{"id":27634,"date":"2023-04-23T21:44:11","date_gmt":"2023-04-23T14:44:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27634"},"modified":"2023-04-23T21:44:11","modified_gmt":"2023-04-23T14:44:11","slug":"thuoc-dieu-tri-roi-loan-nhip","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/thuoc-dieu-tri-roi-loan-nhip\/","title":{"rendered":"Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp"},"content":{"rendered":"

Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb <\/span><\/span>r\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/span><\/span><\/a> c\u00f3 th\u1ec3 gi\u00fap \u1ed5n \u0111\u1ecbnh nh\u1ecbp tim, gi\u1ea3m t\u1ea7n su\u1ea5t v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 c\u01a1n nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 li\u1ec7t, suy tim ho\u1eb7c t\u1eed vong. \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim b\u1eb1ng thu\u1ed1c l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 gi\u1eef cho nh\u1ecbp tim ho\u1ea1t \u0111\u1ed9ng \u0111\u00fang c\u01a1 ch\u1ebf.<\/span><\/span><\/strong><\/p>\n

\"Thu\u1ed1c
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/span><\/span><\/figcaption><\/figure>\n

1.\u0110i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/span><\/span><\/h2>\n
    \n
  • Giai \u0111o\u1ea1n 0: Kh\u1eed c\u1ef1c nhanh – trong giai \u0111o\u1ea1n n\u00e0y, c\u00e1c k\u00eanh natri m\u1edf ra khi t\u1ebf b\u00e0o \u0111\u1ea1t \u0111\u1ebfn ng\u01b0\u1ee1ng, d\u1eabn \u0111\u1ebfn qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c nhanh c\u1ee7a t\u1ebf b\u00e0o c\u01a1 ti\u1ebfp t\u1ee5c cho \u0111\u1ebfn khi c\u1ed5ng b\u1ea5t ho\u1ea1t \u0111\u00f3ng l\u1ea1i, do \u0111\u00f3 lo\u1ea1i b\u1ecf natri \u0111\u01b0\u1eddng d\u1eabn.<\/span><\/span><\/li>\n
  • Giai \u0111o\u1ea1n 1: T\u00e1i c\u1ef1c s\u1edbm – c\u00e1c k\u00eanh kali m\u1edf ra, g\u00e2y ra c\u00e1c d\u00f2ng ch\u1ea3y kali tho\u00e1ng qua b\u00ean ngo\u00e0i. <\/span>S\u1ef1 k\u1ebft th\u00fac c\u1ee7a giai \u0111o\u1ea1n 1 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa d\u00f2ng canxi v\u00e0 d\u00f2ng kali, d\u1eabn \u0111\u1ebfn giai \u0111o\u1ea1n b\u00ecnh nguy\u00ean.<\/span><\/span><\/li>\n
  • Giai \u0111o\u1ea1n 2: Cao nguy\u00ean – bao g\u1ed3m s\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa d\u00f2ng canxi v\u00e0 d\u00f2ng kali, g\u00e2y ra s\u1ef1 gi\u1ea3m thi\u1ec3u c\u1ee7a d\u00f2ng kali v\u00e0 s\u1ef1 t\u0103ng tr\u01b0\u1edfng c\u1ee7a d\u00f2ng canxi, duy tr\u00ec t\u1ebf b\u00e0o \u1edf tr\u1ea1ng th\u00e1i c\u1ea3m nh\u1eadn m\u1ed9t c\u00e1ch \u1ed5n \u0111\u1ecbnh.<\/span><\/span><\/li>\n
  • Giai \u0111o\u1ea1n 3: T\u00e1i c\u1ef1c m\u1ecdc – c\u00e1c k\u00eanh kali \u0111\u00f3ng l\u1ea1i, d\u00f2ng canxi ti\u1ebfp t\u1ee5c ch\u1ea3y ra ngo\u00e0i t\u1ebf b\u00e0o, d\u1eabn \u0111\u1ebfn qu\u00e1 tr\u00ecnh t\u00e1i c\u1ef1c m\u1ecdc.<\/span><\/span><\/li>\n
  • Giai \u0111o\u1ea1n 4: Ti\u1ec1m n\u0103ng ngo\u1ea1i b\u00e0o – \u0111\u00e2y l\u00e0 giai \u0111o\u1ea1n t\u1ebf b\u00e0o tr\u1edf l\u1ea1i tr\u1ea1ng th\u00e1i kh\u1edfi \u0111\u1ed9ng, v\u1edbi d\u00f2ng ion natri v\u00e0 kali b\u00ean ngo\u00e0i v\u00e0 b\u00ean trong t\u1ebf b\u00e0o t\u01b0\u01a1ng \u1ee9ng, t\u1ea1o ra m\u1ed9t ti\u1ec1m n\u0103ng ngo\u1ea1i b\u00e0o.<\/span><\/span><\/li>\n<\/ul>\n

    R\u1ed1i lo\u1ea1n nh\u1ecbp tim l\u00e0 m\u1ed9t tr\u1ea1ng th\u00e1i m\u00e0 nh\u1ecbp tim c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u00fang nh\u01b0 nh\u1ecbp tim b\u00ecnh th\u01b0\u1eddng. <\/span>Tim l\u00e0 m\u1ed9t c\u01a1 quan quan tr\u1ecdng trong c\u01a1 th\u1ec3 c\u1ee7a ch\u00fang ta, ch\u1eafc ch\u1eafn nh\u1eadn vai tr\u00f2 truy\u1ec1n m\u00e1u v\u00e0 cung c\u1ea5p oxy v\u00e0 dinh d\u01b0\u1ee1ng cho to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. <\/span>Nh\u1ecbp tim b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh b\u1edfi h\u1ec7 th\u1ed1ng \u0111i\u1ec7n tim, bao g\u1ed3m c\u00e1c t\u1ebf b\u00e0o \u0111i\u1ec7n d\u1eabn trong th\u1eddi gian. <\/span>Khi nh\u1eefng chi\u1ebfc \u00e1o kho\u00e1c t\u1ebf b\u00e0o n\u00e0y ho\u1ea1t \u0111\u1ed9ng \u0111\u00fang nh\u01b0 c\u01a1 ch\u1ebf, nh\u1ecbp tim \u0111\u1ec1u s\u1ebd \u0111\u1eadp m\u1ea1nh v\u00e0 ch\u1eafc ch\u1eafn, m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c b\u01a1m \u0111\u1ebfn c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 h\u00ecnh trong c\u01a1 th\u1ec3.<\/span><\/span><\/p>\n

    Tuy nhi\u00ean, khi h\u1ec7 th\u1ed1ng \u0111i\u1ec7n tim g\u1eb7p s\u1ef1 c\u1ed1, nh\u1ecbp tim c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m ho\u1eb7c t\u0103ng t\u1ed1c \u0111\u1ed9, g\u00e2y ra r\u1ed1i lo\u1ea1n nh\u1ecbp tim. <\/span>C\u00e1c lo\u1ea1i r\u1ed1i lo\u1ea1n nh\u1ecbp tim ph\u1ed5 bi\u1ebfn bao g\u1ed3m nh\u1ecbp tim nhanh (nh\u1ecbp tim nhanh), nh\u1ecbp tim ch\u1eadm (nh\u1ecbp tim ch\u1eadm), nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u (lo\u1ea1n nh\u1ecbp tim) v\u00e0 nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng (nh\u1ecbp \u0111\u1eadp s\u1edbm).<\/span><\/span><\/p>\n

    Nh\u1eefng t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c c\u1ee7a r\u1ed1i lo\u1ea1n nh\u1ecbp tim \u0111\u1ebfn s\u1ee9c kh\u1ecfe l\u00e0 r\u1ea5t nhi\u1ec1u. <\/span>R\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ng\u1ef1c, kh\u00f3 th\u1edf, ch\u00f3ng m\u1eb7t, hoa m\u1eaft v\u00e0 th\u1eadm ch\u00ed l\u00e0 cho\u00e1ng v\u00e1ng. <\/span>N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0o th\u1eddi \u0111i\u1ec3m nghi\u00eam tr\u1ecdng, r\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 \u0111\u1ed9t qu\u1ef5, suy tim ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 t\u1eed vong.<\/span><\/span><\/p>\n

    Do \u0111\u00f3, vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/span><\/p>\n

    2. Nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/span><\/span><\/h2>\n

    C\u00f3 nhi\u1ec1u nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim, ch\u1ee7 y\u1ebfu l\u00e0:<\/span><\/span><\/p>\n

    Nh\u00f3m I<\/span><\/span><\/strong><\/p>\n

      \n
    • Nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh natri (Class I): Bao g\u1ed3m c\u00e1c thu\u1ed1c quinidine, procainamide, disopyramide, lidocaine, flecainide, propafenone. <\/span>Nh\u00f3m thu\u1ed1c n\u00e0y \u1ee9c ch\u1ebf k\u00eanh natri v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u trong th\u1eddi gian, gi\u00fap ki\u1ec3m so\u00e1t nh\u1ecbp tim.<\/span><\/span><\/li>\n
    • Nh\u00f3m thu\u1ed1c k\u00edch th\u00edch k\u00eanh kali (Class IB): Bao g\u1ed3m c\u00e1c thu\u1ed1c lidocaine, mexiletine, phenytoin. <\/span>Nh\u00f3m thu\u1ed1c n\u00e0y k\u00edch th\u00edch c\u00e1c k\u00eanh kali v\u00e0 gi\u1ea3m \u0111\u1ed9 d\u1eabn \u0111i\u1ec7n c\u1ee7a th\u1ea5t b\u1ea1i, gi\u00fap ki\u1ec3m so\u00e1t nh\u1ecbp \u0111\u1ed9.<\/span><\/span><\/li>\n
    • Nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh natri v\u00e0 kali (Class IC): Bao g\u1ed3m c\u00e1c thu\u1ed1c flecainide, propafenone. <\/span>Nh\u00f3m thu\u1ed1c n\u00e0y \u1ee9c ch\u1ebf c\u1ea3 k\u00eanh natri v\u00e0 kali v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i chu k\u1ef3 t\u00e1i \u0111i\u1ec1u h\u00f2a, gi\u00fap ki\u1ec3m so\u00e1t nh\u1ecbp \u0111\u1ed9.<\/span><\/span><\/li>\n<\/ul>\n

      Nh\u00f3m II<\/span><\/span><\/strong><\/p>\n

        \n
      • Nh\u00f3m thu\u1ed1c ch\u1eb9n beta (Beta-blockers): Bao g\u1ed3m c\u00e1c thu\u1ed1c propranolol, metoprolol, bisoprolol, carvedilol. <\/span>Nh\u00f3m thu\u1ed1c n\u00e0y ch\u1eb9n c\u00e1c ch\u1ea5t th\u1ee5 th\u1ec3 beta-adrenergic trong tim v\u00e0 gi\u1ea3m t\u1ea7n s\u1ed1, gi\u00fap ki\u1ec3m so\u00e1t r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/span><\/span><\/li>\n<\/ul>\n

        Nh\u00f3m III<\/span><\/span><\/strong><\/p>\n

          \n
        • Nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh kali (Class III): Bao g\u1ed3m c\u00e1c thu\u1ed1c amiodarone, sotalol, dofetilide, ibutilide. <\/span>Nh\u00f3m thu\u1ed1c n\u00e0y \u1ee9c ch\u1ebf c\u00e1c k\u00eanh kali v\u00e0 k\u00e9o d\u00e0i chu k\u1ef3 t\u00e1i \u0111i\u1ec1u h\u00f2a, gi\u00fap ki\u1ec3m so\u00e1t r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/span><\/span><\/li>\n<\/ul>\n

          Nh\u00f3m IV<\/span><\/span><\/strong><\/p>\n

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          • Nh\u00f3m thu\u1ed1c ch\u1eb9n k\u00eanh canxi (Canxi-channel blockers): Bao g\u1ed3m c\u00e1c thu\u1ed1c verapamil, diltiazem. <\/span>Nh\u00f3m thu\u1ed1c n\u00e0y ch\u1eb9n c\u00e1c k\u00eanh canxi trong t\u1ebf b\u00e0o c\u01a1 tim v\u00e0 gi\u1ea3m t\u1ea7n s\u1ed1, gi\u00fap ki\u1ec3m so\u00e1t r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/span><\/span><\/li>\n<\/ul>\n

            3. Theo d\u00f5i v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c nh\u00f3m thu\u1ed1c<\/span><\/span><\/h2>\n

            Nh\u00f3m IA (nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh natri): C\u1ea7n thu\u1ed1c n\u1ebfu QTc k\u00e9o d\u00e0i qu\u00e1 25% so v\u1edbi tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb ho\u1eb7c QRS k\u00e9o d\u00e0i qu\u00e1 50% so v\u1edbi tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb.<\/span><\/span><\/p>\n

            Nh\u00f3m IB (nh\u00f3m thu\u1ed1c k\u00edch th\u00edch k\u00eanh kali): C\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 gi\u1eadt, l\u00fa l\u1eabn, \u0111\u1edd \u0111\u1eabn, tho\u00e1ng th\u1edf. <\/span>N\u1ebfu thu\u1ed1c b\u00f4i, tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng h\u1ebft nhanh sau \u0111\u00f3, tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u1ea7n \u0111\u1ebfn seduxen 10mg ti\u00eam t\u0129nh m\u1ea1ch. <\/span>C\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y trong b\u1ec7nh nh\u00e2n suy tim tr\u00e1i v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u01a1n cu\u1ed3ng lo\u1ea1n nh\u1ecbp tim nh\u01b0 li\u00ean xoang, phong b\u1ebf ph\u1ebf qu\u1ea3n ho\u1eb7c t\u0103ng \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ebf qu\u1ea3n.<\/span><\/span><\/p>\n

            Nh\u00f3m IC (nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh natri): C\u1ea7n t\u1eaft thu\u1ed1c n\u1ebfu PR v\u00e0 QRS k\u00e9o d\u00e0i qu\u00e1 50% so v\u1edbi tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, PR > 0,3 gi\u00e2y ho\u1eb7c QRS > 0,2 gi\u00e2y. <\/span>N\u00ean th\u1eadn tr\u1ecdng khi d\u00f9ng thu\u1ed1c n\u00e0y v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 phong 2 nh\u00e1nh b\u00f3 His, phong ph\u1ebf qu\u1ea3n c\u1ea5p II, c\u1ea5p III.<\/span><\/span><\/p>\n

            Nh\u00f3m II (nh\u00f3m thu\u1ed1c ch\u1eb9n beta): C\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 r\u1ed1i lo\u1ea1n nh\u1ecbp, \u0111au th\u1eaft l\u01b0ng khi thu\u1ed1c xung \u0111\u1ed9t, che l\u1ea5p tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. <\/span>Kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y cho b\u1ec7nh nh\u00e2n hen ph\u1ebf qu\u1ea3n, COPD, vi\u00eam m\u0169i d\u1ecb \u1ee9ng. <\/span>N\u1ebfu thu\u1ed1c im l\u1eb7ng, c\u00f3 th\u1ec3 th\u1ea5y bu\u1ed3n n\u00f4n, say n\u1eafng, tr\u1ea7m c\u1ea3m, t\u00ea b\u00ec.<\/span><\/span><\/p>\n

            Nh\u00f3m III (nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh kali): C\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 l\u1eafng \u0111\u1ecdng \u1edf gi\u00e1c m\u1ea1c, nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, thi\u1ec3u n\u0103ng gi\u00e1p ho\u1eb7c c\u01b0\u1eddng gi\u00e1p, x\u01a1 nang. <\/span>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nh\u1ecbp ch\u1eadm, PQ, QRS, QT k\u00e9o d\u00e0i v\u00e0 t\u0103ng GOT, GPT t\u1ea1m th\u1eddi.<\/span><\/span><\/p>\n

            Nh\u00f3m IV (nh\u00f3m thu\u1ed1c ch\u1eb9n k\u00eanh canxi): C\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 nh\u1ecbp ch\u1eadm, phong b\u1ebf, v\u00f4 t\u00e2m thu. <\/span>N\u00ean th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng WPW v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra ngo\u1ea1i t\u00e2m thu th\u1ea5t t\u1ea1m th\u1eddi sau khi c\u1eaft c\u01a1n nh\u1ecbp tim nhanh tr\u00ean th\u1ea5t b\u1ea1i. <\/span>Thu\u1ed1c n\u00e0y c\u0169ng \u0111\u1ed9c v\u1edbi gan v\u00e0 c\u00f3 th\u1ec3 h\u1ea1 HA.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

            Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u00f3 th\u1ec3 gi\u00fap \u1ed5n \u0111\u1ecbnh nh\u1ecbp tim, gi\u1ea3m t\u1ea7n su\u1ea5t v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 c\u01a1n nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 li\u1ec7t, suy tim ho\u1eb7c t\u1eed vong. \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim b\u1eb1ng thu\u1ed1c l\u00e0 m\u1ed9t trong nh\u1eefng […]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nThu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp - Vinmec<\/title>\n<meta name=\"description\" content=\"Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp c\u00f3 th\u1ec3 gi\u00fap \u1ed5n \u0111\u1ecbnh nh\u1ecbp tim, gi\u1ea3m t\u1ea7n su\u1ea5t v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 c\u00e1c c\u01a1n nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng.\" \/>\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=\"Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp - 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