{"id":26555,"date":"2023-04-22T18:32:45","date_gmt":"2023-04-22T11:32:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26555"},"modified":"2023-04-22T22:52:31","modified_gmt":"2023-04-22T15:52:31","slug":"tong-quan-hinh-anh-hoc-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/","title":{"rendered":"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch"},"content":{"rendered":"

C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim. Ngo\u00e0i ra, c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong qu\u00e1 tr\u00ecnh l\u00e0m m\u1ed9t s\u1ed1 th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n c\u1ee5 th\u1ec3 (v\u00ed d\u1ee5,\u00a0can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da\u00a0trong qu\u00e1 tr\u00ecnh\u00a0th\u00f4ng tim,\u00a0tri\u1ec7t \u0111\u1ed1t b\u1eb1ng n\u0103ng l\u01b0\u1ee3ng s\u00f3ng t\u1ea7n s\u1ed1 radio\u00a0trong qu\u00e1 tr\u00ecnh\u00a0th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd tim).<\/strong><\/p>\n

    \n
  1. Si\u00eau \u00e2m doppler tim qua th\u00e0nh ng\u1ef1c<\/a><\/strong>
    \n1.1. Kh\u00e1i ni\u1ec7m<\/strong>
    \nSi\u00eau \u00e2m tim l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt th\u0103m d\u00f2 kh\u00f4ng ch\u1ea3y m\u00e1u, th\u0103m d\u00f2 h\u00ecnh th\u00e1i h\u1ecdc v\u00e0 th\u0103m d\u00f2 \u0111\u1ed9ng h\u1ecdc c\u1ee7a qu\u1ea3 tim b\u1eb1ng s\u00f3ng si\u00eau \u00e2m.
    \nM\u1ed9t \u0111\u1ea7u d\u00f2 c\u00f3 ch\u1ee9a ch\u1ea5t \u00e1p \u0111i\u1ec7n ph\u00e1t ra s\u00f3ng \u00e2m v\u1edbi t\u1ea7n s\u1ed1 t\u1eeb 2-5 MHz (lo\u1ea1i \u0111\u1ea7u d\u00f2 d\u00f9ng cho ng\u01b0\u1eddi l\u1edbn) v\u00e0 t\u1ea7n s\u1ed1 t\u1eeb 4-7 MHz (lo\u1ea1i \u0111\u1ea7u d\u00f2 d\u00f9ng cho tr\u1ebb em). Sau khi ph\u00e1t s\u00f3ng \u00e2m, \u0111\u1ea7u d\u00f2 nh\u1eadn c\u00e1c \u00e2m d\u1ed9i c\u1ee7a c\u00e1c s\u00f3ng \u00e2m n\u00e0y r\u1ed3i bi\u1ec3u hi\u1ec7n ch\u00fang th\u00e0nh c\u00e1c xung \u0111\u1ed9ng \u0111i\u1ec7n sau khi c\u00e1c xung \u0111\u1ed9ng \u0111i\u1ec7n n\u00e0y \u0111\u01b0\u1ee3c khu\u1ebfch \u0111\u1ea1i r\u1ed3i \u0111\u01b0\u1ee3c hi\u1ec3n th\u1ecb tr\u00ean m\u00e0n h\u00ecnh.
    \nTh\u0103m d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh theo 3 k\u1ef9 thu\u1eadt ch\u00ednh: si\u00eau \u00e2m m\u1ed9t b\u00ecnh di\u1ec7n, hai b\u00ecnh di\u1ec7n v\u00e0 si\u00eau \u00e2m Doppler. Ba k\u1ef9 thu\u1eadt n\u00e0y b\u1ed5 sung cho nhau v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n li\u00ean ti\u1ebfp.\"minh-hoa-hinh-anh-hoc\"<\/li>\n<\/ol>\n

    1.2. Ch\u1ec9 \u0111\u1ecbnh<\/strong>
    \nSi\u00eau \u00e2m Doppler tim \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng tim m\u1ea1ch (\u0111au ng\u1ef1c, kh\u00f3 th\u1edf, ng\u1ea5t, x\u1ec9u\u2026), ho\u1eb7c kh\u00e1m ph\u00e1t hi\u1ec7n th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u th\u1ef1c th\u1ec3 (ti\u1ebfng th\u1ed5i, ti\u1ebfng c\u1ecd\u2026), c\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n.
    \nSi\u00eau \u00e2m Doppler tim c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u1ef1a tr\u00ean b\u1ec7nh l\u00fd \u0111\u00e3 bi\u1ebft, nh\u1eb1m theo d\u00f5i ti\u1ebfn tri\u1ec3n, ti\u00ean l\u01b0\u1ee3ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb. Si\u00eau \u00e2m Doppler tim cho ph\u00e9p th\u1ef1c hi\u1ec7n 1 th\u0103m d\u00f2 huy\u1ebft \u0111\u1ed9ng kh\u00f4ng ch\u1ea3y m\u00e1u. C\u00e1c \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng c\u1ee7a k\u1ef9 thu\u1eadt n\u00e0y \u0111\u1eb7c bi\u1ec7t l\u00e0:
    \n– \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1eb9p van b\u1eb1ng c\u00e1ch \u0111o ch\u00eanh \u00e1p qua van (ch\u00eanh \u00e1p t\u1ed1i \u0111a v\u00e0 ch\u00eanh \u00e1p trung b\u00ecnh) v\u00e0 \u0111o di\u1ec7n t\u00edch l\u1ed7 van h\u1eb9p
    \n– Ph\u00e1t hi\u1ec7n v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 h\u1edf van
    \n– \u0110\u00e1nh gi\u00e1 \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i
    \n– \u0110o l\u01b0u l\u01b0\u1ee3ng tim qua c\u00e1c l\u1ed7 van
    \n– Nghi\u00ean c\u1ee9u ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i
    \n– Ph\u00e1t hi\u1ec7n c\u00e1c shunt trong tim (th\u00f4ng li\u00ean nh\u0129, th\u00f4ng li\u00ean th\u1ea5t, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch…).
    \n– Nghi\u00ean c\u1ee9u c\u00e1c lo\u1ea1i van nh\u00e2n t\u1ea1o.<\/p>\n

      \n
    1. Si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n<\/strong>
      \n2.1. Kh\u00e1i ni\u1ec7m<\/strong>
      \nSi\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n th\u0103m d\u00f2 c\u00e1c c\u1ea5u tr\u00fac c\u1ee7a tim v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn trong trung th\u1ea5t, v\u1edbi \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m Doppler \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o \u1ed1ng n\u1ed9i soi m\u1ec1m, sau \u0111\u00f3 \u0111\u1ea7u soi n\u00e0y \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o trong l\u00f2ng th\u1ef1c qu\u1ea3n- d\u1ea1 d\u00e0y.
      \n\u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n l\u00e0 do th\u1ef1c qu\u1ea3n r\u1ea5t g\u1ea7n v\u1edbi tim v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn \u1edf trong trung th\u1ea5t, n\u00ean \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m g\u1ea7n nh\u01b0 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c c\u1ea5u tr\u00fac n\u00e0y. M\u1eb7t kh\u00e1c, kh\u00f4ng c\u00f3 m\u1ed9t c\u1ea5u tr\u00fac n\u00e0o (t\u1ed5 ch\u1ee9c m\u1ee1, x\u01b0\u01a1ng, kh\u00f4ng kh\u00ed\u2026.) xen v\u00e0o gi\u1eefa \u0111\u1ea7u d\u00f2 v\u00e0 qu\u1ea3 tim \u0111\u1ec3 ng\u0103n c\u1ea3n ch\u00f9m tia si\u00eau \u00e2m; \u0111\u1ea7u d\u00f2 ch\u1ec9 c\u00e1ch th\u00e0nh sau tim b\u1edfi th\u00e0nh tr\u01b0\u1edbc th\u1ef1c qu\u1ea3n. Hi\u1ec7n nay, si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n s\u1eed d\u1ee5ng \u0111\u1ea7u d\u00f2 \u0111a b\u00ecnh di\u1ec7n c\u00f3 th\u1ec3 xoay t\u1eeb 0o<\/sup>\u0111\u1ebfn 180o<\/sup>, u\u1ed1n theo b\u1ed1n h\u01b0\u1edbng: tr\u00e1i-ph\u1ea3i, tr\u01b0\u1edbc-sau n\u00ean c\u00f3 th\u1ec3 cho ph\u00e9p th\u1ea5y \u0111\u01b0\u1ee3c g\u1ea7n h\u1ebft c\u1ea5u tr\u00fac c\u1ee7a tim v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn trong trung th\u1ea5t, trong khi si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c kh\u00f4ng th\u1ec3 th\u0103m d\u00f2 t\u1edbi \u0111\u01b0\u1ee3c.<\/li>\n<\/ol>\n

      2.2 Ch\u1ec9 \u0111\u1ecbnh<\/strong>
      \n2.2.1. C\u00e1c b\u1ec7nh van tim v\u00e0 van nh\u00e2n t\u1ea1o:
      \n– H\u1eb9p hai l\u00e1: \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1eb9p, t\u00ecnh tr\u1ea1ng van v\u00e0 t\u1ed5 ch\u1ee9c d\u01b0\u1edbi van
      \n– H\u1edf hai l\u00e1: \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1edf v\u00e0 c\u01a1 ch\u1ebf g\u00e2y h\u1edf
      \n– Van nh\u00e2n t\u1ea1o: t\u00ecnh tr\u1ea1ng h\u1edf van, huy\u1ebft kh\u1ed1i, ho\u1ea1t \u0111\u1ed9ng c\u1ee7a van\u2026
      \n– Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n: t\u00ecnh tr\u1ea1ng s\u00f9i, \u00e1p-xe, th\u1ee7ng van\u2026
      \n2.2.2. B\u1ec7nh l\u00fd \u0110MC ng\u1ef1c: t\u00e1ch th\u00e0nh \u0110MC, ph\u00ecnh \u0110MC, x\u01a1 v\u1eefa \u0110MC,\u2026.
      \n2.2.3. Huy\u1ebft kh\u1ed1i trong c\u00e1c bu\u1ed3ng tim: huy\u1ebft kh\u1ed1i nh\u0129 tr\u00e1i, ti\u1ec3u nh\u0129 tr\u00e1i, huy\u1ebft kh\u1ed1i trong \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, trong t\u0129nh m\u1ea1ch ph\u1ed5i \u2026
      \n2.2.4. C\u00e1c kh\u1ed1i u trong tim: u ti\u00ean ph\u00e1t v\u00e0 th\u1ee9 ph\u00e1t.
      \n2.2.5. B\u1ec7nh l\u00fd v\u00e1ch li\u00ean nh\u0129: Ph\u00ecnh VLN, th\u00f4ng li\u00ean nh\u0129 \u2026
      \n2.2.6. B\u1ec7nh tim b\u1ea9m sinh: T\u0129nh m\u1ea1ch ph\u1ed5i \u0111\u1ed5 l\u1ea1c ch\u1ed7, h\u1eb9p van \u0110MP, t\u1ee9 ch\u1ee9ng Fallot\u2026
      \n2.2.7. \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i.
      \n2.2.8. Theo d\u00f5i trong khi m\u1ed5: s\u1eeda van hai l\u00e1, thay van, s\u1eeda b\u1ec7nh c\u01a1 tim t\u1eafc ngh\u1ebdn\u2026.
      \n2.2.9. Trong ch\u0103m s\u00f3c t\u0103ng c\u01b0\u1eddng v\u00e0 trong th\u00f4ng tim: bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim, shock kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n (sau m\u1ed5 tim ph\u1ed5i nh\u00e2n t\u1ea1o), nong van hai l\u00e1 b\u1eb1ng b\u00f3ng qua da, b\u00edt l\u1ed7 TLN v\u00e0 \u1ed1ng \u0111\u1ed9ng m\u1ea1ch b\u1eb1ng d\u00f9\u2026.
      \n2.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:
      \n2.3.1. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i:
      \n– C\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n:
      \n+ T\u1eafc, h\u1eb9p th\u1ef1c qu\u1ea3n.
      \n+ Gi\u00e3n th\u1ef1c qu\u1ea3n, t\u00fai th\u1eeba th\u1ef1c qu\u1ea3n, kh\u1ed1i u th\u1ef1c qu\u1ea3n.
      \n+ L\u1ed7 d\u00f2, r\u00e1ch, th\u1ee7ng th\u1ef1c qu\u1ea3n
      \n+ T\u1eafc ho\u1eb7c \u0111au khi \u0111\u01b0a \u0111\u1ea7u d\u00f2 v\u00e0o th\u1ef1c qu\u1ea3n
      \n– Tia x\u1ea1 trung th\u1ea5t
      \n– B\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng c\u1ed5, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, g\u00f9 v\u1eb9o c\u1ed9t s\u1ed1ng\u2026.
      \n2.3.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i:
      \n– M\u1edbi ph\u1eabu thu\u1eadt th\u1ef1c qu\u1ea3n.
      \n– Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.
      \n– Xu\u1ea5t huy\u1ebft d\u1ea1 d\u00e0y.
      \n– Suy tim giai \u0111o\u1ea1n cu\u1ed1i
      \n– Huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.
      \n– T\u0103ng huy\u1ebft \u00e1p n\u1eb7ng ch\u01b0a \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c b\u1eb1ng thu\u1ed1c.
      \n– B\u1ec7nh nh\u00e2n m\u1edbi \u0103n no (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p t\u00e1ch th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u1ea5p)
      \n– B\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ee3p t\u00e1c, kh\u00f4ng mu\u1ed1n l\u00e0m th\u0103m d\u00f2 si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n.<\/p>\n

      3. Si\u00eau \u00e2m tim g\u1eafng s\u1ee9c<\/strong>
      \n3.1. Kh\u00e1i ni\u1ec7m<\/strong>
      \nSi\u00eau \u00e2m tim g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t th\u0103m d\u00f2 kh\u00f4ng ch\u1ea3y m\u00e1u r\u1ea5t hi\u1ec7u qu\u1ea3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, nh\u1edd v\u00e0o kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng co b\u00f3p t\u1eebng v\u00f9ng c\u1ee7a c\u01a1 tim khi g\u1eafng s\u1ee9c, t\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u00f9ng c\u1ea5p m\u00e1u c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0nh chi ph\u1ed1i.
      \nC\u00e1c nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0\u00a0NPGS th\u1ec3 l\u1ef1c tr\u00ean th\u1ea3m ch\u1ea1y, xe \u0111\u1ea1p l\u1ef1c k\u1ebf; NPGS d\u01b0\u1ee3c l\u00fd v\u1edbi dobutamin, Dipirydamol; ho\u1eb7c k\u00edch th\u00edch nh\u0129 qua th\u1ef1c qu\u1ea3n, trong bu\u1ed3ng nh\u0129.<\/p>\n

      3.2. Ch\u1ec9 \u0111\u1ecbnh<\/strong>
      \n3.2.1. B\u1ec7nh m\u1ea1ch v\u00e0nh
      \n– Ch\u1ea9n \u0111o\u00e1n thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim \u1edf b\u1ec7nh nh\u00e2n \u0111au ng\u1ef1c tr\u00ean l\u00e2m s\u00e0ng, b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ebfn \u0111\u1ed5i kh\u00f4ng r\u00f5 r\u00e0ng tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3: C\u00e1c r\u1ed1i lo\u1ea1n co b\u00f3p c\u1ee7a v\u00f9ng c\u01a1 tim t\u01b0\u01a1ng \u1ee9ng \u0111\u01b0\u1ee3c t\u01b0\u1edbi m\u00e1u xu\u1ea5t hi\u1ec7n r\u1ea5t s\u1edbm, tr\u01b0\u1edbc nh\u1eefng thay \u0111\u1ed5i tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 l\u00e2m s\u00e1ng, v\u00ec v\u1eady si\u00eau \u00e2m tim g\u1eafng s\u1ee9c c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u \u0111\u1ec1u cao h\u01a1n NPGS \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (\u0111\u1ed9 nh\u1ea1y 75 \u2013 87%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 74 \u2013 80%).
      \n– Ch\u1ea9n \u0111o\u00e1n thi\u1ebfu m\u00e1u c\u01a1 tim th\u1ea7m l\u1eb7ng \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng; b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch; do y\u00eau c\u1ea7u c\u1ee7a ngh\u1ec1 nghi\u1ec7p (l\u00e1i xe, phi c\u00f4ng\u2026); tr\u01b0\u1edbc m\u1ed9t ph\u1eabu thu\u1eadt l\u1edbn ngo\u00e0i tim.
      \n– Theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb sau nh\u1ed3i m\u00e1u c\u01a1 tim, sau nong v\u00e0 \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, sau ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh: t\u00ecnh tr\u1ea1ng c\u01a1 tim, ch\u1ee9c n\u0103ng t\u1eebng v\u00f9ng c\u01a1 tim, c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp, kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i, kh\u1ea3 n\u0103ng t\u00e1i th\u00edch nghi v\u1edbi cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y\u2026
      \n3.2.2. R\u1ed1i lo\u1ea1n nh\u1ecbp tim
      \n– Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd r\u1ed1i lo\u1ea1n nh\u1ecbp c\u00f3 li\u00ean quan \u0111\u1ebfn g\u1eafng s\u1ee9c.
      \n3.2.3. B\u1ec7nh van tim
      \n– \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 b\u1ec7nh van tim, ch\u1ee9c n\u0103ng c\u01a1 tim, nh\u1eb1m \u0111\u1ecbnh h\u01b0\u1edbng qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.
      \n3.2.4. B\u1ec7nh c\u01a1 tim
      \n– \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng c\u01a1 tim.<\/p>\n

      3.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong>
      \nCh\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a si\u00eau \u00e2m tim g\u1eafng s\u1ee9c ch\u00ednh l\u00e0 c\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/p>\n

      4. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh<\/strong>
      \n4.1. Kh\u00e1i ni\u1ec7m<\/strong>
      \nCh\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i trong th\u0103m d\u00f2 tim m\u1ea1ch nh\u1edd nh\u1eefng ti\u1ebfn b\u1ed9 k\u1ef9 thu\u1eadt cho ph\u00e9p t\u1ed1c \u0111\u1ed9 ghi h\u00ecnh nhanh h\u01a1n, v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i kh\u00f4ng gian v\u00e0 ph\u00e2n gi\u1ea3i \u0111\u1ed1i quang t\u0103ng, gi\u00fap \u0111\u00e1nh gi\u00e1 c\u1ea3 v\u1ec1 gi\u1ea3i ph\u1eabu v\u00e0 ch\u1ee9c n\u0103ng tim v\u00e0 m\u1ea1ch m\u00e1u.
      \nC\u00e1c k\u1ef9 thu\u1eadt ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh hi\u1ec7n \u0111\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng:
      \n– Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ch\u00f9m \u0111i\u1ec7n t\u1eed\u00a0(electron beam CT)<\/em>: th\u1eddi gian ph\u00e1t tia r\u1ea5t ng\u1eafn (50 \u2013 100 ms) gi\u00fap lo\u1ea1i b\u1ecf c\u00e1c t\u00e1c d\u1ee5ng nhi\u1ec5u\u00a0(artifact)<\/em>l\u00ean vi\u1ec7c ghi h\u00ecnh chuy\u1ec3n \u0111\u1ed9ng tim, v\u1edbi \u0111\u1ed9 d\u00e0y l\u1edbp c\u1eaft m\u1ecfng (10 \u2013 15mm), cho ph\u00e9p bao tr\u00f9m to\u00e0n b\u1ed9 qu\u1ea3 tim ch\u1ec9 trong v\u00f2ng 1 – 2 l\u1ea7n n\u00edn th\u1edf.
      \n– Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111a d\u00e3y\u00a0(multislide CT)<\/em>: h\u1ec7 th\u1ed1ng c\u1ea3m bi\u1ebfn \u0111i\u1ec7n t\u1eed v\u00e0 b\u00f3ng ph\u00e1t tia X quay li\u00ean t\u1ee5c v\u1edbi t\u1ed1c \u0111\u1ed9 cao, gi\u00fap nghi\u00ean c\u1ee9u ch\u00ednh x\u00e1c \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu c\u1ee7a tim v\u00e0 m\u1ea1ch m\u00e1u, \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb trong nghi\u00ean c\u1ee9u h\u00ecnh th\u00e1i \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n

      4.2. Ch\u1ec9 \u0111\u1ecbnh<\/strong>
      \n4.2.1. B\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch ch\u1ee7
      \nCh\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh c\u00f3 \u0111\u1ed9 nh\u1ea1y cao trong ch\u1ea9n \u0111o\u00e1n t\u00e1ch th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u1ea5p, v\u00e0 c\u00f3 gi\u00e1 tr\u1ecb trong ch\u1ea9n \u0111o\u00e1n, theo d\u00f5i ti\u1ebfn tri\u1ec3n b\u1ec7nh l\u00fd ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.
      \n4.2.2. B\u1ec7nh m\u1ea1ch v\u00e0nh
      \n– \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 v\u00f4i h\u00f3a m\u1ea1ch v\u00e0nh: MSCT c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1eadm \u0111\u1ed9, v\u1ecb tr\u00ed, s\u1ef1 lan r\u1ed9ng c\u1ee7a m\u1ea3ng v\u00f4i h\u00f3a \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, v\u00e0 d\u1ef1ng \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh kh\u00f4ng gian c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb v\u00f4i h\u00f3a. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y thang \u0111i\u1ec3m v\u00f4i h\u00f3a \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh cao h\u01a1n b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh theo \u0111\u1ed9 tu\u1ed5i. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thang \u0111i\u1ec3m v\u00f4i h\u00f3a nh\u01b0 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch, b\u00ean c\u1ea1nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c v\u1eabn ch\u01b0a c\u00f3 s\u1ef1 ch\u1ea5p thu\u1eadn c\u1ee7a ACC\/AHA.
      \n– Ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1eb9p l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c v\u1ecb tr\u00ed th\u00e2n chung \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc \u0111o\u1ea1n g\u1ea7n; c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u01b0\u1edbc l\u01b0\u1ee3ng m\u1ee9c \u0111\u1ed9 t\u00e1i h\u1eb9p trong l\u00f2ng stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.
      \n– Sau ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 – v\u00e0nh: \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 th\u00f4ng su\u1ed1t c\u1ee7a c\u1ea7u n\u1ed1i.
      \n– Nh\u1ed3i m\u00e1u c\u01a1 tim: t\u1ea1i v\u00f9ng nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169, th\u00e0nh tim m\u1ecfng v\u00e0 m\u1ea5t h\u00ecnh \u1ea3nh d\u00e0y l\u00ean trong th\u00ec t\u00e2m thu; CT c\u00f2n ph\u00e1t hi\u1ec7n ph\u00ecnh v\u00e1ch tim, huy\u1ebft kh\u1ed1i trong c\u00e1c bu\u1ed3ng tim.
      \n– D\u1ecb d\u1ea1ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.
      \n4.2.3. B\u1ec7nh m\u00e0ng ngo\u00e0i tim
      \n– Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh gi\u00fap ph\u00e1t hi\u1ec7n d\u1ecbch m\u00e0ng tim, c\u00e1c kh\u1ed1i u, k\u00e9n m\u00e0ng ngo\u00e0i tim; v\u00e0 \u0111\u1eb7c bi\u1ec7t gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 d\u00e0y, v\u00f4i h\u00f3a m\u00e0ng ngo\u00e0i tim trong b\u1ec7nh m\u00e0ng ngo\u00e0i tim d\u00e0y d\u00ednh co th\u1eaft.
      \n4.2.4. B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i
      \n– T\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.
      \n4.2.5. Ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t
      \n– \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t b\u1eb1ng \u0111o th\u1ec3 t\u00edch v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 th\u1ea5t, \u0111\u1ed9 d\u00e0y v\u00e1ch th\u1ea5t.
      \n4.2.6. B\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean v\u00e0 c\u00e1c \u0111\u1ed9ng m\u1ea1ch t\u1ea1ng.<\/p>\n

        \n
      1. 3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong>
        \n– D\u1ecb \u1ee9ng thu\u1ed1c c\u1ea3n quang
        \n– Suy th\u1eadn n\u1eb7ng.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim. Ngo\u00e0i ra, c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong qu\u00e1 tr\u00ecnh l\u00e0m m\u1ed9t s\u1ed1 th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n c\u1ee5 th\u1ec3 (v\u00ed d\u1ee5,\u00a0can […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nT\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim.\" \/>\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=\"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch - Vinmec\" \/>\n<meta property=\"og:description\" content=\"C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T11:32:45+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-22T15:52:31+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dopler-300x169.jpg\" \/>\n<meta name=\"author\" content=\"Dai Tran Van\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dai Tran Van\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/\",\"name\":\"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-22T11:32:45+00:00\",\"dateModified\":\"2023-04-22T15:52:31+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\",\"name\":\"Dai Tran Van\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g\",\"caption\":\"Dai Tran Van\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tranvandai2791995gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch - Vinmec","description":"C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch - Vinmec","og_description":"C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/","og_site_name":"Vinmec","article_published_time":"2023-04-22T11:32:45+00:00","article_modified_time":"2023-04-22T15:52:31+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dopler-300x169.jpg"}],"author":"Dai Tran Van","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Dai Tran Van","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/","name":"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-22T11:32:45+00:00","dateModified":"2023-04-22T15:52:31+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2"},"description":"C\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n, h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n gi\u00fap ta hi\u1ec3u \u0111\u01b0\u1ee3c c\u1ea5u tr\u00fac v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng tim.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-hinh-anh-hoc-tim-mach\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u1ed5ng quan h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2","name":"Dai Tran Van","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g","contentUrl":"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g","caption":"Dai Tran Van"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tranvandai2791995gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26555"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=26555"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26555\/revisions"}],"predecessor-version":[{"id":26868,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26555\/revisions\/26868"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=26555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=26555"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=26555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}