{"id":26568,"date":"2023-04-22T18:31:22","date_gmt":"2023-04-22T11:31:22","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26568"},"modified":"2023-04-22T18:32:31","modified_gmt":"2023-04-22T11:32:31","slug":"tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch"},"content":{"rendered":"

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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, can 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

1. X\u1ea1 h\u00ecnh ph\u00f3ng x\u1ea1 t\u01b0\u1edbi m\u00e1u c\u01a1 tim<\/h2>\n

1.1. Kh\u00e1i ni\u1ec7m<\/strong>
\nPh\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i trong tim m\u1ea1ch, nh\u1eb1m m\u1ee5c \u0111\u00edch \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u01b0\u1edbi m\u00e1u v\u00e0 kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n c\u1ee7a c\u01a1 tim, x\u00e1c \u0111\u1ecbnh lu\u1ed3ng th\u00f4ng trong tim, \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim khi ngh\u1ec9, trong v\u00e0 sau g\u1eafng s\u1ee9c.
\nNguy\u00ean l\u00fd chung c\u1ee7a ghi h\u00ecnh tim b\u1eb1ng \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 l\u00e0 s\u1eed d\u1ee5ng m\u1ed9t m\u00e1y ghi gamma ch\u1ee5p l\u1ea1i h\u00ecnh \u1ea3nh c\u00e1c t\u00edn hi\u1ec7u ph\u00e1t x\u1ea1 sinh ra do qu\u00e1 tr\u00ecnh ph\u00e2n r\u00e3 c\u00e1c ch\u1ea5t \u0111\u00e1nh d\u1ea5u ph\u00f3ng x\u1ea1. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ph\u00e1t x\u1ea1 v\u1edbi photon \u0111\u01a1n (SPECT: single photon emission computed tomography) s\u1eed d\u1ee5ng ch\u1ea5t \u0111\u00e1nh d\u1ea5u Technitium 99m c\u00f3 \u0111\u1ed9 nh\u1ea1y l\u00ean t\u1edbi 90% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 75% trong ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/p>\n

1.2. Ch\u1ec9 \u0111\u1ecbnh<\/strong>
\n1.2.1. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9
\n– Ti\u1ec1n s\u1eed \u0111au ng\u1ef1c \u1ed5n \u0111\u1ecbnh, \u0111au ng\u1ef1c kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, \u0111au ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh.
\n– Bi\u1ebfn \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00fac ngh\u1ec9.
\n– NPGS \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 th\u00f4ng th\u01b0\u1eddng c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u01b0\u01a1ng t\u00ednh gi\u1ea3, ho\u1eb7c kh\u00f4ng ph\u00e2n t\u00edch \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 g\u1eafng s\u1ee9c: bloc nh\u00e1nh tr\u00e1i, h\u1ed9i ch\u1ee9ng WPW, c\u1ea5y m\u00e1y t\u1ea1o nh\u1ecbp tim, s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0 Digitalis, thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim nh\u00f3m I, b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i.
\n1.2.2. C\u1ea7n \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng tr\u00ean b\u1ec7nh nh\u00e2n h\u1eb9p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 bi\u1ebft (h\u1eb9p 40 \u2013 70%).
\n1.2.3. \u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 t\u00e1i t\u01b0\u1edbi m\u00e1u sau can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ho\u1eb7c ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh.
\n1.2.4. \u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n c\u1ee7a c\u01a1 tim \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim.
\n1.2.5. Ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh ph\u1ea3i ch\u1ecbu c\u00e1c ph\u1eabu thu\u1eadt ngo\u00e0i tim m\u1ea1ch.<\/p>\n

1.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong>
\nNgo\u00e0i c\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nh\u01b0 trong c\u00e1c th\u0103m d\u00f2 g\u1eafng s\u1ee9c tim m\u1ea1ch, b\u1ec7nh nh\u00e2n ch\u1ee5p x\u1ea1 h\u00ecnh ph\u00f3ng x\u1ea1 c\u01a1 tim tu\u00e2n theo c\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ri\u00eang c\u1ee7a y h\u1ecdc h\u1ea1t nh\u00e2n:
\n– \u0110i\u1ec1u tr\u1ecb Iot ph\u00f3ng x\u1ea1 131 trong v\u00f2ng 12 tu\u1ea7n.
\n– \u0110\u00e3 \u0111\u01b0\u1ee3c l\u00e0m c\u00e1c th\u0103m d\u00f2 v\u1edbi Technitium 99m (\u1edf x\u01b0\u01a1ng, ph\u1ed5i, gan\u2026) trong v\u00f2ng 48 gi\u1edd; ch\u1ee5p c\u1eaft l\u1edbp v\u1edbi Indium 11, gallium 68 trong v\u00f2ng 30 ng\u00e0y.
\n– D\u1ecb \u1ee9ng v\u1edbi dipyridamole, aminophylline; hen ph\u1ebf qu\u1ea3n; \u0111ang \u0111i\u1ec1u tr\u1ecb theophyline (ph\u1ea3i ng\u1eebng t\u1ed1i thi\u1ec3u tr\u01b0\u1edbc 36 gi\u1edd).
\n– M\u1edbi \u0103n (trong v\u00f2ng 4 gi\u1edd), ho\u1eb7c s\u1eed d\u1ee5ng ch\u1ea5t k\u00edch th\u00edch nh\u01b0 c\u00e0 ph\u00ea.<\/p>\n

2. Ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 Positron (Positron emission tomography scanning)<\/strong><\/h2>\n

2.1. Kh\u00e1i ni\u1ec7m<\/strong>
\nCh\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 positron<\/a> l\u00e0 m\u1ed9t th\u0103m d\u00f2 y h\u1ecdc h\u1ea1t nh\u00e2n, s\u1eed d\u1ee5ng nh\u00e2n nguy\u00ean t\u1eed c\u00f3 th\u1eddi gian ph\u00e2n r\u00e3 ng\u1eafn g\u1eafn v\u00e0o ch\u1ea5t \u0111\u00e1nh d\u1ea5u ph\u00f3ng x\u1ea1 (Amonia g\u1eafn Nitrogen 13, Oxygen 15, Rubidium 82). Trong nh\u00e2n nguy\u00ean t\u1eed, proton ch\u1ecbu s\u1ef1 ph\u00e2n r\u00e3 t\u1ef1 nhi\u00ean th\u00e0nh neutron, neutrino v\u00e0 positron. Do va ch\u1ea1m v\u1edbi m\u00f4 l\u00e2n c\u1eadn, positron t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c electron, gi\u1ea3i ph\u00f3ng ra c\u00e1c h\u1ea1t b\u1ee9c x\u1ea1 gamma (photon), v\u00e0 \u0111\u01b0\u1ee3c c\u00e1c camera gamma c\u1ee7a m\u00e1y ch\u1ee5p c\u1eaft l\u1edbp PET thu l\u1ea1i. V\u1edbi m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c positron ph\u00e1t x\u1ea1, k\u1ef9 thu\u1eadt PET c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u1ec3n h\u00f3a t\u1eebng v\u00f9ng c\u1ee7a c\u01a1 tim.<\/p>\n

\"minh-hoa-xa-hinh-tim\"<\/p>\n

2.2. Ch\u1ec9 \u0111\u1ecbnh l\u00e2m s\u00e0ng<\/strong>
\nCh\u1ec9 \u0111\u1ecbnh ch\u00ednh c\u1ee7a k\u1ef9 thu\u1eadt PET l\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng s\u1ed1ng c\u00f2n c\u1ee7a c\u01a1 tim sau nh\u1ed3i m\u00e1u c\u01a1 tim \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9c n\u0103ng tim suy gi\u1ea3m. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y PET c\u00f3 \u0111\u1ed9 nh\u1ea1y r\u1ea5t cao ph\u00e1t hi\u1ec7n v\u00f9ng c\u01a1 tim thi\u1ebfu m\u00e1u v\u00e0 c\u00f3 gi\u00e1 tr\u1ecb d\u1ef1 b\u00e1o m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng co b\u00f3p t\u1eebng v\u00f9ng v\u00e0 to\u00e0n b\u1ed9 c\u1ee7a c\u01a1 tim sau t\u00e1i t\u01b0\u1edbi m\u00e1u.
\nDo kh\u1ea3 n\u0103ng \u0111o \u0111\u01b0\u1ee3c s\u1ef1 thu n\u1ea1p v\u00e0 \u0111\u1ed9ng h\u1ecdc c\u1ee7a c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a \u1edf t\u1eebng v\u00f9ng c\u01a1 tim, ch\u1ee5p c\u1eaft l\u1edbp PET \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nghi\u00ean c\u1ee9u v\u1ec1 l\u01b0u l\u01b0\u1ee3ng vi tu\u1ea7n ho\u00e0n, c\u00e1c d\u1ea1ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a chuy\u1ec3n h\u00f3a t\u1ebf b\u00e0o c\u01a1 tim, n\u0103ng l\u01b0\u1ee3ng h\u1ecdc c\u01a1 tim trong c\u00e1c b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i, b\u1ec7nh c\u01a1 tim gi\u00e3n, h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a \u2026<\/p>\n

3. Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb h\u1ea1t nh\u00e2n<\/strong><\/h2>\n

3.1. Kh\u00e1i ni\u1ec7m<\/strong>
\nC\u1ed9ng h\u01b0\u1edfng t\u1eeb h\u1ea1t nh\u00e2n kh\u00f4ng s\u1eed d\u1ee5ng b\u1ee9c x\u1ea1 ion h\u00f3a hay thu\u1ed1c c\u1ea3n quang \u0111\u1ec3 d\u1ef1ng h\u00ecnh tim m\u1ea1ch, m\u00e0 h\u00ecnh \u1ea3nh thu \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean s\u1ef1 khai th\u00e1c t\u1eeb t\u00ednh c\u1ee7a c\u00e1c nh\u00e2n nguy\u00ean t\u1eed. C\u00e1c proton (H+<\/sup>) c\u00f3 r\u1ea5t nhi\u1ec1u trong c\u01a1 th\u1ec3, khi \u0111\u1eb7t trong m\u1ed9t t\u1eeb tr\u01b0\u1eddng m\u1ea1nh, v\u00e0 k\u00edch th\u00edch b\u1edfi s\u00f3ng xung radio \u1edf t\u1ea7n s\u1ed1 nh\u1ea5t \u0111\u1ecbnh s\u1ebd ph\u00e1t ra t\u00edn hi\u1ec7u. C\u00e1c t\u00edn hi\u1ec7u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o: m\u1eadt \u0111\u1ed9 c\u00e1c proton, th\u1eddi gian th\u01b0 gi\u00e3n d\u1ecdc (T1), th\u1eddi gian th\u01b0 gi\u00e3n ngang (T2), c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a t\u1eeb tr\u01b0\u1eddng ho\u1eb7c d\u00f2ng ch\u1ea3y.
\nPh\u1ee5 thu\u1ed9c v\u00e0o ch\u1ec9 \u0111\u1ecbnh th\u0103m d\u00f2 tim m\u1ea1ch, m\u00e0 s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt c\u1ed9ng h\u01b0\u1edfng t\u1eeb kh\u00e1c nhau:
\n– H\u00ecnh \u1ea3nh chu\u1ed7i xung proton ph\u1ea3n h\u1ed3i\u00a0(spin echo)<\/em>: \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u1ec1 h\u00ecnh th\u00e1i gi\u1ea3i ph\u1eabu tim m\u1ea1ch.
\n– H\u00ecnh \u1ea3nh \u0111\u1ed9 ch\u00eanh ph\u1ea3n h\u1ed3i\u00a0(gradient echo)<\/em>: \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong th\u0103m d\u00f2 huy\u1ebft \u0111\u1ed9ng nh\u01b0 \u0111\u00e1nh gi\u00e1 lu\u1ed3ng th\u00f4ng trong (ngo\u00e0i) tim, m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng van tim, ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i, th\u1ea5t ph\u1ea3i\u2026<\/p>\n

3.2. Ch\u1ec9 \u0111\u1ecbnh<\/strong>
\n3.2.1. B\u1ec7nh tim b\u1ea9m sinh: Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111\u00e1nh gi\u00e1 c\u1ea3 nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 huy\u1ebft \u0111\u1ed9ng trong c\u00e1c b\u1ec7nh l\u00fd b\u1ea9m sinh ph\u1ee9c t\u1ea1p c\u1ee7a tim v\u00e0 m\u1ea1ch m\u00e1u l\u1edbn.
\n– D\u1ecb d\u1ea1ng quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.
\n– D\u1ecb d\u1ea1ng \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, teo t\u1ecbt \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.
\n– T\u1ed5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p \u1edf tim: t\u00e2m th\u1ea5t chung, th\u00f4ng s\u00e0n nh\u0129 th\u1ea5t\u2026
\n– \u0110\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i sau c\u00e1c ph\u1eabu thu\u1eadt Fontan, Rastelli\u2026
\n3.2.2. Nghi\u00ean c\u1ee9u ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t: th\u1ec3 t\u00edch, kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 th\u1ea5t, ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, th\u1ea5t ph\u1ea3i; \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi (nh\u01b0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng t\u1ebf b\u00e0o g\u1ed1c).
\n3.2.3. B\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9
\n– \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u01b0\u1edbi m\u00e1u t\u1eebng v\u00f9ng c\u01a1 tim: s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt ch\u1ee5p cin\u00e9 MRI v\u00e0 ch\u1ea5t \u0111\u1ed1i quang gadolinium.
\n– C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim: ph\u00ecnh, gi\u1ea3 ph\u00ecnh v\u00e1ch tim; huy\u1ebft kh\u1ed1i trong bu\u1ed3ng tim.
\n3.2.4. Kh\u1ed1i u trong tim, c\u1ea1nh tim; B\u1ec7nh m\u00e0ng ngo\u00e0i tim; vi\u00eam c\u01a1 tim c\u1ea5p.
\n3.2.5. B\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch ch\u1ee7
\n– Ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, vi\u00eam \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, b\u1ec7nh Marfan, huy\u1ebft kh\u1ed1i th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.
\n3.2.6. B\u1ec7nh c\u01a1 tim: c\u00e1c th\u1ec3 b\u1ec7nh v\u00e0 bi\u1ebfn \u0111\u1ed5i v\u1ec1 huy\u1ebft \u0111\u1ed9ng c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i; lo\u1ea1n s\u1ea3n th\u1ea5t ph\u1ea3i.
\n3.2.7. B\u1ec7nh m\u1ea1ch m\u00e1u: H\u1eb9p, t\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong v\u00e0 ngo\u00e0i s\u1ecd; d\u1ecb d\u1ea1ng b\u1ea9m sinh m\u1ea1ch m\u00e1u; b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi.<\/p>\n

3.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong>
\n– B\u1ec7nh nh\u00e2n \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp tim v\u0129nh vi\u1ec5n, ho\u1eb7c m\u00e1y kh\u1eed rung t\u1ef1 \u0111\u1ed9ng (ICD).
\n– B\u1ec7nh nh\u00e2n \u0111\u1eb7t k\u1eb9p (clip) \u0111\u1ed9ng m\u1ea1ch n\u00e3o \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch n\u00e3o.
\n– B\u1ec7nh nh\u00e2n c\u1ea5y m\u00e1y tr\u1ee3 th\u00ednh.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o:\u00a0 <\/strong>H\u1ed9i tim m\u1ea1ch Vi\u1ec7t Nam<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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, […]<\/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 v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch - Vinmec<\/title>\n<meta name=\"description\" content=\"\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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 v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch - Vinmec\" \/>\n<meta property=\"og:description\" content=\"\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T11:31:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-22T11:32:31+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/PET_hero-300x116.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=\"6 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-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/\",\"name\":\"T\u1ed5ng quan v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-22T11:31:22+00:00\",\"dateModified\":\"2023-04-22T11:32:31+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u1ed5ng quan v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\",\"name\":\"Dai Tran Van\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/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 v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch - Vinmec","description":"\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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 v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch - Vinmec","og_description":"\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/","og_site_name":"Vinmec","article_published_time":"2023-04-22T11:31:22+00:00","article_modified_time":"2023-04-22T11:32:31+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/PET_hero-300x116.jpg"}],"author":"Dai Tran Van","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Dai Tran Van","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/","name":"T\u1ed5ng quan v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-22T11:31:22+00:00","dateModified":"2023-04-22T11:32:31+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2"},"description":"\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng x\u00e2m l\u1ea5n, x\u1ea1 h\u00ecnh tim 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-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tong-quan-ve-xa-hinh-tim-va-chup-cat-lop-phat-xa-tim-mach\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u1ed5ng quan v\u1ec1 x\u1ea1 h\u00ecnh tim v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp ph\u00e1t x\u1ea1 tim m\u1ea1ch"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2","name":"Dai Tran Van","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/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\/26568"}],"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=26568"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26568\/revisions"}],"predecessor-version":[{"id":26842,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26568\/revisions\/26842"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=26568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=26568"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=26568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}