{"id":26198,"date":"2023-04-27T15:49:30","date_gmt":"2023-04-27T08:49:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26198"},"modified":"2023-04-27T15:49:30","modified_gmt":"2023-04-27T08:49:30","slug":"bien-chung-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/bien-chung-tim-mach\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch c\u1ee7a vaccine COVID 19"},"content":{"rendered":"

Vi\u1ec7c ti\u00eam vaccine COVID 19 \u0111ang \u0111\u01b0\u1ee3c coi l\u00e0 gi\u1ea3i ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t \u0111\u1ea1i d\u1ecbch COVID 19. Tuy nhi\u00ean, nh\u01b0 b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c hay vaccine n\u00e0o kh\u00e1c, vaccine COVID-19 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m c\u1ea3 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch.<\/strong><\/p>\n

1. T\u1ed5ng qu\u00e1t\u00a0<\/strong><\/h1>\n

COVID 19 \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t th\u1ea3m h\u1ecda to\u00e0n c\u1ea7u. Vaccine ph\u00f2ng SARS-CoV-2 hi\u1ec7n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ng\u0103n ch\u1eb7n \u0111\u1ea1i d\u1ecbch. Vaccine COVID 19 cho th\u1ea5y hi\u1ec7u qu\u1ea3 cao ch\u1ed1ng l\u1ea1i SARS-CoV-2 trong c\u00e1c giai \u0111o\u1ea1n th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng kh\u00e1c nhau.<\/p>\n

04 ch\u1ebf ph\u1ea9m vaccine \u0111\u1ea7u ti\u00ean (t\u1ee9c l\u00e0 ChAdOx1 v\u00e0 AD26.COV2\u00b7S, BNT162b2 v\u00e0 mRNA-1273) \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c gi\u1ea5y ph\u00e9p l\u01b0u h\u00e0nh t\u1eeb C\u01a1 quan D\u01b0\u1ee3c ph\u1ea9m Ch\u00e2u \u00c2u (European Medicines Agency – EMA). V\u1edbi vi\u1ec7c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i 4 lo\u1ea1i vaccine n\u00e0y, m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111au t\u1ea1i ch\u1ed7 ti\u00eam, s\u1ed1t v\u00e0 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n

C\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u1ea5t c\u00f3 li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch, v\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y bao g\u1ed3m vi\u00eam c\u01a1 tim, gi\u1ea3m ti\u1ec3u c\u1ea7u mi\u1ec5n d\u1ecbch (ITP), huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch xoang n\u00e3o v\u00e0 huy\u1ebft kh\u1ed1i n\u1ed9i t\u1ea1ng. T\u1ea5t c\u1ea3 nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y \u0111\u1ec1u l\u00e0m suy gi\u1ea3m s\u1ee9c kh\u1ecfe c\u1ee7a nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ti\u00eam vaccine v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c ti\u00eam vaccine.<\/p>\n

\"\"
C\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch c\u1ee7a 3 lo\u1ea1i vaccine ph\u00f2ng COVID19. Ngu\u1ed3n<\/strong>: Cardiovascular Complications of COVID-19 Vaccines<\/em><\/figcaption><\/figure>\n

2. C\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng\u00a0<\/strong><\/h2>\n

2.1. Huy\u1ebft kh\u1ed1i\u00a0 – bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch sau ti\u00eam vaccine COVID 19<\/strong><\/h3>\n

C\u01a1 quan Qu\u1ea3n l\u00fd Thu\u1ed1c v\u00e0 S\u1ea3n ph\u1ea9m Y t\u1ebf (The Medicines and Healthcare Products Regulatory Agency) t\u1ea1i V\u01b0\u01a1ng qu\u1ed1c Anh b\u00e1o c\u00e1o r\u1eb1ng, v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng 10.6 tri\u1ec7u li\u1ec1u vaccine BNT162b2 mRNA, \u0111\u00e3 c\u00f3 24 tr\u01b0\u1eddng h\u1ee3p huy\u1ebft kh\u1ed1i xoang t\u0129nh m\u1ea1ch n\u00e3o (CVST), 3 tr\u01b0\u1eddng h\u1ee3p huy\u1ebft kh\u1ed1i m\u1ea1ch m\u00e1u n\u00e3o, 3 tr\u01b0\u1eddng h\u1ee3p huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch n\u00e3o, huy\u1ebft kh\u1ed1i xoang d\u1ecdc tr\u00ean v\u00e0 1 tr\u01b0\u1eddng h\u1ee3p huy\u1ebft kh\u1ed1i xoang ngang.<\/p>\n

Trong s\u1ed1 4 tri\u1ec7u li\u1ec1u mRNA-1273 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, 5 tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd CVST \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. C\u01a1 ch\u1ebf li\u00ean quan gi\u1eefa ti\u00eam vaccine mRNA v\u00e0 huy\u1ebft kh\u1ed1i v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m r\u00f5. Ng\u01b0\u1eddi ta suy \u0111o\u00e1n r\u1eb1ng n\u00f3 c\u00f3 li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh m\u00e3 h\u00f3a protein t\u0103ng \u0111\u1ed9t bi\u1ebfn c\u1ee7a SARS-CoV-2 b\u1eb1ng vaccine mRNA.<\/p>\n

Protein t\u0103ng \u0111\u1ed9t bi\u1ebfn, c\u1ea7n thi\u1ebft \u0111\u1ec3 cho ph\u00e9p SARS-CoV-2 x\u00e2m nh\u1eadp t\u1ebf b\u00e0o ng\u01b0\u1eddi, t\u0103ng c\u01b0\u1eddng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u v\u00e0 th\u00fac \u0111\u1ea9y b\u00e0i ti\u1ebft c\u00e1c h\u1ea1t \u0111\u1eb7c t\u1eeb ti\u1ec3u c\u1ea7u. Ngo\u00e0i ra, v\u1edbi vai tr\u00f2 l\u00e0 m\u1ed9t ph\u1ed1i t\u1eed li\u00ean k\u1ebft c\u1ee7a th\u1ee5 th\u1ec3 ACE2, protein h\u00ecnh gai c\u1ee7a SARS-CoV-2 g\u00e2y ra ph\u1ea3n \u1ee9ng vi\u00eam trong c\u00e1c t\u1ebf b\u00e0o n\u1ed9i m\u00f4 n\u00e3o v\u00e0 l\u00e0m suy y\u1ebfu t\u00ednh to\u00e0n v\u1eb9n ch\u1ee9c n\u0103ng c\u1ee7a h\u00e0ng r\u00e0o m\u00e1u n\u00e3o, th\u00fac \u0111\u1ea9y k\u00edch ho\u1ea1t c\u00e1c t\u1ebf b\u00e0o n\u1ed9i m\u00f4 v\u00e0 t\u00e1i \u0111i\u1ec1u ch\u1ec9nh chemokine b\u1ea1ch c\u1ea7u, cytokine ti\u1ec1n vi\u00eam (interleukin (IL)-1\u03b2 v\u00e0 IL-6), v\u00e0 c\u00e1c ph\u00e2n t\u1eed k\u1ebft d\u00ednh t\u1ebf b\u00e0o [ph\u00e2n t\u1eed k\u1ebft d\u00ednh gian b\u00e0o 1 (ICAM-1) v\u00e0 ph\u00e2n t\u1eed k\u1ebft d\u00ednh t\u1ebf b\u00e0o m\u1ea1ch m\u00e1u 1 (VCAM-1)]. T\u1ea5t c\u1ea3 c\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh l\u00fd b\u1ec7nh li\u00ean quan \u0111\u1ebfn vaccine mRNA n\u00e0y c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a huy\u1ebft kh\u1ed1i. Do \u0111\u00f3, kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng kh\u00e1ng protein t\u0103ng \u0111\u1ed9t bi\u1ebfn ho\u1eb7c protein ACE2 ng\u01b0\u1eddi t\u00e1i t\u1ed5 h\u1ee3p c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n b\u1ecb huy\u1ebft kh\u1ed1i do vaccine COVID 19 mRNA g\u00e2y ra.<\/p>\n

Tuy nhi\u00ean, hi\u1ec7n t\u1ea1i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn hi\u1ec7n nay l\u00e0 li\u1ec7u ph\u00e1p ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u1edbi heparin kh\u00f4ng ph\u00e2n \u0111o\u1ea1n, ti\u1ebfp theo l\u00e0 heparin tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p v\u00e0 sau \u0111\u00f3 l\u00e0 warfarin.<\/p>\n

2.3. Gi\u1ea3m ti\u1ec3u c\u1ea7u <\/strong>– bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch sau ti\u00eam vaccine COVID 19<\/strong><\/h3>\n

M\u1ed9t ng\u00e0y sau khi ti\u00eam li\u1ec1u vaccine mRNA-1273 \u0111\u1ea7u ti\u00ean, m\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng M\u1ef9 g\u1ed1c Phi 60 tu\u1ed5i xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1t nh\u1eb9 v\u00e0 \u1edbn l\u1ea1nh, sau \u0111\u00f3 l\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n ph\u00e1t ban nghi\u00eam tr\u1ecdng tr\u00ean da v\u00e0 nhanh ch\u00f3ng lan r\u1ed9ng kh\u1eafp c\u01a1 th\u1ec3 anh. Ngo\u00e0i ra, ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc ITP.<\/p>\n

T\u1eeb gi\u1eefa th\u00e1ng 2 \u0111\u1ebfn gi\u1eefa th\u00e1ng 3, g\u1ea7n 5 tri\u1ec7u ng\u01b0\u1eddi \u1edf Israel \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin BNT162b2 mRNA v\u00e0 4 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u m\u1eafc ph\u1ea3i (ATTP).<\/p>\n

T\u1ea1i Hoa K\u1ef3, h\u01a1n 20 tri\u1ec7u ng\u01b0\u1eddi (t\u00ednh \u0111\u1ebfn ng\u00e0y 2 th\u00e1ng 2 n\u0103m 2021) \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t m\u1ed9t li\u1ec1u c\u1ee7a m\u1ed9t trong hai lo\u1ea1i vaccine mRNA hi\u1ec7n c\u00f3 v\u00e0 20 b\u1ec7nh nh\u00e2n trong s\u1ed1 n\u00e0y b\u1ecb gi\u1ea3m ti\u1ec3u c\u1ea7u sau khi ti\u00eam vaccine. H\u1ea7u h\u1ebft trong s\u1ed1 20 b\u1ec7nh nh\u00e2n \u0111\u1ec1u c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 b\u1ea7m t\u00edm ho\u1eb7c ch\u1ea3y m\u00e1u ni\u00eam m\u1ea1c. 09 trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam vaccine BNT162b2 mRNA v\u00e0 11 b\u1ec7nh nh\u00e2n trong s\u1ed1 n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam vaccine mRNA-1273.<\/p>\n

D\u01b0\u1eddng nh\u01b0 c\u00f3 m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u1ec7c s\u1eed d\u1ee5ng vaccine ITP v\u00e0 mRNA. Tuy nhi\u00ean, c\u01a1 ch\u1ebf ti\u1ec1m n\u0103ng l\u00e0m c\u01a1 s\u1edf cho m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vaccine mRNA v\u00e0 ITP v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft. Vaccine c\u00f3 th\u1ec3 k\u00edch ho\u1ea1t kh\u1ea3 n\u0103ng t\u1ef1 mi\u1ec5n d\u1ecbch th\u00f4ng qua \u201cb\u1eaft ch\u01b0\u1edbc\u201d c\u00e1c kh\u00e1ng nguy\u00ean , g\u00e2y ra vi\u1ec7c s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 t\u1ef1 kh\u00e1ng ti\u1ec3u c\u1ea7u v\u00e0 g\u00e2y gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/p>\n

2.4. Vi\u00eam c\u01a1 tim <\/strong>– bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch sau ti\u00eam vaccine COVID 19<\/strong><\/h3>\n

T\u1ed5ng c\u1ed9ng c\u00f3 561.197 ng\u01b0\u1eddi \u1edf B\u1eafc Carolina \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u00eam vaccine t\u1eeb ng\u00e0y 01\/02 \u2013 30\/04\/2021. Sau \u0111\u00f3, Trung t\u00e2m Y t\u1ebf \u0110\u1ea1i h\u1ecdc Duke \u1edf Durham \u0111\u00e3 b\u00e1o c\u00e1o 4 tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u01a1 tim; trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n b\u1ecb \u0111au ng\u1ef1c d\u1eef d\u1ed9i v\u1edbi b\u1eb1ng ch\u1ee9ng ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc v\u1ec1 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim, v\u00e0 c\u1ea3 4 b\u1ec7nh nh\u00e2n sau \u0111\u00f3 \u0111\u1ec1u ph\u1ea3i nh\u1eadp vi\u1ec7n.<\/p>\n

Trong m\u1ed9t tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, m\u1ed9t b\u1ec7nh nh\u00e2n ng\u01b0\u1eddi Philippines \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh vi\u00eam c\u01a1 tim 3 ng\u00e0y sau khi ti\u00eam li\u1ec1u vaccine BNT162b2 mRNA th\u1ee9 hai.<\/p>\n

T\u1eeb ng\u00e0y 30\/01 \u2013 20\/02\/2021, 6 b\u1ec7nh nh\u00e2n b\u1ecb \u0111au ng\u1ef1c \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i Trung t\u00e2m Y t\u1ebfHillel Yaffe, Israel, ngay sau khi ti\u00eam v\u1eafc xin BNT162b2 mRNA. T\u1ea5t c\u1ea3 s\u00e1u b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh vi\u00eam c\u01a1 tim, v\u00e0 m\u1ed9t trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y m\u1edbi ch\u1ec9 nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec1u vaccine \u0111\u1ea7u ti\u00ean.<\/p>\n

Khi vaccine mRNA tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn h\u01a1n, ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u01a1 tim \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. T\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u1eb9 c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n trong v\u00f2ng 4-8 ng\u00e0y sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid ho\u1eb7c colchicine.<\/p>\n

Nguy c\u01a1 vi\u00eam c\u01a1 tim t\u0103ng l\u00ean trong v\u00f2ng 7 ng\u00e0y sau li\u1ec1u vaccine mRNA \u0111\u1ea7u ti\u00ean ho\u1eb7c th\u1ee9 2.<\/p>\n

Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh \u0111\u00e3 b\u00e1o c\u00e1o 2 tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u01a1 tim \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn v\u1ec1 m\u1eb7t m\u00f4 h\u1ecdc sau khi ti\u00eam vaccine mRNA COVID 19 v\u00e0o ng\u00e0y 18\/08\/2021.<\/p>\n

C\u00e1c c\u01a1 ch\u1ebf ti\u1ec1m \u1ea9n c\u1ee7a vi\u00eam c\u01a1 tim do vaccine mRNA v\u1eabn ch\u01b0a r\u00f5 r\u00e0ng. \u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o r\u1eb1ng vaccine mRNA-1273 c\u00f3 th\u1ec3 t\u1ea1o ra ph\u1ea3n \u1ee9ng m\u1ea1nh v\u1edbi Cytokine CD4 li\u00ean quan \u0111\u1ebfn t\u1ebf b\u00e0o T (Th1) tr\u1ee3 gi\u00fap lo\u1ea1i 1 v\u00e0 t\u1ebf b\u00e0o CD4 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng g\u00e2y vi\u00eam c\u01a1 tim.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>: Runyu Liu, Junbing Pan, Chunxiang Zhang, Xiaolei Sun, \u201cCardiovascular Complications of COVID-19 Vaccines\u201d, Cardiovascular Epidemiology and Prevention, <\/em>2022.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u1ec7c ti\u00eam vaccine COVID 19 \u0111ang \u0111\u01b0\u1ee3c coi l\u00e0 gi\u1ea3i ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t \u0111\u1ea1i d\u1ecbch COVID 19. Tuy nhi\u00ean, nh\u01b0 b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c hay vaccine n\u00e0o kh\u00e1c, vaccine COVID-19 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m c\u1ea3 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch. 1. […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,7,33],"tags":[],"yoast_head":"\nBi\u1ebfn ch\u1ee9ng tim m\u1ea1ch c\u1ee7a vaccine COVID 19<\/title>\n<meta name=\"description\" content=\"nh\u01b0 b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c hay vaccine n\u00e0o kh\u00e1c, vaccine COVID 19 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, bao g\u1ed3m c\u1ea3 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch.\" \/>\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=\"Bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch c\u1ee7a vaccine COVID 19\" \/>\n<meta property=\"og:description\" content=\"nh\u01b0 b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c hay vaccine 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