tim+vinmec&amp;u=a1aHR0cHM6Ly93d3cudmlubWVjLmNvbS90aW0tbWFjaC90aG9uZy10aW4tc3VjLWtob2UvdG9uZy1xdWFuLXZlLW1heS10YW8tbmhpcC10aW0v&amp;ntb=1\">M\u00e1y t\u1ea1o nh\u1ecbp tim<\/a> (pacemaker) gi\u00fap t\u1ea1o ra nh\u1ecbp tim \u0111\u1ec3 duy tr\u00ec nh\u1ecbp tim b\u00ecnh th\u01b0\u1eddng v\u00e0 \u1ed5n \u0111\u1ecbnh.<\/li>\n<li>M\u00e1y tr\u1ee3 tim (LVAD &#8211; Left Ventricular Assist Device) , th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p suy tim n\u1eb7ng v\u00e0 c\u1ea7n ph\u1eabu thu\u1eadt n\u00e2ng cao \u0111i\u1ec1u tr\u1ecb. M\u00e1y tr\u1ee3 tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1m th\u1eddi \u0111\u1ec3 h\u1ed7 tr\u1ee3 tim trong khi \u0111\u1ee3i ph\u1eabu thu\u1eadt gh\u00e9p tim, ho\u1eb7c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t gi\u1ea3i ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i cho b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi gh\u00e9p tim.<img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-20754 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/R-1.jpg\" alt=\"\" width=\"270\" height=\"270\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/R-1.jpg 270w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/R-1-150x150.jpg 150w\" sizes=\"(max-width: 270px) 100vw, 270px\" \/><\/li>\n<\/ul>\n<h2>4.3 Ph\u1eabu thu\u1eadt<\/h2>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t bao g\u1ed3m:<\/p>\n<ul>\n<li>Gh\u00e9p tim<\/li>\n<li>Ph\u1eabu thu\u1eadt van tim.<\/li>\n<li>Ph\u1eabu thu\u1eadt b\u1ecf b\u00f3ng \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/li>\n<li>Ph\u1eabu thu\u1eadt b\u1ecf b\u00e3 nh\u1eddn trong \u0111\u1ed9ng m\u1ea1ch<\/li>\n<\/ul>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb rung nh\u0129 tr\u00ean HFrEF l\u00e0 h\u1ebft s\u1ee9c quan tr\u1ecdng gi\u00fap b\u1ec7nh nh\u00e2n gi\u1ea3m c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rung nh\u0129 v\u00e0 HFrEF c\u00f3 m\u1ed1i quan h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. HFrEF th\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn rung nh\u0129. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi c\u1ea3 rung nh\u0129 v\u00e0 HFrEF l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng th\u1ea5t tr\u00e1i ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n v\u00e0 gi\u1ea3m nguy c\u01a1 [&hellip;]<\/p>\n","protected":false},"author":9,"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>Rung nh\u0129 tr\u00ean b\u1ec7nh nh\u00e2n HFrEF: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi c\u1ea3 rung nh\u0129 v\u00e0 HFrEF l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng th\u1ea5t tr\u00e1i ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n v\u00e0 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng\" \/>\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=\"Rung nh\u0129 tr\u00ean b\u1ec7nh nh\u00e2n HFrEF: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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