{"id":24931,"date":"2023-04-21T10:35:44","date_gmt":"2023-04-21T03:35:44","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24931"},"modified":"2023-04-21T11:29:44","modified_gmt":"2023-04-21T04:29:44","slug":"8-tuong-tac-thuoc-pho-bien-va-nghiem-trong-cua-digoxin","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/8-tuong-tac-thuoc-pho-bien-va-nghiem-trong-cua-digoxin\/","title":{"rendered":"8 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c ph\u1ed5 bi\u1ebfn v\u00e0 nghi\u00eam tr\u1ecdng c\u1ee7a Digoxin"},"content":{"rendered":"

Digoxin<\/a> \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch sau khi \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn v\u00e0o gi\u1eefa nh\u1eefng n\u0103m 1950. M\u1eb7c d\u00f9 s\u1ef1 xu\u1ea5t hi\u1ec7n l\u00e2u \u0111\u1eddi nh\u01b0ng Digoxin \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng hi\u1ec7n nay v\u00ec c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng ngay c\u1ea3 \u1edf li\u1ec1u th\u00f4ng th\u01b0\u1eddng v\u00e0 c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c. Digoxin \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 lo\u1ea1i thu\u1ed1c c\u00f3 kho\u1ea3ng tr\u1ecb li\u1ec7u h\u1eb9p \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c s\u1ef1 thay \u0111\u1ed5i nh\u1ecf n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u c\u0169ng c\u00f3 th\u1ec3 l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. Do \u0111\u00f3, n\u1eafm v\u1eefng c\u00e1c t\u01b0\u01a1ng t\u00e1c x\u1ea3y ra v\u1edbi Digoxin c\u00f3 th\u1ec3 gi\u00fap vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd c\u0169ng nh\u01b0 n\u00e2ng cao hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb\u00a0<\/strong><\/p>\n

1.T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Digoxin v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1ng sinh\u00a0<\/strong><\/h2>\n

Thu\u1ed1c kh\u00e1ng sinh l\u00e0 thu\u1ed1c gi\u00fap \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n. Khi s\u1eed d\u1ee5ng c\u00f9ng l\u00fac Digoxin v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1ng sinh c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Digoxin trong m\u00e1u qu\u00e1 cao m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p cao h\u01a1n 100% so v\u1edbi b\u00ecnh th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn t\u0103ng sinh kh\u1ea3 d\u1ee5ng v\u00e0 t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a Digoxin qu\u00e1 m\u1ee9c d\u1eabn \u0111\u1ebfn \u0111\u1ed9c t\u00ednh t\u0103ng. M\u1ed9t s\u1ed1 kh\u00e1ng sinh ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn g\u00e2y \u0111\u1ed9c t\u00ednh khi d\u00f9ng chung v\u1edbi Digoxin bao g\u1ed3m: Clarithromycin, Erythromycin, Tetracycline, Sulfamethoxazole\/trimethoprim v\u00e0 Azithromycin. Bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 ti\u00eau ch\u1ea3y l\u00e0 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ed5 bi\u1ebfn c\u1ee7a kh\u00e1ng sinh nh\u01b0ng \u0111\u00e1ng lo ng\u1ea1i v\u00ec c\u0169ng l\u00e0 d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn c\u1ee7a vi\u1ec7c ng\u1ed9 \u0111\u1ed9c Digoxin<\/span><\/p>\n

\"Kh\u00e1ng
Kh\u00e1ng sinh<\/figcaption><\/figure>\n

2.T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Digoxin v\u00e0 thu\u1ed1c \u0111i\u1ec1u h\u00f2a nh\u1ecbp tim (thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp)<\/strong><\/h2>\n

C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u1ecbp tim \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u01b0 rung t\u00e2m nh\u0129. N\u1ed3ng \u0111\u1ed9 Digoxin t\u0103ng cao 50% khi d\u00f9ng chung v\u1edbi c\u00e1c thu\u1ed1c trong nh\u00f3m bao g\u1ed3m: Propafenone, Quinidine, Amiodarone. Trong \u0111\u00f3, c\u00f3 nghi\u00ean c\u1ee9u cho bi\u1ebft Amiodarone v\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh l\u00e0 Desethyl Amiodarone (DEA) \u1ee9c ch\u1ebf h\u1ec7 th\u1ed1ng P-glycoprotein v\u00e0 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Digoxin trong huy\u1ebft t\u01b0\u01a1ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nhi\u1ec5m \u0111\u1ed9c cao bu\u1ed3n n\u00f4n, ch\u00e1n \u0103n, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, m\u1ea1ch ch\u1eadm, nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u\u00a0<\/span><\/p>\n

\"Amiodarone
Amiodarone thu\u1ed9c nh\u00f3m thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp<\/figcaption><\/figure>\n

3.T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Digoxin v\u00e0 nh\u00f3m thu\u1ed1c ch\u1eb9n k\u00eanh Canxi<\/strong><\/h2>\n

Nh\u00f3m thu\u1ed1c ch\u1eb9n k\u00eanh canxi l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh cao huy\u1ebft \u00e1p, m\u1ed9t s\u1ed1 thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho \u0111au ng\u1ef1c v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 nh\u1ecbp tim g\u1ed3m: Diltiazem, Verapamil, Nifedipine,…C\u00e1c thu\u1ed1c trong nh\u00f3m \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m t\u0103ng l\u01b0\u1ee3ng Digoxin trong m\u00e1u. T\u01b0\u01a1ng t\u00e1c gi\u1eefa Digoxin v\u00e0 Verapamil \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u l\u00e0 l\u00e0m gi\u1ea3m m\u1ee9c \u0111\u1ed9 \u0111\u00e0o th\u1ea3i Digoxin \u1edf \u1ed1ng th\u1eadn v\u00e0 g\u00e2y ra t\u00ecnh tr\u1ea1ng ch\u1eadm nh\u1ecbp tim qu\u00e1 m\u1ee9c d\u1eabn \u0111\u1ebfn xu\u1ea5t hi\u1ec7n nhi\u1ec1u tri\u1ec7u ch\u1ee9ng ch\u00f3ng m\u1eb7t, c\u1ef1c k\u1ef3 m\u1ec7t m\u1ecfi<\/span><\/p>\n

\"Verapamil
Verapamil thu\u1ed9c nh\u00f3m ch\u1eb9n k\u00eanh Canxi<\/figcaption><\/figure>\n

4.T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Digoxin v\u00e0 nh\u00f3m thu\u1ed1c ch\u1eb9n Beta\u00a0<\/strong><\/h2>\n

Thu\u1ed1c ch\u1eb9n Beta th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c nhau li\u00ean quan \u0111\u1ebfn tim, bao g\u1ed3m huy\u1ebft \u00e1p cao v\u00e0 suy tim. M\u1ed9t s\u1ed1 thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed9c nh\u00f3m n\u00e0y bao g\u1ed3m Carvedilol, Atenolol, Metoprolol,…Thu\u1ed1c ch\u1eb9n Beta l\u00e0m ch\u1eadm nh\u1ecbp tim v\u00e0 khi k\u1ebft h\u1ee3p v\u1edbi Digoxin c\u0169ng l\u00e0m ch\u1eadm ho\u1ea1t \u0111\u1ed9ng tim qu\u00e1 m\u1ee9c. C\u1ee5 th\u1ec3, khi s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi Digoxin v\u00e0 Atenolol c\u00f3 th\u1ec3 g\u00e2y block tim, ch\u1eadm nh\u1ecbp tim, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t tr\u00e1i do hi\u1ec7p \u0111\u1ed3ng t\u00e1c d\u1ee5ng\u00a0<\/span><\/p>\n

\"Atenolol
Atenolol thu\u1ed9c nh\u00f3m ch\u1eb9n Beta<\/figcaption><\/figure>\n

5.T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Digoxin v\u00e0 c\u00e1c thu\u1ed1c huy\u1ebft \u00e1p kh\u00e1c\u00a0<\/strong><\/h2>\n

M\u1ed9t s\u1ed1 ph\u00e2n nh\u00f3m thu\u1ed1c huy\u1ebft \u00e1p kh\u00e1c c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi Digoxin: nh\u00f3m thu\u1ed1c l\u1ee3i ti\u1ec3u (Furosemid, Torsemid), nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin ACEI (Captopril), nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 AT1 c\u1ee7a angiotensin II (Telmisartan). Trong nh\u00f3m thu\u1ed1c l\u1ee3i ti\u1ec3u quai, Furosemid v\u00e0 Torsemid l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng Kali trong c\u01a1 th\u1ec3 m\u00e0 theo nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y nh\u1eefng ng\u01b0\u1eddi c\u00f3 l\u01b0\u1ee3ng Kali th\u1ea5p c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m \u0111\u1ed9c Digoxin \u1edf m\u1ee9c th\u1ea5p h\u01a1n gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng do \u0111\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c Digoxin. Ngo\u00e0i ra trong m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u c\u0169ng ch\u1ee9ng minh \u0111i\u1ec1u t\u01b0\u01a1ng t\u1ef1 x\u1ea3y ra khi c\u01a1 th\u1ec3 thi\u1ebfu Magie\u00a0<\/span><\/p>\n

\"Furosemid
Furosemid thu\u1ed9c nh\u00f3m l\u1ee3i ti\u1ec3u<\/figcaption><\/figure>\n

6.T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Digoxin v\u00e0 nh\u00f3m thu\u1ed1c h\u1ea1 Cholesterol<\/strong><\/h2>\n

M\u1ed9t s\u1ed1 nh\u00f3m thu\u1ed1c s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 l\u01b0\u1ee3ng Cholesterol cao \u0111i\u1ec3n h\u00ecnh nh\u01b0 c\u00e1c Statin (Atorvastatin, Simvastatin), nh\u00f3m thu\u1ed1c nh\u1ef1a acid m\u1eadt (Cholestyramine, Colestipol) c\u0169ng g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n khi d\u00f9ng c\u00f9ng l\u00fac v\u1edbi Digoxin. C\u00e1c Statin c\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb Cholesterol cao v\u00e0 gi\u1ea3m nguy c\u01a1 \u0111au tim, \u0111\u1ed9t qu\u1ef5 nh\u01b0ng l\u00e0m c\u00f3 th\u1ec3 g\u00e2y ng\u1ed9 \u0111\u1ed9c khi d\u00f9ng v\u1edbi Digoxin. Cholestyramine v\u00e0 Colestipol li\u00ean k\u1ebft v\u1edbi acid m\u1eadt trong ru\u1ed9t v\u00e0 c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, t\u1eeb \u0111\u00f3 ng\u0103n kh\u00f4ng cho Digoxin \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 d\u1eabn \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 Digoxin trong m\u00e1u b\u1ecb gi\u1ea3m v\u00e0 kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/span><\/p>\n

\"Cholestyramine
Cholestyramine thu\u1ed9c nh\u00f3m nh\u1ef1a acid m\u1eadt<\/figcaption><\/figure>\n

7.T\u01b0\u01a1ng t\u00e1c gi\u1eefa Digoxin v\u00e0 c\u00e1c th\u1ef1c ph\u1ea9m b\u1ed5 sung ch\u1ea5t x\u01a1\u00a0<\/strong><\/h2>\n

Digoxin \u0111\u00f4i khi x\u1ea3y ra t\u01b0\u01a1ng t\u00e1c v\u1edbi th\u1ef1c ph\u1ea9m. C\u1ee5 th\u1ec3, trong b\u1eefa \u0103n c\u00f3 s\u1eed d\u1ee5ng nhi\u1ec1u b\u1ed9t c\u00e1m c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb khi l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 Digoxin trong m\u00e1u. M\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m b\u1ed5 sung ch\u1ea5t x\u01a1 kh\u00e1c kh\u00f4ng k\u00ea \u0111\u01a1n (OTC) nh\u01b0 Fibercon, Metamucil c\u0169ng cho h\u1eadu qu\u1ea3 t\u01b0\u01a1ng t\u00e1c t\u01b0\u01a1ng t\u1ef1\u00a0<\/span><\/p>\n

\"B\u1ed9t
B\u1ed9t b\u1ed5 sung ch\u1ea5t x\u01a1 Metamucil<\/figcaption><\/figure>\n

8.T\u01b0\u01a1ng t\u00e1c gi\u1eefa Digoxin v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i th\u1ea3o d\u01b0\u1ee3c\u00a0<\/strong><\/h2>\n

John’s wort l\u00e0 m\u1ed9t ch\u1ea5t b\u1ed5 sung m\u00e0 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi nhi\u1ec1u lo\u1ea1i thu\u1ed1c, trong \u0111\u00f3 c\u00f3 Digoxin. Khi k\u1ebft h\u1ee3p s\u1eed d\u1ee5ng, John’s wort l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 Digoxin trong m\u00e1u v\u00e0 gi\u1ea3m hi\u1ec7u qu\u1ea3 tr\u1ecb li\u1ec7u c\u1ee7a thu\u1ed1c. C\u00e1c ch\u1ea5t b\u1ed5 sung th\u1ea3o d\u01b0\u1ee3c kh\u00e1c nh\u01b0 d\u01b0\u1ee3c li\u1ec7u b\u00f4ng tai, cam th\u1ea3o c\u00f3 c\u00f9ng c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng tr\u00ean tim, khi d\u00f9ng chung c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn v\u01b0\u1ee3t ngo\u00e0i kho\u1ea3ng tr\u1ecb li\u1ec7u c\u1ee7a Digoxin v\u00e0 l\u00e0m ng\u1ed9 \u0111\u1ed9c Digoxin<\/span><\/p>\n

T\u01b0\u01a1ng t\u00e1c Digoxin c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 Digoxin cao h\u01a1n ho\u1eb7c th\u1ea5p h\u01a1n. Ch\u00fang c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1ecbp tim v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan kh\u00e1c. N\u1ed3ng \u0111\u1ed9 cao c\u00f3 th\u1ec3 g\u00e2y ng\u1ed9 \u0111\u1ed9c v\u00e0 th\u1eadm ch\u00ed \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng. Bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i \u0111\u1ec1u l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a nhi\u1ec5m \u0111\u1ed9c Digoxin. \u0110\u00f4i khi c\u0169ng xu\u1ea5t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng: r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, kh\u00f3 th\u1edf, nh\u1ecbp tim nhanh. V\u00ec v\u1eady, th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft khi n\u1eafm v\u1eefng nh\u1eefng th\u00f4ng tin v\u1ec1 c\u00e1c c\u1eb7p t\u01b0\u01a1ng t\u00e1c th\u01b0\u1eddng x\u1ea3y ra khi s\u1eed d\u1ee5ng th\u1ef1c ph\u1ea9m ho\u1eb7c nhi\u1ec1u lo\u1ea1i thu\u1ed1c chung v\u1edbi Digoxin<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Digoxin \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch sau khi \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn v\u00e0o gi\u1eefa nh\u1eefng n\u0103m 1950. M\u1eb7c d\u00f9 s\u1ef1 xu\u1ea5t hi\u1ec7n l\u00e2u \u0111\u1eddi nh\u01b0ng Digoxin \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng hi\u1ec7n nay v\u00ec c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng ngay c\u1ea3 \u1edf li\u1ec1u […]<\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12,33],"tags":[3],"yoast_head":"\n8 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c ph\u1ed5 bi\u1ebfn v\u00e0 nghi\u00eam tr\u1ecdng c\u1ee7a Digoxin - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u01b0\u01a1ng t\u00e1c thu\u1ed1c d\u1ec5 x\u1ea3y ra v\u1edbi Digoxin do kho\u1ea3ng tr\u1ecb li\u1ec7u h\u1eb9p m\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb tr\u00ean b\u1ec7nh tim m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh\" \/>\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=\"8 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c ph\u1ed5 bi\u1ebfn v\u00e0 nghi\u00eam tr\u1ecdng c\u1ee7a Digoxin - 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