{"id":22195,"date":"2023-04-17T22:20:14","date_gmt":"2023-04-17T15:20:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22195"},"modified":"2023-04-18T11:02:19","modified_gmt":"2023-04-18T04:02:19","slug":"thuoc-giam-dau-that-nguc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/thuoc-giam-dau-that-nguc\/","title":{"rendered":"Thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh"},"content":{"rendered":"<p><strong>Trong \u0111i\u1ec1u tr\u1ecb <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/benh-mach-vanh-bieu-hien-nguyen-nhan-va-cach-dieu-tri-o-vinmec\/\">b\u1ec7nh m\u1ea1ch v\u00e0nh<\/a>, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_22204\" aria-describedby=\"caption-attachment-22204\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-22204\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190924_163503_488755_xo-vua-mach-vanh-2.max-1800x1800-2-300x186.jpg\" alt=\"\u0110au th\u1eaft ng\u1ef1c\" width=\"300\" height=\"186\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190924_163503_488755_xo-vua-mach-vanh-2.max-1800x1800-2-300x186.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190924_163503_488755_xo-vua-mach-vanh-2.max-1800x1800-2.jpg 660w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22204\" class=\"wp-caption-text\">\u0110au th\u1eaft ng\u1ef1c<\/figcaption><\/figure>\n<h2>1.Gi\u1edbi thi\u1ec7u<\/h2>\n<p>B\u1ec7nh m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd tim m\u1ea1ch do s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a c\u00e1c ch\u1ea5t b\u00e9o, cholesterol v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c trong t\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch. Khi c\u00e1c \u0111\u1ed9ng m\u1ea1ch b\u1ecb t\u1eafc ngh\u1ebdn, s\u1ef1 l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn tim b\u1ecb gi\u1ea3m, d\u1eabn \u0111\u1ebfn thi\u1ebfu oxy v\u00e0 g\u00e2y ra tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c l\u00e0 c\u1ea3m gi\u00e1c \u0111au ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng ng\u1ef1c do m\u1ea5t cung c\u1ea5p oxy \u0111\u1ebfn tim. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 bao g\u1ed3m \u0111au nh\u1ee9c ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng vai, c\u00e1nh tay tr\u00e1i, c\u1ed5, h\u00e0m v\u00e0 l\u01b0ng.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au b\u1eb1ng c\u00e1ch gi\u1ea3m l\u01b0\u1ee3ng oxy m\u00e0 tim c\u1ea7n, gi\u00e3n c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 gi\u1ea3m \u00e1p l\u1ef1c trong tim, l\u00e0m t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn tim v\u00e0 gi\u1ea3m s\u1ef1 co th\u1eaft c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<h2>2.C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c trong b\u1ec7nh m\u1ea1ch v\u00e0nh<\/h2>\n<h3>2.1 Nitrat<\/h3>\n<p>Nitrat l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh. Nitrat c\u00f3 t\u00e1c d\u1ee5ng gi\u00e3n c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u1ea1m th\u1eddi gi\u1ea3m \u00e1p l\u1ef1c trong tim, gi\u00fap t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn tim v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c.<\/p>\n<p>Nitrat th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n c\u1ee7a c\u01a1n \u0111au th\u1eaft ng\u1ef1c. Thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi d\u1ea1ng thu\u1ed1c u\u1ed1ng, thu\u1ed1c nh\u1ecf m\u0169i ho\u1eb7c thu\u1ed1c d\u00e1n da. Nitrat c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p ph\u1ed5i v\u00e0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n<p>Tuy nhi\u00ean, nitrat c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m \u0111\u1ecf v\u00e0 n\u00f3ng r\u00e1t tr\u00ean m\u1eb7t v\u00e0 c\u01a1 th\u1ec3, ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n v\u00e0 \u0111au \u0111\u1ea7u. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u1ea7n li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c.<\/p>\n<p>Ngo\u00e0i ra, nitrat kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng nh\u1eefng lo\u1ea1i thu\u1ed1c kh\u00e1c nh\u01b0 sildenafil, tadalafil ho\u1eb7c vardenafil, b\u1edfi v\u00ec s\u1ef1 k\u1ebft h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 h\u1ea1 huy\u1ebft \u00e1p v\u00e0 suy tim. Vi\u1ec7c s\u1eed d\u1ee5ng nitrat c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t v\u00e0 ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch.<\/p>\n<p>&nbsp;<\/p>\n<h3>2.2 Beta-blocker<\/h3>\n<ul>\n<li>C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng: Beta-blocker c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ea7n s\u1ed1 tim v\u00e0 gi\u1ea3m l\u01b0\u1ee3ng oxy m\u00e0 tim c\u1ea7n, gi\u00fap gi\u1ea3m stress v\u00e0 gi\u1ea3m nguy c\u01a1 x\u1ea3y ra c\u00e1c c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/li>\n<li>C\u00e1ch s\u1eed d\u1ee5ng: Beta-blocker \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng tr\u1ea3i qua \u0111au th\u1eaft ng\u1ef1c c\u1ea5p t\u00ednh. Th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf li\u1ec1u th\u1ea5p v\u00e0 t\u0103ng d\u1ea7n \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a trong v\u00f2ng 1-2 tu\u1ea7n.<\/li>\n<\/ul>\n<h3>2.3 Ch\u1eb9n k\u00eanh canxi<\/h3>\n<ul>\n<li>C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng:\u00a0 Ch\u1eb9n k\u00eanh canxi c\u00f3 t\u00e1c d\u1ee5ng gi\u00e3n c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 gi\u1ea3m \u00e1p l\u1ef1c trong tim, l\u00e0m t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn tim. Ngo\u00e0i ra,Ch\u1eb9n k\u00eanh canxi c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a adrenaline l\u00ean tim, gi\u00fap gi\u1ea3m stress v\u00e0 gi\u1ea3m nguy c\u01a1 x\u1ea3y ra c\u00e1c c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/li>\n<li>C\u00e1ch s\u1eed d\u1ee5ng:\u00a0 Ch\u1eb9n k\u00eanh canxi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng tr\u1ea3i qua \u0111au th\u1eaft ng\u1ef1c c\u1ea5p t\u00ednh. Th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf li\u1ec1u th\u1ea5p v\u00e0 t\u0103ng d\u1ea7n \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a trong v\u00f2ng 1-2 tu\u1ea7n.<\/li>\n<\/ul>\n<h3>2.4 Ivabradine<\/h3>\n<p>Ivabradine l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c. Thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ea7n s\u1ed1 tim b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf k\u00eanh ion If \u1edf n\u00fat xoang nh\u0129, gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng oxy m\u00e0 tim c\u1ea7n v\u00e0 gi\u1ea3m stress tr\u00ean tim.<\/p>\n<p>Ivabradine th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng beta-blocker ho\u1eb7c kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u1edbi beta-blocker. N\u00f3 c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c kh\u00e1c nh\u01b0 nitrat ho\u1eb7c calcium channel blocker \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Tuy nhi\u00ean, ivabradine c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, \u0111au \u0111\u1ea7u v\u00e0 gi\u1ea3m huy\u1ebft \u00e1p. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u1ea7n li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c.<\/p>\n<h3>2.5 Nicorandil<\/h3>\n<p>Nicorandil l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c. Thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c b\u1eb1ng c\u00e1ch gi\u00e3n c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 gi\u1ea3m \u00e1p l\u1ef1c trong tim, l\u00e0m t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn tim.<\/p>\n<p>Nicorandil l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c k\u1ebft h\u1ee3p, c\u00f3 ch\u1ee9a c\u1ea3 nitrat v\u00e0 m\u1ed9t h\u1ee3p ch\u1ea5t m\u1edf k\u00eanh K+ c\u00f3 t\u00ean l\u00e0 nicotinamide. C\u1ea3 hai th\u00e0nh ph\u1ea7n n\u00e0y \u0111\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng gi\u00e3n c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 gi\u1ea3m \u00e1p l\u1ef1c trong tim, gi\u00fap c\u1ea3i thi\u1ec7n l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn tim v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c.<\/p>\n<p>Nicorandil th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c kh\u00e1c nh\u01b0 beta-blocker, calcium channel blocker .<\/p>\n<p>Tuy nhi\u00ean, nicorandil c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, \u0111au \u0111\u1ea7u, \u0111\u1ecf v\u00e0 n\u00f3ng r\u00e1t tr\u00ean m\u1eb7t v\u00e0 c\u01a1 th\u1ec3, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng suy nh\u01b0\u1ee3c tim.<\/p>\n<p>Ngo\u00e0i ra, nicorandil kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u00e1p th\u1ea5p, nh\u1ecbp tim ch\u1eadm ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh gan ho\u1eb7c th\u1eadn. Vi\u1ec7c s\u1eed d\u1ee5ng nicorandil c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t v\u00e0 ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch.<\/p>\n<h3>2.6 Trimetazidine<\/h3>\n<p>Trimetazidine l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u1eaft ng\u1ef1c. Thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 tim kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng do thi\u1ebfu m\u00e1u b\u1eb1ng c\u00e1ch c\u1ea3i thi\u1ec7n s\u1ef1 s\u1eed d\u1ee5ng oxy c\u1ee7a tim v\u00e0 t\u0103ng c\u01b0\u1eddng s\u1ea3n xu\u1ea5t ATP trong c\u00e1c t\u1ebf b\u00e0o tim.<\/p>\n<p>Trimetazidine th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c kh\u00e1c nh\u01b0 beta-blocker, calcium channel blocker ho\u1eb7c nitrat \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Tuy nhi\u00ean, trimetazidine c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng v\u00e0 t\u00e1o b\u00f3n. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u1ea7n li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c.<\/p>\n<p>Ngo\u00e0i ra, trimetazidine kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 suy gan n\u1eb7ng ho\u1eb7c d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c. Vi\u1ec7c s\u1eed d\u1ee5ng trimetazidine c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t v\u00e0 ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au th\u1eaft ng\u1ef1c r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. &nbsp; 1.Gi\u1edbi thi\u1ec7u B\u1ec7nh m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd tim m\u1ea1ch do s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a c\u00e1c ch\u1ea5t b\u00e9o, cholesterol v\u00e0 c\u00e1c [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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