{"id":24380,"date":"2023-04-19T21:44:14","date_gmt":"2023-04-19T14:44:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24380"},"modified":"2023-04-20T15:02:56","modified_gmt":"2023-04-20T08:02:56","slug":"nhoi-mau-co-tim-do-cocaine","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/nhoi-mau-co-tim-do-cocaine\/","title":{"rendered":"Nh\u1ed3i m\u00e1u c\u01a1 tim do Cocaine: ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed"},"content":{"rendered":"<p><strong>Khi s\u1eed d\u1ee5ng cocaine, n\u00f3 s\u1ebd k\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng th\u1ea7n kinh v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 adrenaline trong c\u01a1 th\u1ec3, g\u00e2y ra t\u0103ng huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim nhanh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 co b\u00f3p c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, g\u00e2y ra gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn c\u01a1 tim. N\u1ebfu m\u1ed9t \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc ngh\u1ebdn ho\u1eb7c h\u1eb9p l\u1ea1i, c\u00f3 th\u1ec3 x\u1ea3y ra nh\u1ed3i m\u00e1u c\u01a1 tim do cocaine.<\/strong><\/p>\n<figure id=\"attachment_24390\" aria-describedby=\"caption-attachment-24390\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-24390\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190924_163503_488755_xo-vua-mach-vanh-2.max-1800x1800-3-300x186.jpg\" alt=\"nh\u1ed3i m\u00e1u c\u01a1 tim\" width=\"300\" height=\"186\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190924_163503_488755_xo-vua-mach-vanh-2.max-1800x1800-3-300x186.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190924_163503_488755_xo-vua-mach-vanh-2.max-1800x1800-3.jpg 660w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-24390\" class=\"wp-caption-text\">nh\u1ed3i m\u00e1u c\u01a1 tim<\/figcaption><\/figure>\n<h2>1.Gi\u1edbi thi\u1ec7u<\/h2>\n<p>Cocaine l\u00e0 m\u1ed9t ch\u1ea5t k\u00edch th\u00edch m\u1ea1nh g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh v\u00e0 c\u1ea3 h\u1ec7 th\u1ed1ng tim m\u1ea1ch. Vi\u1ec7c s\u1eed d\u1ee5ng cocaine c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe, bao g\u1ed3m nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n<p>T\u1ef7 l\u1ec7 c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp do cocaine \u0111ang c\u00f3 xu h\u01b0\u1edbng t\u0103ng. \u01af\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 14 &#8211; 25% c\u00e1c b\u1ec7nh nh\u00e2n tr\u1ebb nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u v\u00ec \u0111au ng\u1ef1c kh\u00f4ng do ch\u1ea5n th\u01b0\u01a1ng c\u00f3 n\u1ed3ng \u0111\u1ed9 cocaine v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a c\u1ee7a cocaine trong tu\u1ea7n ho\u00e0n \u1edf m\u1ee9c \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c. Kho\u1ea3ng 6% b\u1ec7nh nh\u00e2n trong nh\u00f3m n\u00e0y c\u00f3 b\u1eb1ng ch\u1ee9ng t\u0103ng c\u00e1c ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim (s\u1ed1 li\u1ec7u t\u1eeb Hoa K\u1ef3).<\/p>\n<p>H\u1ea7u h\u1ebft l\u00e0 c\u00e1c b\u1ec7nh nh\u00e2n tr\u1ebb, da m\u00e0u, nam gi\u1edbi, h\u00fat thu\u1ed1c m\u00e0 kh\u00f4ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0o kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/p>\n<p>Nguy\u00ean nh\u00e2n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim l\u00e0 do t\u1eadp h\u1ee3p c\u1ee7a nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m:<\/p>\n<p>&#8211; T\u0103ng nhu c\u1ea7u oxy c\u01a1 tim (t\u0103ng nh\u1ecbp tim, huy\u1ebft \u00e1p, s\u1ee9c co c\u01a1 tim)<\/p>\n<p>&#8211; Gi\u1ea3m cung c\u1ea5p m\u00e1u c\u01a1 tim do s\u1ef1 co th\u1eaft m\u1ea1ch \u1edf v\u1ecb tr\u00ed m\u1ea3ng x\u01a1 v\u1eefa nh\u1ecf.<\/p>\n<p>&#8211; T\u0103ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u v\u00e0 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i.<\/p>\n<p>&#8211; Hi\u1ec7u \u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n mu\u1ed9n, do c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a cocaine \u0111\u1ec1u l\u00e0 c\u00e1c t\u00e1c nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y co m\u1ea1ch m\u1ea1nh v\u00e0 l\u01b0u l\u1ea1i trong tu\u1ea7n ho\u00e0n t\u1edbi <em>36 gi\u1edd <\/em>(ho\u1eb7c l\u00e2u h\u01a1n), d\u1eabn t\u1edbi c\u00e1c \u0111\u1ee3t xu\u1ea5t hi\u1ec7n l\u1eb7p l\u1ea1i c\u1ee7a tri\u1ec7u ch\u1ee9ng.<\/p>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p>Th\u01b0\u1eddng kh\u00f3 kh\u0103n v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ngh\u0129 t\u1edbi \u1edf b\u1ea5t k\u1ef3 \u0111\u1ed1i t\u01b0\u1ee3ng <strong>tr\u1ebb tu\u1ed5i <\/strong>n\u00e0o bi\u1ec3u hi\u1ec7n \u0111au ng\u1ef1c, c\u00f3 nguy c\u01a1 th\u1ea5p c\u1ee7a b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/p>\n<ul>\n<li><strong><em>\u0110au ng\u1ef1c<\/em><\/strong><em>: <\/em>Th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng <em>12 gi\u1edd <\/em>k\u1ec3 t\u1eeb khi d\u00f9ng cocaine. Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u1edf l\u1ea1i sau <em>24 &#8211; 36 gi\u1edd<\/em>, do c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a th\u1ee9 ph\u00e1t g\u00e2y ra.<\/li>\n<li><strong><em>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3<\/em><\/strong><em>: <\/em>B\u1ea5t th\u01b0\u1eddng v\u1edbi c\u00e1c bi\u1ebfn \u0111\u1ed5i v\u1ec1 t\u00e1i c\u1ef1c kh\u00f4ng \u0111\u1eb7c hi\u1ec7u \u1edf 80% c\u00e1c tr\u01b0\u1eddng h\u1ee3p, v\u00e0 kho\u1ea3ng 40% c\u00f3 c\u00e1c bi\u1ebfn \u0111\u1ed5i \u0111i\u1ec3n h\u00ecnh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/cap-nhat-tieu-chuan-chan-doan-nhoi-mau-co-tim\/\">nh\u1ed3i m\u00e1u c\u01a1 tim ST ch\u00eanh l\u00ean<\/a> v\u00e0 \u0111\u1ee7 ti\u00eau chu\u1ea9n cho \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u01b0\u1edbi m\u00e1u.<\/li>\n<li><strong><em>D\u1ea5u \u1ea5n sinh h\u1ecdc c\u1ee7a t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim<\/em><\/strong><em>: <\/em>C\u00f3 th\u1ec3 g\u00e2y nh\u1ea7m l\u1eabn, do h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng n\u1ed3ng \u0111\u1ed9 CK th\u1ee9 ph\u00e1t do ti\u00eau c\u01a1. Tropnin T v\u00e0 Troponin I \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng gi\u00fap kh\u1eb3ng \u0111\u1ecbnh c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim.<\/li>\n<\/ul>\n<h2>2. X\u1eed tr\u00ed<\/h2>\n<h3><em>2.1. <\/em><em>C\u00e1c bi\u1ec7n ph\u00e1p chung<\/em><\/h3>\n<p>T\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u1edf t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim: Th\u1edf oxy, l\u01b0u l\u01b0\u1ee3ng cao 5 &#8211; 10 L\/min tr\u1eeb khi c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh; gi\u1ea3m \u0111au, aspirin 75 mg x 1 l\u1ea7n\/24h.<\/p>\n<p>Nitroglycerin: Truy\u1ec1n t\u0129nh m\u1ea1ch li\u1ec1u cao, ch\u1ec9nh li\u1ec1u theo \u0111\u00e1p \u1ee9ng c\u1ee7a tri\u1ec7u ch\u1ee9ng v\u00e0 huy\u1ebft \u0111\u1ed9ng.<\/p>\n<p>Benzodiazepine: Gi\u1ea3m lo \u00e2u.<\/p>\n<h3><em>2.2. <\/em><em>\u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u<\/em><\/h3>\n<p><strong>Verapamil<\/strong><\/p>\n<ul>\n<li>D\u00f9ng li\u1ec1u cao, c\u00f3 t\u00e1c d\u1ee5ng k\u00e9p do l\u00e0m gi\u1ea3m g\u00e1nh n\u1eb7ng cho tim v\u00e0 h\u1ed7 tr\u1ee3 t\u00e1i l\u1eadp l\u1ea1i cung v\u00e0 c\u1ea7u oxy c\u01a1 tim, c\u0169ng nh\u01b0 l\u00e0m gi\u00e3n m\u1ea1ch v\u00e0nh.<\/li>\n<li>N\u00ean s\u1eed d\u1ee5ng m\u1ed9t c\u00e1ch th\u1eadn tr\u1ecdng <em>1 &#8211; 2 mg ti\u00eam t\u0129nh m\u1ea1ch bolus <\/em>m\u1ed7i l\u1ea7n (l\u00ean t\u1edbi t\u1ed5ng li\u1ec1u 10 mg), ph\u1ea3i theo d\u00f5i huy\u1ebft \u0111\u1ed9ng li\u00ean t\u1ee5c.<\/li>\n<li>Sau \u0111\u00f3 ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng, li\u1ec1u cao \u0111\u1ec3 t\u00e1c d\u1ee5ng li\u00ean t\u1ee5c t\u1edbi 24 &#8211; 72 gi\u1edd sau li\u1ec1u cu\u1ed1i c\u00f9ng c\u1ee7a cocaine (80- 120 mg u\u1ed1ng, 2 l\u1ea7n\/24h).<\/li>\n<\/ul>\n<p><strong>Phentolamine: <\/strong>L\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng \u03b1-adrenergic, l\u00e0m nhanh ch\u00f3ng \u0111\u1ea3o ng\u01b0\u1ee3c s\u1ef1 co m\u1ea1ch g\u00e2y ra b\u1edfi cocaine (2-5 mg ti\u00eam t\u0129nh m\u1ea1ch v\u00e0 l\u1eb7p l\u1ea1i n\u1ebfu c\u1ea7n thi\u1ebft). C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi verapamil.<\/p>\n<p><strong>Labetalol: <\/strong>c\u00f3 c\u1ea3 t\u00e1c d\u1ee5ng tr\u00ean \u03b1 v\u00e0 \u03b2-adrenergic v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau verapamil v\u00e0 phentolamine n\u1ebfu huy\u1ebft \u00e1p b\u1ec7nh nh\u00e2n c\u00f2n cao, nh\u01b0ng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng l\u00ean s\u1ef1 co th\u1eaft m\u1ea1ch v\u00e0nh.<\/p>\n<p><strong>Li\u1ec7u ph\u00e1p t\u00e1i t\u01b0\u1edbi m\u00e1u<\/strong><\/p>\n<ul>\n<li>N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u1ed5n \u0111\u1ecbnh sau khi s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ea7u tay v\u1edbi verapamil v\u00e0 phentolamine, n\u00ean ti\u1ebfn h\u00e0nh ch\u1ee5p v\u00e0 can thi\u1ec7p m\u1ea1ch v\u00e0nh ngay l\u1eadp t\u1ee9c n\u1ebfu c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a huy\u1ebft kh\u1ed1i\/t\u1eafc m\u1ea1ch.<\/li>\n<li>N\u1ebfu ch\u1ee5p m\u1ea1ch v\u00e0nh kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c, c\u00f3 th\u1ec3 xem x\u00e9t li\u1ec7u ph\u00e1p ti\u00eau huy\u1ebft kh\u1ed1i. Tuy v\u1eady, b\u1eb1ng ch\u1ee9ng s\u1eed d\u1ee5ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft c\u00f2n h\u1ea1n ch\u1ebf, v\u00e0 th\u01b0\u1eddng \u0111i k\u00e8m c\u00e1c bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u li\u00ean quan t\u1edbi t\u0103ng huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n<h2>2.3 Th\u1eadn tr\u1ecdng<\/h2>\n<p>Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m (Propranolol&#8230;) do l\u00e0m t\u0103ng th\u00eam s\u1ef1 co th\u1eaft m\u1ea1ch v\u00e0nh do kh\u00f4ng c\u00f3 t\u00ednh \u0111\u1ed1i kh\u00e1ng v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 \u03b1 \u2013 adrenergic.<\/p>\n<h2>3. K\u1ebft lu\u1eadn<\/h2>\n<p>N\u1ebfu b\u1ea1n \u0111ang s\u1eed d\u1ee5ng Cocaine, h\u00e3y d\u1eebng ngay v\u00e0 t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb c\u00e1c chuy\u00ean gia y t\u1ebf ho\u1eb7c c\u00e1c t\u1ed5 ch\u1ee9c h\u1ed7 tr\u1ee3. Vi\u1ec7c ng\u1eebng s\u1eed d\u1ee5ng Cocaine s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch, b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ea1n. N\u1ebfu b\u1ea1n nghi ng\u1edd m\u00ecnh b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim do Cocaine, h\u00e3y li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 ngay \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 tr\u00e1nh xa c\u00e1c ch\u1ea5t k\u00edch th\u00edch l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n.<\/p>\n<p>Ngo\u00e0i vi\u1ec7c ng\u1eebng s\u1eed d\u1ee5ng Cocaine v\u00e0 t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb c\u00e1c chuy\u00ean gia y t\u1ebf ho\u1eb7c c\u00e1c t\u1ed5 ch\u1ee9c h\u1ed7 tr\u1ee3, vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim do Cocaine c\u00f2n bao g\u1ed3m:<\/p>\n<ul>\n<li>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng: \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 t\u1eadp luy\u1ec7n th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch.<\/li>\n<li>Theo d\u00f5i s\u1ee9c kh\u1ecfe: Sau khi \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n c\u1ea7n th\u01b0\u1eddng xuy\u00ean \u0111\u1ebfn th\u0103m kh\u00e1m v\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng t\u00ecnh tr\u1ea1ng c\u1ee7a h\u1ecd \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u00e0 kh\u00f4ng t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Khi s\u1eed d\u1ee5ng cocaine, n\u00f3 s\u1ebd k\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng th\u1ea7n kinh v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 adrenaline trong c\u01a1 th\u1ec3, g\u00e2y ra t\u0103ng huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim nhanh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 co b\u00f3p c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, g\u00e2y ra gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn c\u01a1 tim. N\u1ebfu m\u1ed9t \u0111\u1ed9ng [&hellip;]<\/p>\n","protected":false},"author":25,"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>Nh\u1ed3i m\u00e1u c\u01a1 tim do Cocaine: ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed - Vinmec<\/title>\n<meta name=\"description\" content=\"s\u1eed d\u1ee5ng cocaine g\u00e2y t\u0103ng huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim nhanh.N\u1ebfu \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc ngh\u1ebdn ho\u1eb7c h\u1eb9p l\u1ea1i, c\u00f3 th\u1ec3 x\u1ea3y ra nh\u1ed3i m\u00e1u c\u01a1 tim do cocaine.\" \/>\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=\"Nh\u1ed3i m\u00e1u c\u01a1 tim do Cocaine: ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed - 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