{"id":25079,"date":"2023-04-19T22:04:06","date_gmt":"2023-04-19T15:04:06","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25079"},"modified":"2023-04-22T13:11:05","modified_gmt":"2023-04-22T06:11:05","slug":"covid-19-va-benh-ly-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/covid-19-va-benh-ly-tim-mach\/","title":{"rendered":"COVID-19 v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn b\u1ec7nh l\u00fd tim m\u1ea1ch"},"content":{"rendered":"<p><strong>COVID-19 (Coronavirus disease 2019) \u0111ang l\u00e0 \u0111\u1ea1i d\u1ecbch to\u00e0n c\u1ea7u do virus SARS-CoV-2<\/strong> <strong>g\u00e2y ra. B\u1ec7nh x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u1edfi<\/strong> <strong>\u0111\u1ea7u t\u1eeb khu ch\u1ee3 Hoa Nam b\u00e1n v\u00e0 gi\u1ebft m\u1ed5 nhi\u1ec1u lo\u1ea1i \u0111\u1ed9ng v\u1eadt hoang d\u00e3 t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169<\/strong> <strong>H\u00e1n thu\u1ed9c t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c<\/strong><strong>.<\/strong><\/p>\n<h2>1.Gi\u1edbi thi\u1ec7u chung<\/h2>\n<p>COVID-19 (Coronavirus disease 2019) \u0111ang l\u00e0 \u0111\u1ea1i d\u1ecbch to\u00e0n c\u1ea7u do virus SARS-CoV-2 g\u00e2y ra. B\u1ec7nh x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u1edfi \u0111\u1ea7u t\u1eeb khu ch\u1ee3 Hoa Nam b\u00e1n v\u00e0 gi\u1ebft m\u1ed5 nhi\u1ec1u lo\u1ea1i \u0111\u1ed9ng v\u1eadt hoang d\u00e3 t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n thu\u1ed9c t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c. Sau \u0111\u00f3 b\u1ec7nh l\u00e2y lan nhanh ch\u00f3ng sang c\u00e1c n\u01b0\u1edbc l\u00e2n c\u1eadn nh\u01b0 Nh\u1eadt B\u1ea3n, H\u00e0n Qu\u1ed1c, r\u1ed3i \u0111\u1ebfn c\u00e1c n\u01b0\u1edbc kh\u00e1c \u1edf ch\u00e2u \u00c1 c\u0169ng nh\u01b0 c\u00e1c ch\u00e2u l\u1ee5c kh\u00e1c.<br \/>\nBi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u01b0 s\u1ed1t, ho, \u0111au h\u1ecdng. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n sau \u0111\u00f3 xu\u1ea5t hi\u1ec7n kh\u00f3 th\u1edf r\u1ed3i ti\u1ebfn tri\u1ec3n th\u00e0nh h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p ti\u1ebfn tri\u1ec3n (ARDS) v\u00e0 c\u00f3 ti\u00ean l\u01b0\u1ee3ng r\u1ea5t n\u1eb7ng. Nhi\u1ec1u nghi\u00ean c\u1ee9u ch\u1ee9ng minh ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh\u2026 l\u00e0 nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 m\u1eafc b\u1ec7nh COVID-19. M\u1eb7t kh\u00e1c h\u1ecd c\u0169ng l\u00e0 nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 c\u00f3 c\u00e1c k\u1ebft c\u1ee5c l\u00e2m s\u00e0ng x\u1ea5u h\u01a1n.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-25085 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/UDMI_Cardiovascular-Disease-300x234.png\" alt=\"Covid-19 v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch\" width=\"320\" height=\"250\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/UDMI_Cardiovascular-Disease-300x234.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/UDMI_Cardiovascular-Disease-1024x800.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/UDMI_Cardiovascular-Disease-768x600.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/UDMI_Cardiovascular-Disease.png 1200w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/><\/p>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 COVID-19 v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch<\/strong><\/p>\n<h2>2. Bi\u1ec3u hi\u1ec7n tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n covid-19<\/h2>\n<p>H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p nh\u01b0 s\u1ed1t tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n (43,8%), s\u1ed1t trong qu\u00e1 tr\u00ecnh n\u1eb1m vi\u1ec7n (88,7%), ho (67,8%), c\u00f3 \u0111\u1eddm (33,7%), kh\u00f3 th\u1edf (18,7%). C\u00e1c bi\u1ec3u hi\u1ec7n \u00edt g\u1eb7p h\u01a1n g\u1ed3m c\u00f3 sung huy\u1ebft m\u0169i (4,8%), ho ra m\u00e1u (0,9%), ti\u00eau ch\u1ea3y (3,8%), n\u00f4n v\u00e0 bu\u1ed3n n\u00f4n (5,0%). Tuy v\u1eady, nhi\u1ec1u nghi\u00ean c\u1ee9u c\u0169ng \u0111\u01b0a ra c\u00e1c s\u1ed1 li\u1ec7u cho th\u1ea5y tim m\u1ea1ch l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ea7n quan t\u00e2m \u1edf b\u1ec7nh nh\u00e2n<br \/>\nCOVID-19.<br \/>\nTi\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 th\u1ec3 chia l\u00e0m ba giai \u0111o\u1ea1n: giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng s\u1edbm, giai \u0111o\u1ea1n ph\u1ed5i v\u00e0 giai \u0111o\u1ea1n t\u0103ng \u0111\u00e1p \u1ee9ng vi\u00eam.Giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng s\u1edbm \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 x\u00e2m nh\u1eadp v\u00e0 nh\u00e2n l\u00ean c\u1ee7a virus<br \/>\nSARS-CoV-2, giai \u0111o\u1ea1n n\u00e0y th\u01b0\u1eddng k\u00e9o d\u00e0i 5 ng\u00e0y. Giai \u0111o\u1ea1n ph\u1ed5i \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c th\u01b0\u01a1ng t\u1ed5n \u1edf h\u1ec7 h\u00f4 h\u1ea5p v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng tr\u00ean phim ch\u1ee5p ng\u1ef1c. Giai \u0111o\u1ea1n t\u0103ng \u0111\u00e1p \u1ee9ng vi\u00eam v\u1edbi s\u1ef1 t\u0103ng cao c\u1ee7a c\u00e1c ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ee9 ph\u00e1t c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3 trong \u0111\u00f3 kh\u00e1 hay g\u1eb7p l\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n \u1edf h\u1ec7 tim m\u1ea1ch.<\/p>\n<h3>2.1. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh l\u00fd tim m\u1ea1ch<\/h3>\n<p><strong><br \/>\n<\/strong>Nh\u1eefng b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh l\u00fd tim m\u1ea1ch chi\u1ebfm s\u1ed1 l\u01b0\u1ee3ng kh\u00e1 \u0111\u00f4ng trong c\u00e1c nghi\u00ean c\u1ee9u. Th\u1ed1ng k\u00ea cho th\u1ea5y ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd tim m\u1ea1ch g\u1eb7p t\u1eeb 4,0 \u2013 14,5%; t\u0103ng huy\u1ebft \u00e1p g\u1eb7p t\u1eeb 14,6 \u2013 38,6%; b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh g\u1eb7p t\u1eeb 2,5 \u2013 7,9% v\u00e0 b\u1ec7nh m\u1ea1ch n\u00e3o g\u1eb7p t\u1eeb 1,4 \u2013 8,0% b\u1ec7nh nh\u00e2n COVID-19.<\/p>\n<h3><strong>2.2. T\u1ed5n th\u01b0\u01a1ng tim c\u1ea5p t\u00ednh<\/strong><\/h3>\n<p><strong><br \/>\n<\/strong>Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng tim b\u1eb1ng sinh thi\u1ebft c\u01a1 tim, ch\u1ee5p MRI tim ho\u1eb7c si\u00eau \u00e2m \u0111\u00e1nh d\u1ea5u m\u00f4 c\u01a1 tim. C\u00e1c t\u1ed5n th\u01b0\u01a1ng tim tr\u00ean l\u00e2m s\u00e0ng quan s\u00e1t \u0111\u01b0\u1ee3c th\u00f4ng qua c\u00e1c x\u00e9t nghi\u1ec7m men tim nh\u01b0 troponin ho\u1eb7c CK-MB.Nghi\u00ean c\u1ee9u c\u1ee7a Huang v\u00e0 c\u1ed9ng s\u1ef1 cho th\u1ea5y c\u00f3 12% b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 t\u1ed5n th\u01b0\u01a1ng tim d\u1ef1a v\u00e0o s\u1ef1 gia t\u0103ng gi\u00e1 tr\u1ecb c\u1ee7a troponin I, m\u1ed9t \u0111i\u1ec3m \u0111\u1eb7c bi\u1ec7t l\u00e0 h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng tim n\u00e0y ph\u1ea3i n\u1eb1m t\u1ea1i c\u00e1c khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u1edbi t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng n\u1eb7ng v\u00e0 k\u1ebft c\u1ee5c l\u00e2m s\u00e0ng x\u1ea5u h\u01a1n so v\u1edbi nh\u00f3m kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng tim.<br \/>\nM\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim th\u00f4ng qua troponin I si\u00eau nh\u1ea1y v\u00e0 CKMB cho th\u1ea5y c\u00f3 7,2% b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 t\u1ed5n th\u01b0\u01a1ng tim. Nh\u00f3m b\u1ec7nh nh\u00e2n n\u1eb1m \u1edf khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c c\u00f3 t\u1ef7 l\u1ec7 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim cao h\u01a1n (22,22%) so v\u1edbi nh\u00f3m b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3i n\u1eb1m t\u1ea1i c\u00e1c khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (2,0%). N\u1ed3ng \u0111\u1ed9 troponin I c\u1ee7a nh\u00f3m n\u1eb1m gi\u01b0\u1eddng h\u1ed3i s\u1ee9c cao h\u01a1n (gi\u00e1 tr\u1ecb trung v\u1ecb l\u00e0 11,0 pg\/mL) so v\u1edbi nh\u00f3m kh\u00f4ng n\u1eb1m gi\u01b0\u1eddng h\u1ed3i s\u1ee9c (gi\u00e1 tr\u1ecb trung v\u1ecb l\u00e0 5,1 pg\/mL).<br \/>\nC\u00e1c nghi\u00ean c\u1ee9u g\u1ee3i \u00fd r\u1eb1ng nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb7ng th\u01b0\u1eddng k\u00e8m th\u00eam bi\u1ebfn ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim. Nghi\u00ean c\u1ee9u tr\u00ean 191 b\u1ec7nh nh\u00e2n COVID-19 cho k\u1ebft qu\u1ea3 17% c\u00f3 t\u1ed5n th\u01b0\u01a1ng tim c\u1ea5p trong \u0111\u00f3 nh\u00f3m b\u1ec7nh nh\u00e2n s\u1ed1ng s\u00f3t c\u00f3 n\u1ed3ng \u0111\u1ed9 troponin I si\u00eau nh\u1ea1y v\u00e0 n\u1ed3ng \u0111\u1ed9 CK-MB th\u1ea5p h\u01a1n so v\u1edbi nh\u00f3m b\u1ec7nh nh\u00e2n t\u1eed vong.<br \/>\nNghi\u00ean c\u1ee9u v\u1edbi c\u1ee1 m\u1eabu l\u1edbn (h\u01a1n m\u1ed9t ngh\u00ecn b\u1ec7nh nh\u00e2n) \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed New England Journal of Medicine cho th\u1ea5y nh\u00f3m c\u00f3 k\u1ebft c\u1ee5c l\u00e2m s\u00e0ng n\u1eb7ng h\u01a1n ho\u1eb7c c\u00f3 t\u1ed5ng bi\u1ebfn c\u1ed1 n\u1eb7ng h\u01a1n th\u00ec n\u1ed3ng \u0111\u1ed9 CK cao h\u01a1n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi nh\u00f3m c\u00f2n l\u1ea1i.<br \/>\nB\u00e1o c\u00e1o c\u1ee7a U\u1ef7 ban Y t\u1ebf Qu\u1ed1c gia Trung Qu\u1ed1c (c\u01a1 quan t\u01b0\u01a1ng \u0111\u01b0\u01a1ng B\u1ed9 Y t\u1ebf) cho th\u1ea5y m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n COVID-19 nh\u1eadp vi\u1ec7n v\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch nh\u01b0 tim \u0111\u1eadp nhanh, \u0111au ng\u1ef1c, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p xu\u1ea5t hi\u1ec7n sau \u0111\u00f3. S\u1ed1 li\u1ec7u c\u0169ng cho th\u1ea5y c\u00f3 11,8% b\u1ec7nh nh\u00e2n t\u1eed vong v\u00ec COVID-19 c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng tim d\u00f9 ti\u1ec1n s\u1eed kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch.<br \/>\nNh\u01b0 v\u1eady, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim \u1edf c\u00e1c b\u1ec7nh nh\u00e2n COVID-19 g\u1eb7p t\u1eeb 7,2 \u2013 17% tu\u1ef3 theo nghi\u00ean c\u1ee9u.<br \/>\nC\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u00f3 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng n\u1eb7ng h\u01a1n v\u00e0 c\u00f3 k\u1ebft c\u1ee5c l\u00e2m s\u00e0ng x\u1ea5u h\u01a1n so v\u1edbi nh\u00f3m kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u1edf ch\u1ed7 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng tim c\u1ea5p d\u1ef1a v\u00e0o n\u1ed3ng \u0111\u1ed9 men tim nh\u01b0 troponin ho\u1eb7c<br \/>\nCK-MB. C\u00e1c d\u1ea5u \u1ea5n n\u00e0y c\u00f3 th\u1ec3 t\u0103ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng thi\u1ebfu m\u00e1u c\u01a1 tim ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng thi\u1ebfu m\u00e1u c\u01a1 tim nh\u01b0 vi\u00eam c\u01a1 tim. Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim l\u00e0 do nguy\u00ean nh\u00e2n g\u00ec. M\u1eb7t kh\u00e1c, c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 t\u0103ng troponin nh\u01b0 suy th\u1eadn \u2013 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh r\u1ea5t hay g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n n\u1eb7ng. C\u1ea7n c\u00f3 c\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf t\u1ed1t h\u01a1n v\u00e0 ch\u1eb7t ch\u1ebd h\u01a1n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c<br \/>\nt\u1ed5n th\u01b0\u01a1ng c\u01a1 tim \u1edf b\u1ec7nh nh\u00e2n COVID-19.<\/p>\n<h3><strong>2.3. Nguy c\u01a1 thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch<\/strong><\/h3>\n<p>Nghi\u00ean c\u1ee9u c\u1ee7a Guan v\u00e0 c\u1ed9ng s\u1ef1 cho th\u1ea5y n\u1ed3ng \u0111\u1ed9 D-dimer \u2265 0,5 mg\/L g\u1eb7p \u1edf 46,4% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh COVID-19, m\u1ed9t \u0111i\u1ec3m \u0111\u00e1ng l\u01b0u \u00fd l\u00e0 D-dimer th\u01b0\u1eddng t\u0103ng cao \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng n\u1eb7ng ho\u1eb7c m\u1eafc nhi\u1ec1u bi\u1ebfn c\u1ed1. Nghi\u00ean c\u1ee9u c\u1ee7a Zhou \u0111\u01b0a ra k\u1ebft qu\u1ea3, nh\u1eefng b\u1ec7nh nh\u00e2n t\u1eed vong do COVID-19 c\u00f3 n\u1ed3ng \u0111\u1ed9 D-dimer trung v\u1ecb l\u00e0 5,2 \u03bcg\/mL cao h\u01a1n c\u00f3 \u00fd ngh\u0129a so v\u1edbi nh\u00f3m b\u1ec7nh nh\u00e2n s\u1ed1ng s\u00f3t l\u00e0 0,6 \u03bcg\/mL. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, n\u1ed3ng \u0111\u1ed9 D-dimer cao h\u01a1n \u1edf nh\u00f3m c\u1ea7n n\u1eb1m khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c so v\u1edbi nh\u00f3m kh\u00f4ng c\u1ea7n n\u1eb1m khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c. M\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t tr\u00ean 138 ng\u01b0\u1eddi b\u1ec7nh COVID-19 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch b\u1eb1ng thang \u0111i\u1ec3m Padua cho th\u1ea5y 16,67% ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 cao b\u1ecb thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch, \u0111\u1ed3ng th\u1eddi c\u00f3 6,52% b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao b\u1ecb ch\u1ea3y m\u00e1u. C\u00e1c t\u00e1c gi\u1ea3 th\u1ea5y c\u00f3 2,9% ng\u01b0\u1eddi b\u1ec7nh COVID-19 g\u1eb7p bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i, t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y l\u00e0 t\u1eafc t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi ch\u1ea9n \u0111o\u00e1n nh\u1edd si\u00eau \u00e2m m\u1ea1ch. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng r\u1ea5t n\u1eb7ng.<br \/>\nT\u00f3m l\u1ea1i, n\u1ed3ng \u0111\u1ed9 D-dimer t\u0103ng \u1edf c\u00e1c b\u1ec7nh nh\u00e2n COVID-19 g\u1ee3i \u00fd t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng v\u00e0 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i. Hi\u1ec7n ch\u01b0a c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch nh\u01b0ng v\u1ea5n \u0111\u1ec1 n\u00e0y l\u00e0 v\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u \u00fd trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng.<\/p>\n<h3><strong>2.4. Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p<\/strong><\/h3>\n<p>\u0110\u00e3 c\u00f3 nh\u1eefng b\u00e1o c\u00e1o \u0111\u1ea7u ti\u00ean v\u1ec1 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p tr\u00ean ng\u01b0\u1eddi b\u1ec7nh COVID-19. Th\u1ed1ng k\u00ea c\u1ee7a s\u00e1u b\u1ec7nh vi\u1ec7n t\u1ea1i New York (Hoa K\u1ef3) \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed New England Journal of Medicine tr\u00ean 18 b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c k\u00e8m \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 h\u00ecnh \u1ea3nh \u0111o\u1ea1n ST ch\u00eanh l\u00ean cho th\u1ea5y c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 \u0111\u1ed9 tu\u1ed5i trung v\u1ecb l\u00e0 63, 83% l\u00e0 nam gi\u1edbi, 33% b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c xung quanh th\u1eddi \u0111i\u1ec3m ph\u00e1t hi\u1ec7n \u0111o\u1ea1n ST ch\u00eanh l\u00ean, 56% b\u1ec7nh nh\u00e2n ph\u00e1t hi\u1ec7n \u0111o\u1ea1n ST ch\u00eanh l\u00ean t\u1ea1i th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n v\u00e0 44% xu\u1ea5t hi\u1ec7n \u0111o\u1ea1n ST ch\u00eanh l\u00ean trong th\u1eddi gian n\u1eb1m vi\u1ec7n (trung v\u1ecb l\u00e0 6 ng\u00e0y). C\u00f3 9 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 5 ng\u01b0\u1eddi trong s\u1ed1 \u0111\u00f3 \u0111\u01b0\u1ee3c can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. C\u00e1c t\u00e1c gi\u1ea3 nh\u1eadn x\u00e9t t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u1ec1u c\u00f3 t\u0103ng D-dimer, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim \u1edf b\u1ec7nh nh\u00e2n<br \/>\nCOVID-19 l\u00e0 do n\u1ee9t v\u1ee1 m\u1ea3ng x\u01a1 v\u1eefa, c\u01a1n b\u00e3o cytokine, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim do thi\u1ebfu oxy, co th\u1eaft \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, t\u1eafc vi m\u1ea1ch, t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u1ea1c tr\u1ef1c ti\u1ebfp ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch.<\/p>\n<h3><strong>2.5. C\u00e1c t\u1ed5n th\u01b0\u01a1ng tim kh\u00e1c<\/strong><\/h3>\n<ul>\n<li>Suy tim: Kh\u00e1 th\u01b0\u1eddng g\u1eb7p, ghi nh\u1eadn \u1edf 23% b\u1ec7nh nh\u00e2n COVID-19, nh\u00f3m b\u1ec7nh nh\u00e2n t\u1eed vong g\u1eb7p suy tim nhi\u1ec1u h\u01a1n so v\u1edbi nh\u00f3m b\u1ec7nh nh\u00e2n s\u1ed1ng s\u1ed1t (52% so v\u1edbi 12%). R\u1ed1i lo\u1ea1n nh\u1ecbp tim: R\u1ed1i lo\u1ea1n nh\u1ecbp c\u0169ng l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng tim kh\u00e1 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nhnh\u00e2n COVID-19, c\u00f3 16,7% c\u00f3 bi\u1ec3n hi\u1ec7n r\u1ed1i lo\u1ea1n nh\u1ecbp tim, nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb1m t\u1ea1i c\u00e1c \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc r\u1ed1i lo\u1ea1n nh\u1ecbp tim cao h\u01a1n nh\u00f3m c\u00f2n l\u1ea1i (44,4% so v\u1edbi 6,9%). Nghi\u00ean c\u1ee9u n\u00e0y kh\u00f4ng ch\u1ec9 r\u00f5 r\u1ed1i lo\u1ea1n nh\u1ecbp hay g\u1eb7p l\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 hay r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t. C\u00e1c chuy\u00ean gia v\u1ec1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim nh\u1eadn \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy m\u00e1u ho\u1eb7c r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i \u1edf ng\u01b0\u1eddi b\u1ec7nh COVID-19 giai \u0111o\u1ea1n c\u1ea5p c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim. Nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n nhi\u1ec5m virus corona m\u1edbi nh\u01b0ng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00f4ng n\u1eb7ng ho\u1eb7c nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 qua giai \u0111o\u1ea1n c\u1ea5p ch\u01b0a c\u00f3 hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7. Nh\u1eefng b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i n\u1eb7ng c\u1ea7n theo d\u00f5i c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim b\u1eb1ng c\u00e1c thi\u1ebft b\u1ecb theo d\u00f5i nh\u1ecbp tim, th\u1eadm ch\u00ed \u0111\u1eb7t m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng ho\u1eb7c m\u1eb7c \u00e1o ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng sau khi ra vi\u1ec7n.<\/li>\n<li>T\u1eafc \u0111\u1ed9ng m\u1ea1ch: S\u1ed1 li\u1ec7u c\u00f2n h\u1ea1n ch\u1ebf. T\u00e1c gi\u1ea3 Yanan Li v\u00e0 c\u1ed9ng s\u1ef1 c\u00f3 m\u1ed9t b\u00e1o c\u00e1o \u0111\u01a1n trung t\u00e2m \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed Lancet ghi nh\u1eadn 11 b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o trong t\u1ed5ng s\u1ed1 221 b\u1ec7nh nh\u00e2n COVID-19. C\u00e1c t\u00e1c gi\u1ea3 nh\u1eadn th\u1ea5y tu\u1ed5i cao l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh l\u00fd m\u1ea1ch n\u00e3o tr\u00ean ng\u01b0\u1eddi b\u1ec7nh COVID-19.<\/li>\n<\/ul>\n<p>Tham kh\u1ea3o nhi\u1ec1u b\u00e0i vi\u1ebft chuy\u00ean s\u00e2u c\u1ee7a Vinmec <a href=\"http:\/\/www.vinmecdr.com\">t\u1ea1i \u0111\u00e2y<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 (Coronavirus disease 2019) \u0111ang l\u00e0 \u0111\u1ea1i d\u1ecbch to\u00e0n c\u1ea7u do virus SARS-CoV-2 g\u00e2y ra. B\u1ec7nh x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u1edfi \u0111\u1ea7u t\u1eeb khu ch\u1ee3 Hoa Nam b\u00e1n v\u00e0 gi\u1ebft m\u1ed5 nhi\u1ec1u lo\u1ea1i \u0111\u1ed9ng v\u1eadt hoang d\u00e3 t\u1ea1i th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n thu\u1ed9c t\u1ec9nh H\u1ed3 B\u1eafc, Trung Qu\u1ed1c. 1.Gi\u1edbi thi\u1ec7u chung COVID-19 (Coronavirus disease 2019) \u0111ang [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>COVID-19 v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch<\/title>\n<meta name=\"description\" content=\"COVID-19 v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p hi\u1ec7n nay. 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