{"id":25166,"date":"2023-04-21T23:14:05","date_gmt":"2023-04-21T16:14:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25166"},"modified":"2023-05-13T17:20:19","modified_gmt":"2023-05-13T10:20:19","slug":"thang-diem-cha2ds2-vasc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/thang-diem-cha2ds2-vasc\/","title":{"rendered":"Thang \u0111i\u1ec3m CHA2DS2-VASc: ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129"},"content":{"rendered":"

Nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 l\u00e0 r\u1ea5t cao , v\u00ec v\u1eady\u00a0 \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 l\u00e0 r\u1ea5t quan tr\u1ecdng. Do \u0111\u00f3\u00a0 thang \u0111i\u1ec3m CHA2DS2-VASc l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh rung nh\u0129\u00a0 (atrial fibrillation) v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 l\u1ef1a ch\u1ecdn kh\u00e1ng \u0111\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n<\/strong><\/p>\n

1. Gi\u1edbi thi\u1ec7u<\/h1>\n

\"\"<\/p>\n

Rung nh\u0129<\/a> (atrial fibrillation) l\u00e0 lo\u1ea1i r\u1ed1i lo\u1ea1n nh\u1ecbp tim, trong \u0111\u00f3 nh\u0129 tr\u00e1i ho\u1eb7c nh\u0129 ph\u1ea3i co b\u00f3p m\u1ed9t c\u00e1ch kh\u00f4ng \u0111\u1ed3ng b\u1ed9 . B\u1ec7nh rung nh\u0129 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 nh\u1ecbp tim nhanh, kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi, \u0111au ng\u1ef1c v\u00e0 hoa m\u1eaft. Ngo\u00e0i ra, b\u1ec7nh rung nh\u0129 c\u0169ng c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a nhi\u1ec1u bi\u1ebfn ch\u1ee9ng kh\u00e1c nh\u01b0 \u0111\u1ed9t qu\u1ef5, suy tim, r\u1ed1i lo\u1ea1n nh\u1ecbp tim v\u00e0 t\u1eed vong \u0111\u1ed9t ng\u1ed9t.<\/p>\n

Nguy c\u01a1 \u0111\u1ed9t qu\u1ef5<\/a> \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 l\u00e0 r\u1ea5t cao. Khi nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u v\u00e0 kh\u00f4ng \u0111\u1ed3ng b\u1ed9, d\u1eabn \u0111\u1ebfn\u00a0 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng\u00a0 trong bu\u1ed3ng nh\u0129 v\u00e0 theo h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n \u0111\u1ebfn c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3 , n\u1ebfu \u0111\u1ebfn n\u00e3o s\u1ebd g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch n\u00e3o v\u00e0 d\u1eabn \u0111\u1ebfn \u0111\u1ed9t qu\u1ef5. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra \u0111\u1ed9t qu\u1ef5, m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n rung nh\u0129 c\u0169ng c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 ph\u00e1t tri\u1ec3n c\u00e1c b\u1ec7nh tim m\u1ea1ch kh\u00e1c nh\u01b0 suy tim, r\u1ed1i lo\u1ea1n nh\u1ecbp tim v\u00e0 \u0111au th\u1eaft ng\u1ef1c. Do \u0111\u00f3, vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh rung nh\u0129 s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng ng\u1ea1i v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2. Thang \u0111i\u1ec3m CHA2DS2-VASc v\u00e0 c\u00e1ch t\u00ednh \u0111i\u1ec3m<\/h2>\n

Thang \u0111i\u1ec3m CHA2DS2-VASc l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 gi\u00fap \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/span><\/p>\n

Thang \u0111i\u1ec3m CHA2DS2-VASc bao g\u1ed3m c\u00e1c y\u1ebfu t\u1ed1 sau \u0111\u00e2y:<\/span><\/p>\n

    \n
  • C:\u00a0 t\u00ecnh tr\u1ea1ng tim b\u1ea9m sinh ho\u1eb7c b\u1ec7nh van tim, b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t EF gi\u1ea3m<\/span><\/li>\n
  • H: ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p c\u00f3 g\u00e2y ra thay \u0111\u1ed5i m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn \u0111\u1ed9t qu\u1ef5, t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t\u00a0<\/span><\/li>\n
  • A: tu\u1ed5i t\u1eeb 75 tr\u1edf l\u00ean l\u00e0m t\u0103ng nguy c\u01a1\u00a0<\/span><\/li>\n
  • D:\u00a0 th\u1eddi gian m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5\u00a0<\/span><\/li>\n
  • S: ti\u1ec1n s\u1eed \u0111\u1ed9t qu\u1ef5 ,TIA , thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i , tr\u00ean b\u1ec7nh nh\u00e2n rung nh\u0129 th\u00ec nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 sau \u0111\u00f3 r\u1ea5t cao<\/span><\/li>\n
  • V: b\u1ec7nh m\u1ea1ch m\u00e1u l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1eadp c\u1ee7a \u0111\u1ed9t qu\u1ef5 tr\u00ean b\u1ec7nh nh\u00e2n rung nh\u0129 M\u1ea3ng x\u01a1 v\u1eefa ph\u1ee9c t\u1ea1p tr\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 xu\u1ed1ng m\u1ed9t d\u1ea5u hi\u1ec7u r\u00f5 c\u1ee7a b\u1ec7nh m\u1ea1ch m\u00e1u nghi\u00eam tr\u1ecdng, c\u0169ng l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o \u0111\u1ed9t qu\u1ef5 nh\u1ed3i m\u00e1u n\u00e3o.<\/span><\/li>\n
  • A: tu\u1ed5i t\u1eeb 65-74<\/span><\/li>\n
  • Sc: gi\u1edbi t\u00ednh n\u1eef\u00a0<\/span><\/li>\n<\/ul>\n

    C\u00e1ch t\u00ednh \u0111i\u1ec3m CHA2DS2-VASc\u00a0<\/b><\/p>\n\n\n\n\n\n\n\n\n\n\n\n
    \u00a0<\/span><\/td>\n\u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng<\/span><\/td>\n\u0110i\u1ec3m<\/span><\/td>\n<\/tr>\n
    C<\/span><\/td>\nSuy tim sung huy\u1ebft tr\u00ean l\u00e2m s\u00e0ng ho\u1eafc c\u00f3 b\u1eb1ng ch\u1ee9ng kh\u00e1ch quan r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng\u00a0<\/span><\/td>\n1<\/span><\/td>\n<\/tr>\n
    H<\/span><\/td>\nT\u0103ng huy\u1ebft \u00e1p ho\u1eafc \u0111ang \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p\u00a0\u00a0<\/span><\/td>\n1<\/span><\/td>\n<\/tr>\n
    A<\/span><\/td>\n> 75 tu\u1ed5i\u00a0<\/span><\/td>\n2<\/span><\/td>\n<\/tr>\n
    D<\/span><\/td>\nC\u00f3 b\u1ec7nh l\u00fd ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/td>\n1<\/span><\/td>\n<\/tr>\n
    S<\/span><\/td>\nti\u1ec1n s\u1eed \u0111\u1ed9t qu\u1ef5 ,TIA , thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i\u00a0<\/span><\/td>\n2<\/span><\/td>\n<\/tr>\n
    V<\/span><\/td>\nB\u1ec7nh l\u00fd van tim, ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim , m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\u00a0<\/span><\/td>\n1<\/span><\/td>\n<\/tr>\n
    A<\/span><\/td>\nTu\u1ed5i t\u1eeb 64-74<\/span><\/td>\n1<\/span><\/td>\n<\/tr>\n
    Sc<\/span><\/td>\nGi\u1edbi t\u00ednh n\u1eef<\/span><\/td>\n1<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    T\u1ed5ng \u0111i\u1ec3m tr\u00ean thang \u0111i\u1ec3m CHA2DS2-VASc c\u00f3 th\u1ec3 t\u1eeb 0 \u0111\u1ebfn 9 \u0111i\u1ec3m.<\/p>\n

    B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m t\u1ed5ng CHA2DS2-VASc cao h\u01a1n 2 th\u00ec \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 cao v\u00e0 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5.<\/p>\n

    N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m s\u1ed1 th\u1ea5p h\u01a1n 2 \u0111i\u1ec3m , quy\u1ebft \u0111\u1ecbnh v\u1ec1 li\u1ec7u ph\u00e1p ch\u1ed1ng \u0111\u00f4ng m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a ra d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 tu\u1ed5i, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n

    3.\u00a0 \u1ee8ng d\u1ee5ng<\/h3>\n

    Vi\u1ec7c \u00e1p d\u1ee5ng thang \u0111i\u1ec3m n\u00e0y trong ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 v\u00e0 t\u0103ng c\u01b0\u1eddng ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m t\u1ed5ng CHA2DS2-VASc cao h\u01a1n 2 th\u00ec \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 cao v\u00e0 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5. Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng nh\u01b0 warfarin, dabigatran, apixaban v\u00e0 rivaroxaban c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 c\u00f3 nguy c\u01a1 cao.<\/p>\n

    B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean khi s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed3ng th\u1eddi ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng t\u00e1c d\u1ee5ng ph\u1ee5. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ch\u1ea3y m\u00e1u, n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea3y m\u00e1u n\u1ed9i t\u1ea1ng, g\u00e2y kh\u00f3 ti\u00eau, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n

    C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1eb7c bi\u1ec7t bao g\u1ed3m tu\u1ed5i cao, b\u1ec7nh tim, b\u1ec7nh th\u1eadn, ti\u1ec3u \u0111\u01b0\u1eddng, ti\u1ec1n s\u1eed \u0111\u1ed9t qu\u1ef5, t\u00ecnh tr\u1ea1ng t\u0103ng huy\u1ebft \u00e1p, v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng . N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c ho\u1eb7c ch\u1ecdn li\u1ec7u ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 tr\u00e1nh t\u00ecnh tr\u1ea1ng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n. Ngo\u00e0i ra, n\u1ebfu t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n thay \u0111\u1ed5i, v\u00ed d\u1ee5 nh\u01b0 b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng, suy tim, suy th\u1eadn ho\u1eb7c c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh\u00a0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng\u00a0 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/p>\n

    Thang \u0111i\u1ec3m CHA2DS2-VASc l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 . Thang \u0111i\u1ec3m n\u00e0y d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 tu\u1ed5i, gi\u1edbi t\u00ednh, ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch, ti\u1ec1n s\u1eed \u0111\u1ed9t qu\u1ef5, ti\u1ec3u \u0111\u01b0\u1eddng, t\u00ecnh tr\u1ea1ng t\u0103ng huy\u1ebft \u00e1p, v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c. Vi\u1ec7c s\u1eed d\u1ee5ng thang \u0111i\u1ec3m CHA2DS2-VASc c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 hi\u1ec7u qu\u1ea3 v\u00e0 gi\u1ea3m thi\u1ec3u r\u1ee7i ro t\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thang \u0111i\u1ec3m CHA2DS2-VASc c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, nh\u01b0 kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u1ea5t c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 kh\u00f4ng th\u1ec3 \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n. Do \u0111\u00f3, b\u00e1c s\u0129 c\u1ea7n k\u1ebft h\u1ee3p thang \u0111i\u1ec3m CHA2DS2-VASc v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c trong qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ph\u00f9 h\u1ee3p cho t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3.<\/p>\n

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

    Nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 l\u00e0 r\u1ea5t cao , v\u00ec v\u1eady\u00a0 \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 l\u00e0 r\u1ea5t quan tr\u1ecdng. Do \u0111\u00f3\u00a0 thang \u0111i\u1ec3m CHA2DS2-VASc l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[],"yoast_head":"\nThang \u0111i\u1ec3m CHA2DS2-VASc: ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 - Vinmec<\/title>\n<meta name=\"description\" content=\"thang \u0111i\u1ec3m CHA2DS2-VASc l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh rung nh\u0129\u00a0 v\u00e0 l\u1ef1a ch\u1ecdn kh\u00e1ng \u0111\u00f4ng ph\u00f9 h\u1ee3p\" \/>\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=\"Thang \u0111i\u1ec3m CHA2DS2-VASc: ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129 - 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