{"id":24408,"date":"2023-04-19T21:41:04","date_gmt":"2023-04-19T14:41:04","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24408"},"modified":"2023-04-20T15:29:14","modified_gmt":"2023-04-20T08:29:14","slug":"sinh-ly-benh-xo-vua-dong-mach-vanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/sinh-ly-benh-xo-vua-dong-mach-vanh\/","title":{"rendered":"Sinh l\u00fd b\u1ec7nh x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh"},"content":{"rendered":"

X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch l\u00e0 b\u1ec7nh l\u00fd x\u1ea3y ra \u1edf c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn v\u00e0 v\u1eeba, trong \u0111\u00f3 c\u00f3 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh; \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng l\u1eafng \u0111\u1ecdng d\u1ea7n c\u00e1c m\u1ea3ng lipid \u1edf th\u00e0nh m\u1ea1ch g\u00e2y h\u1eb9p d\u1ea7n l\u00f2ng m\u1ea1ch, gi\u1ea3m t\u01b0\u1edbi m\u00e1u m\u00f4 \u1edf ph\u00eda xa. M\u1ea3ng x\u01a1 v\u1eefa c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p<\/a> khi c\u00f3 t\u00ecnh tr\u1ea1ng b\u1ea5t \u1ed5n \u0111\u1ecbnh, n\u1ee9t v\u1ee1 v\u00e0 kh\u1edfi ph\u00e1t h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i l\u1ea5p t\u1eafc m\u1ed9t ph\u1ea7n hay ho\u00e0n to\u00e0n \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. C\u00f3 nhi\u1ec1u thuy\u1ebft v\u1ec1 qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, nh\u01b0ng thuy\u1ebft t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u1ea1c m\u1ea1ch \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 nhi\u1ec1u nh\u1ea5t.<\/strong><\/p>\n

\"x\u01a1
x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/figcaption><\/figure>\n

1. Qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi:<\/h2>\n
    \n
  • R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u.<\/li>\n
  • L\u1eafng \u0111\u1ecdng lipid, cholesterol v\u00e0 x\u00e2m nh\u1eadp c\u00e1c t\u1ebf b\u00e0o vi\u00eam \u1edf th\u00e0nh m\u1ea1ch.<\/li>\n
  • T\u00edch lu\u1ef9 c\u00e1c m\u1ea3nh x\u00e1c t\u1ebf b\u00e0o \u1edf l\u1edbp n\u1ed9i m\u1ea1c v\u00e0 d\u01b0\u1edbi n\u1ed9i m\u1ea1c.<\/li>\n<\/ul>\n

    C\u00e1c qu\u00e1 tr\u00ecnh n\u00e0y d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa, t\u00e1i c\u1ea5u tr\u00fac th\u00e0nh m\u1ea1ch.<\/p>\n

    1.1<\/em>. <\/em>Suy gi\u1ea3m ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c<\/em><\/h3>\n

    Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi s\u1ef1 t\u1ed5n th\u01b0\u01a1ng l\u1edbp n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u do ti\u1ebfp x\u00fac v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch nh\u01b0:<\/p>\n

      \n
    • Ch\u1ea5t \u0111\u1ed9c trong thu\u1ed1c l\u00e1.<\/li>\n
    • LDL-C oxy h\u00f3a.<\/li>\n
    • C\u00e1c s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a cu\u1ed1i c\u00f9ng c\u1ee7a qu\u00e1 tr\u00ecnh \u0111\u01b0\u1eddng ph\u00e2n.<\/li>\n
    • T\u0103ng homocystein.<\/li>\n
    • C\u00e1c t\u00e1c nh\u00e2n nhi\u1ec5m tr\u00f9ng.<\/li>\n<\/ul>\n

      T\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c b\u1eaft \u0111\u1ea7u chu\u1ed7i c\u00e1c qu\u00e1 tr\u00ecnh d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o. <\/em>D\u1ea5u hi\u1ec7u c\u1ee7a r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c l\u00e0 thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng c\u1ee7a qu\u00e1 tr\u00ecnh s\u1ea3n sinh c\u00e1c ph\u00e2n t\u1eed ho\u1ea1t m\u1ea1ch qua trung gian t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c:<\/p>\n

        \n
      • Gi\u1ea3m ho\u1ea1t t\u00ednh sinh h\u1ecdc c\u1ee7a NO, m\u1ed9t ch\u1ea5t gi\u00e3n m\u1ea1ch quan tr\u1ecdng, ch\u1ed1ng huy\u1ebft kh\u1ed1i, ch\u1ed1ng t\u0103ng sinh.<\/li>\n
      • T\u0103ng sinh c\u00e1c ch\u1ea5t co m\u1ea1ch: Endothelin-1 v\u00e0 angiotensin-II, ho\u1ea1t ho\u00e1 qu\u00e1 tr\u00ecnh di t\u1ea3n v\u00e0 t\u0103ng sinh t\u1ebf b\u00e0o.<\/li>\n
      • R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c, b\u1ed9c l\u1ed9 c\u00e1c ph\u00e2n t\u1eed k\u1ebft d\u00ednh v\u00e0 c\u00e1c ch\u1ea5t ho\u00e1 \u1ee9ng \u0111\u1ed9ng l\u00e0m t\u0103ng k\u1ebft d\u00ednh v\u00e0 di chuy\u1ec3n t\u1ebf b\u00e0o.<\/li>\n
      • Nh\u1eefng \u1ea3nh h\u01b0\u1edfng qua trung gian c\u00e1c k\u00edch th\u00edch th\u01b0\u1eddng th\u1ea5y r\u00f5 nh\u1ea5t \u1edf m\u1ea1ch m\u00e1u c\u00f3 t\u1ed1c \u0111\u1ed9 d\u00f2ng m\u00e1u cao nh\u01b0 m\u1ea1ch n\u00e3o, m\u1ea1ch v\u00e0nh, m\u1ea1ch th\u1eadn, m\u1ea1ch ch\u1eadu.<\/li>\n
      • Thay \u0111\u1ed5i c\u00e2n b\u1eb1ng \u0111\u00f4ng m\u00e1u t\u1ea1i ch\u1ed7 nh\u01b0 t\u0103ng n\u1ed3ng \u0111\u1ed9 ch\u1ea5t \u1ee9c ch\u1ebf ho\u1ea1t h\u00f3a plasminogen v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 m\u00f4.<\/li>\n
      • Gi\u1ea3m y\u1ebfu t\u1ed1 ho\u1ea1t h\u00f3a plasminogen (t-PA) v\u00e0 thrombomodulin.<\/li>\n
      • Gi\u1ea3m s\u1ea3n xu\u1ea5t NO d\u1eabn \u0111\u1ebfn t\u0103ng ho\u1ea1t ho\u00e1 v\u00e0 k\u1ebft d\u00ednh ti\u1ec3u c\u1ea7u.<\/li>\n<\/ul>\n

        1.2<\/em>. <\/em>S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa<\/em><\/h3>\n

        R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa<\/p>\n

          \n
        • S\u1ef1 l\u1eafng \u0111\u1ecdng d\u1ea7n d\u1ea7n c\u1ee7a c\u00e1c h\u1ea1t LDL qua l\u1edbp n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u (khi b\u1ecb t\u1ed5n th\u01b0\u01a1ng, suy gi\u1ea3m ch\u1ee9c n\u0103ng) v\u00e0o th\u00e0nh m\u1ea1ch.<\/li>\n
        • C\u00e1c t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n th\u00e2m nhi\u1ec5m v\u00e0o th\u00e0nh m\u1ea1ch (do t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u1ea1c v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 vi\u00eam, h\u00f3a ch\u1ea5t trung gian), ho\u1ea1t h\u00f3a bi\u1ebfn th\u00e0nh \u0111\u1ea1i th\u1ef1c b\u00e0o, ti\u1ebfp theo \u0111\u1ea1i th\u1ef1c b\u00e0o s\u1ebd \u0103n c\u00e1c h\u1ea1t LDL bi\u1ebfn th\u00e0nh c\u00e1c t\u1ebf b\u00e0o b\u1ecdt. C\u00e1c t\u1ebf b\u00e0o b\u1ecdt n\u00e0y l\u1eafng \u0111\u1ecdng trong th\u00e0nh m\u1ea1ch v\u00e0 l\u1ea1i ti\u1ebfp t\u1ee5c ho\u1ea1t h\u00f3a th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh th\u1ef1c b\u00e0o-l\u1eafng \u0111\u1ecdng t\u1ea1o th\u00e0nh c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/li>\n
        • C\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u1edbm nh\u1ea5t l\u00e0 c\u00e1c v\u1ec7t m\u1ee1, g\u1ed3m ch\u1ee7 y\u1ebfu c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o gi\u00e0u lipid v\u00e0 c\u00e1c t\u1ebf b\u00e0o b\u1ecdt. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y ph\u00e1t tri\u1ec3n th\u00e0nh m\u1ea3ng x\u01a1 khi h\u00ecnh th\u00e0nh, t\u00edch lu\u1ef9 v\u00e0 th\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o c\u01a1 tr\u01a1n b\u1ecb chuy\u1ec3n th\u00e0nh t\u1ebf b\u00e0o s\u1ee3i.<\/li>\n
        • C\u00e1c t\u1ebf b\u00e0o n\u00f3i tr\u00ean ch\u1ecbu tr\u00e1ch nhi\u1ec7m ch\u00ednh trong vi\u1ec7c tho\u00e1i h\u00f3a m\u1ea1ng l\u01b0\u1edbi m\u00f4 li\u00ean k\u1ebft ngo\u1ea1i b\u00e0o d\u1eabn t\u1edbi h\u00ecnh th\u00e0nh v\u1ecf x\u01a1 bao ph\u1ee7 m\u1ed9t l\u00f5i ch\u1ee9a \u0111\u1ea7y lipid, t\u1ebf b\u00e0o b\u1ecdt, nh\u1eefng m\u1ea3nh t\u1ebf b\u00e0o ho\u1ea1i t\u1eed v\u00e0 c\u00e1c t\u1ebf b\u00e0o vi\u00eam g\u1ed3m c\u1ea3 c\u00e1c t\u1ebf b\u00e0o lympho T.<\/li>\n
        • M\u1ea3ng x\u01a1 v\u1eefa t\u00edch lu\u1ef9 ng\u00e0y c\u00e0ng nhi\u1ec1u v\u00e0 h\u1eadu qu\u1ea3 l\u00e0 h\u1eb9p d\u1ea7n l\u00f2ng m\u1ea1ch<\/em>, cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 g\u00e2y t\u1eafc m\u1ea1ch.<\/li>\n<\/ul>\n

          1.3<\/em>. <\/em>T\u1ed5n th\u01b0\u01a1ng h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n<\/em><\/h3>\n
            \n
          • T\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch c\u00f3 xu h\u01b0\u1edbng th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf nh\u1eefng v\u1ecb tr\u00ed nh\u1ea5t \u0111\u1ecbnh trong l\u00f2ng m\u1ea1ch m\u00e1u. D\u00f2ng m\u00e1u ch\u1ea3y g\u00e2y ra \u00e1p l\u1ef1c l\u00ean th\u00e0nh m\u1ea1ch, do \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1eb7c t\u00ednh sinh h\u1ecdc c\u1ee7a t\u1ebf b\u00e0o n\u1ed9i m\u00f4.<\/li>\n
          • \u1ede \u0111o\u1ea1n m\u1ea1ch v\u1edbi \u00e1p l\u1ef1c thay \u0111\u1ed5i, nh\u1ea5t l\u00e0 \u1edf \u0111o\u1ea1n g\u1eadp g\u00f3<\/em>c, c\u00f3 d\u00f2ng m\u00e1u xo\u00e1y g\u00e2y ra r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c, s\u1ebd k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa. <\/em>\u0110i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch t\u1ea1i sao m\u1ea3ng x\u01a1 v\u1eefa l\u1ea1i hay g\u1eb7p \u1edf c\u00e1c v\u1ecb tr\u00ed n\u00e0y.<\/li>\n<\/ul>\n

             <\/p>\n

            Khi l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p \u0111\u00e1ng k\u1ec3 (th\u01b0\u1eddng l\u00e0 tr\u00ean 70%), d\u00f2ng ch\u1ea3y t\u01b0\u1edbi m\u00e1u c\u01a1 tim ph\u00eda sau b\u1ecb gi\u1ea3m \u0111\u00e1ng k\u1ec3 trong khi nhu c\u1ea7u oxy c\u1ee7a c\u01a1 tim v\u1eabn c\u1ea7n, \u0111\u1eb7c bi\u1ec7t khi g\u1eafng s\u1ee9c. V\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu cung c\u1ea5p m\u00e1u, c\u01a1 tim thi\u1ebfu oxy ph\u1ea3i chuy\u1ec3n h\u00f3a trong t\u00ecnh tr\u1ea1ng y\u1ebfm kh\u00ed. C\u00e1c s\u1ea3n ph\u1ea9m c\u1ee7a chuy\u1ec3n h\u00f3a y\u1ebfm kh\u00ed (LDH, adenosine) k\u00edch th\u00edch c\u00e1c \u0111\u1ea7u m\u00fat th\u1ea7n kinh c\u1ee7a h\u1ec7 m\u1ea1ch v\u00e0nh, g\u00e2y n\u00ean c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/p>\n

             <\/p>\n

            1.4<\/em>. <\/em>S\u1ef1 n\u1ee9t v\u1ee1 m\u1ea3ng x\u01a1 v\u1eefa<\/em><\/h3>\n

            Khi m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch b\u1ecb n\u1ee9t, lo\u00e9t, v\u1ee1 ra l\u00e0m cho d\u00f2ng m\u00e1u \u0111ang l\u01b0u th\u00f4ng ti\u1ebfp x\u00fac v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n b\u00ean trong c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa-ch\u1ee7 y\u1ebfu l\u00e0 l\u00f5i lipid l\u00e0m kh\u1edfi ph\u00e1t qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u, h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1ea5p k\u00edn l\u00f2ng m\u1ea1ch d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u, ho\u1ea1i t\u1eed c\u01a1 tim. Tr\u00ean l\u00e2m s\u00e0ng bi\u1ec3u hi\u1ec7n b\u1eb1ng h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p (nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 ST kh\u1ea3 n\u0103ng, nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng ST kh\u1ea3 n\u0103ng v\u00e0 \u0111au ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh).<\/p>\n

            Qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 \u0111\u1ed9ng h\u1ecdc v\u00e0 c\u00f3 th\u1ec3 \u0111\u1ea3o ng\u01b0\u1ee3c<\/strong>, <\/em>\u00edt nh\u1ea5t l\u00e0 m\u1ed9t ph\u1ea7n b\u1edfi s\u1ef1 ho\u1ea1t h\u00f3a t-PA v\u00e0 protein C, S c\u1ee7a h\u1ec7 th\u1ed1ng ch\u1ed1ng huy\u1ebft kh\u1ed1i\/ti\u00eau s\u1ee3i huy\u1ebft n\u1ed9i sinh.<\/p>\n

            M\u1ea3ng x\u01a1 v\u1eefa v\u1edbi v\u1ecf x\u01a1 m\u1ecfng v\u00e0 l\u00f5i lipid l\u1edbn ch\u1ee9a l\u01b0\u1ee3ng l\u1edbn c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a t\u1ebf b\u00e0o vi\u00eam, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c m\u1ea3nh tho\u00e1i ho\u00e1 t\u1ebf b\u00e0o c\u00f3 nguy c\u01a1 n\u1ee9t v\u1ee1 cao v\u00e0 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i l\u1edbn. Ng\u01b0\u1ee3c l\u1ea1i c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa c\u00f3 l\u00f5i lipid nh\u1ecf, v\u1ecf x\u01a1 d\u00e0y, \u00edt ch\u1ea5t trung gian vi\u00eam th\u00ec th\u01b0\u1eddng \u1ed5n \u0111\u1ecbnh v\u00e0 \u00edt khi n\u1ee9t v\u1ee1.<\/p>\n

            C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p (HCMVC) kh\u00f4ng c\u00f3 ST kh\u1ea3 n\u0103ng l\u00e0 s\u1ef1 kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 n\u1ee9t v\u1ee1 c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa. N\u1ebfu s\u1ef1 n\u1ee9t v\u1ee1 l\u00e0 l\u1edbn v\u00e0 h\u00ecnh th\u00e0nh m\u00e1u \u0111\u00f4ng \u1ed3 \u1ea1t l\u1ea5p to\u00e0n b\u1ed9 l\u00f2ng m\u1ea1ch s\u1ebd g\u00e2y ra NMCT c\u1ea5p c\u00f3 ST kh\u1ea3 n\u0103ng. N\u1ebfu s\u1ef1 n\u1ee9t v\u1ee1 nh\u1ecf h\u01a1n v\u00e0 c\u1ee5c m\u00e1u \u0111\u00f4ng n\u00e0y ch\u01b0a d\u1eabn \u0111\u1ebfn t\u1eafc ho\u00e0n to\u00e0n \u0110MV s\u1ebd g\u00e2y ra HCMVC kh\u00f4ng c\u00f3 ST kh\u1ea3 n\u0103ng. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c c\u01a1 ch\u1ebf v\u1ec1 s\u1ef1 di chuy\u1ec3n c\u1ee7a huy\u1ebft kh\u1ed1i nh\u1ecf \u0111\u1ebfn t\u1eafc vi m\u1ea1ch ph\u00eda sau v\u00e0 s\u1ef1 co th\u1eaft c\u00e0ng l\u00e0m cho t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u01a1 tim th\u00eam tr\u1ea7m tr\u1ecdng.<\/p>\n

            S\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng: Khi m\u1ea3ng x\u01a1 v\u1eefa b\u1ecb v\u1ee1, l\u1edbp d\u01b0\u1edbi n\u1ed9i m\u1ea1c \u0111\u01b0\u1ee3c l\u1ed9 ra v\u00e0 ti\u1ebfp x\u00fac v\u1edbi ti\u1ec3u c\u1ea7u, d\u1eabn \u0111\u1ebfn ho\u1ea1t ho\u00e1 c\u00e1c th\u1ee5 th\u1ec3 GP IIb\/IIIa tr\u00ean b\u1ec1 m\u1eb7t ti\u1ec3u c\u1ea7u v\u00e0 ho\u1ea1t ho\u00e1 qu\u00e1 tr\u00ecnh ng\u01b0ng k\u1ebft c\u1ee7a ti\u1ec3u c\u1ea7u. C\u00e1c ti\u1ec3u c\u1ea7u ng\u01b0ng k\u1ebft n\u00e0y s\u1ebd gi\u1ea3i ph\u00f3ng ra m\u1ed9t lo\u1ea1t c\u00e1c ch\u1ea5t trung gian l\u00e0m co m\u1ea1ch, thu h\u00fat c\u00e1c ti\u1ec3u c\u1ea7u kh\u00e1c v\u00e0 h\u00ecnh th\u00e0nh nhanh h\u01a1n c\u1ee5c m\u00e1u \u0111\u00f4ng.<\/p>\n

            H\u1eadu qu\u1ea3 c\u1ee7a c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng tr\u00ean l\u00e0 l\u00e0m gi\u1ea3m \u0111\u1ed9t ng\u1ed9t c\u1ea5p m\u00e1u t\u1edbi v\u00f9ng c\u01a1 tim do \u0110MV \u0111\u00f3 nu\u00f4i d\u01b0\u1ee1ng, v\u00e0 bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng l\u00e0 c\u01a1n \u0111au ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh, tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 th\u1ec3 l\u00e0 h\u00ecnh \u1ea3nh thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ea5p v\u1edbi ST ch\u00eanh xu\u1ed1ng ho\u1eb7c T \u00e2m nh\u1ecdn, c\u00e1c men tim lo\u1ea1i Troponin c\u00f3 th\u1ec3 t\u0103ng khi c\u00f3 thi\u1ebfu m\u00e1u c\u01a1 tim nhi\u1ec1u g\u00e2y ho\u1ea1i t\u1eed c\u01a1 tim th\u1ef1c s\u1ef1. C\u00e1c y\u1ebfu t\u1ed1 sau c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng b\u1ec7nh h\u01a1n: S\u1ed1t, t\u0103ng huy\u1ebft \u00e1p nhi\u1ec1u, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, c\u01b0\u1eddng gi\u00e1p.<\/p>\n

            \u0110i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c \u0111\u1ec3 h\u1ea1 LDL-C <\/strong>trong giai \u0111o\u1ea1n c\u1ea5p l\u00e0m thay \u0111\u1ed5i th\u00e0nh ph\u1ea7n l\u00f5i lipid c\u1ee7a c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa kh\u00e1c ngo\u00e0i t\u1ed5n th\u01b0\u01a1ng th\u1ee7 ph\u1ea1m v\u00e0 c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch. Kh\u1ea3 n\u0103ng bi\u1ebfn c\u1ed1 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p li\u00ean quan nhi\u1ec1u v\u1edbi s\u1ef1 m\u1ea5t \u1ed5n \u0111\u1ecbnh c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa h\u01a1n l\u00e0 m\u1ee9c \u0111\u1ed9 h\u1eb9p l\u00f2ng m\u1ea1ch.<\/em><\/p>\n

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

            X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch l\u00e0 b\u1ec7nh l\u00fd x\u1ea3y ra \u1edf c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn v\u00e0 v\u1eeba, trong \u0111\u00f3 c\u00f3 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh; \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng l\u1eafng \u0111\u1ecdng d\u1ea7n c\u00e1c m\u1ea3ng lipid \u1edf th\u00e0nh m\u1ea1ch g\u00e2y h\u1eb9p d\u1ea7n l\u00f2ng m\u1ea1ch, gi\u1ea3m t\u01b0\u1edbi m\u00e1u m\u00f4 \u1edf ph\u00eda xa. M\u1ea3ng x\u01a1 v\u1eefa c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i […]<\/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":"\nSinh l\u00fd b\u1ec7nh x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - Vinmec<\/title>\n<meta name=\"description\" content=\"X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch l\u00e0 b\u1ec7nh l\u00fd x\u1ea3y ra \u1edf c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn v\u00e0 v\u1eeba, c\u00f3 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. 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