{"id":29059,"date":"2023-04-29T18:20:24","date_gmt":"2023-04-29T11:20:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29059"},"modified":"2023-04-29T18:20:24","modified_gmt":"2023-04-29T11:20:24","slug":"xa-hinh-tuoi-mau-co-tim","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/","title":{"rendered":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim"},"content":{"rendered":"

X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim<\/a> trong tr\u01b0\u1eddng h\u1ee3p h\u1eb9p m\u1ea1ch v\u00e0nh c\u00f3 d\u00f2ng ch\u1ea3y gi\u1edbi h\u1ea1n, t\u01b0\u1edbi m\u00e1u c\u01a1 tim khi ngh\u1ec9 th\u01b0\u1eddng v\u0201n b\u00ecnh th\u01b0\u1eddng do gi\u00e3n \u0111\u1ed9ng m\u1ea1ch. Khi g\u1eafng s\u1ee9c, c\u00f3 \u00edt d\u1ef1 tr\u1eef ch\u1ea5t gi\u00e3n m\u1ea1ch, v\u00e0 t\u01b0\u1edbi m\u00e1u h\u1ea1 l\u01b0u s\u1ebd th\u1ea5p h\u01a1n so v\u1edbi h\u1ea1 l\u01b0u c\u1ee7a m\u1ea1ch m\u00e1u kh\u00f4ng b\u1ecb t\u1eafc ngh\u1ebdn.<\/strong><\/p>\n

\"X\u1ea1<\/p>\n

X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim<\/strong><\/p>\n

1.T\u1ed5ng quan<\/h2>\n

Trong tr\u01b0\u1eddng h\u1ee3p h\u1eb9p m\u1ea1ch v\u00e0nh c\u00f3 d\u00f2ng ch\u1ea3y gi\u1edbi h\u1ea1n, t\u01b0\u1edbi m\u00e1u c\u01a1 tim khi ngh\u1ec9 th\u01b0\u1eddng v\u0201n b\u00ecnh th\u01b0\u1eddng do gi\u00e3n \u0111\u1ed9ng m\u1ea1ch. Khi g\u1eafng s\u1ee9c, c\u00f3 \u00edt d\u1ef1 tr\u1eef ch\u1ea5t gi\u00e3n m\u1ea1ch, v\u00e0 t\u01b0\u1edbi m\u00e1u h\u1ea1 l\u01b0u s\u1ebd th\u1ea5p h\u01a1n so v\u1edbi h\u1ea1 l\u01b0u c\u1ee7a m\u1ea1ch m\u00e1u kh\u00f4ng b\u1ecb t\u1eafc ngh\u1ebdn.<\/p>\n

Trong nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c, s\u1eed d\u1ee5ng m\u1ed9t ch\u1ea5t \u0111\u00e1nh d\u1ea5u t\u01b0\u1edbi m\u00e1u ph\u00f3ng x\u1ea1, ch\u1ea5t n\u00e0y \u0111\u01b0\u1ee3c b\u1eaft gi\u1eef b\u1edfi c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim, m\u1ee9c \u0111\u1ed9 t\u00f9y thu\u1ed9c l\u01b0u l\u01b0\u1ee3ng m\u00e1u.<\/p>\n

H\u00ecnh \u1ea3nh SPECT sau \u0111\u00f3 \u0111\u01b0\u1ee3c ghi l\u1ea1i v\u00e0 s\u1ef1 ph\u00e2n ph\u1ed1i h\u1ea1t nh\u00e2n ph\u00f3ng x\u1ea1 ph\u1ea3n \u00e1nh kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n v\u00e0 t\u01b0\u1edbi m\u00e1u t\u1ea1i th\u1eddi \u0111i\u1ec3m l\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c. M\u1ed9t h\u00ecnh \u1ea3nh ri\u00eang bi\u1ec7t \u0111\u01b0\u1ee3c ghi sau khi ti\u00eam ch\u1ea5t \u0111\u00e1nh d\u1ea5u \u1edf tr\u1ea1ng th\u00e1i ngh\u1ec9 (ch\u1ea5t \u0111\u00e1nh d\u1ea5u g\u1eafn technetium-99m) ho\u1eb7c sau khi thu\u1ed1c \u0111\u01b0\u1ee3c ph\u00e2n ph\u1ed1i l\u1ea1i khi l\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c (thallium-201), v\u00e0 s\u1ef1 ph\u00e2n ph\u1ed1i c\u1ee7a h\u1ea1t nh\u00e2n ph\u00f3ng x\u1ea1 ph\u1ea3n \u00e1nh s\u1ed1ng c\u00f2n c\u1ee7a c\u01a1 tim.<\/p>\n

2.Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c<\/h2>\n

Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c b\u1eb1ng th\u1ec3 l\u1ef1c (m\u00e1y ch\u1ea1y b\u1ed9 ho\u1eb7c xe \u0111\u1ea1p) l\u00e0 d\u1ea1ng g\u1eafng s\u1ee9c sinh l\u00fd nh\u1ea5t, cung c\u1ea5p th\u00f4ng tin l\u00e2m s\u00e0ng quan tr\u1ecdng c\u00f3 th\u1ec3 b\u1ed5 sung cho c\u00e1c th\u0103m d\u00f2 h\u00ecnh \u1ea3nh. Nh\u1eefng b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p h\u01a1n v\u1edbi ph\u01b0\u01a1ng ph\u00e1p x\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim nh\u01b0ng kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1ecbp tim m\u1ee5c ti\u00eau khi v\u1eadn \u0111\u1ed9ng s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c b\u1eb1ng thu\u1ed1c. C\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng thu\u1ed9c hai lo\u1ea1i:<\/p>\n

Thu\u1ed1c gi\u00e3n m\u1ea1ch ch\u00ednh (dipyridamole ho\u1eb7c adenosine): L\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean, tr\u1eeb khi c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh (b\u1ec7nh h\u00f4 h\u1ea5p ho\u1eb7c block nh\u0129 th\u1ea5t). Adenosine g\u00e2y gi\u00e3n m\u1ea1ch v\u00e0nh tr\u1ef1c ti\u1ebfp th\u00f4ng qua th\u1ee5 th\u1ec3 A-2a. Dipyridamole ho\u1ea1t \u0111\u1ed9ng gi\u00e1n ti\u1ebfp, l\u00e0m t\u0103ng adenosine n\u1ed9i sinh b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf s\u1ef1 ph\u00e2n h\u1ee7y v\u00e0 t\u00e1i h\u1ea5p thu c\u1ee7a n\u00f3.<\/p>\n

Thu\u1ed1c t\u0103ng co (dobutamine): Dobutamine l\u00e0 ch\u1ea5t ch\u1ee7 v\u1eadn beta t\u1ed5ng h\u1ee3p, l\u00e0m t\u0103ng nhu c\u1ea7u oxy c\u1ee7a c\u01a1 tim, g\u00e2y ra gi\u00e3n m\u1ea1ch v\u00e0nh th\u1ee9 ph\u00e1t.<\/p>\n

3.Ch\u1ea5t \u0111\u00e1nh d\u1ea5u ph\u00f3ng x\u1ea1<\/h2>\n

Ch\u1ea5t \u0111\u00e1nh d\u1ea5u ph\u00f3ng x\u1ea1 trong x\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng l\u00e0 thallium-201 (201Tl) v\u00e0 c\u00e1c ch\u1ea5t m\u1edbi d\u1ef1a tr\u00ean Technetium-99m (99mTc) l\u00e0 sestamibi v\u00e0 tetrofosmin.<\/p>\n

3.1 Thallium-201<\/h3>\n

201Tl d\u01b0\u1edbi d\u1ea1ng clorua thallous, l\u00e0 m\u1ed9t \u0111\u1ed3ng v\u1ecb \u0111\u01b0\u1ee3c t\u1ea1o ra t\u1eeb cyclotron, \u0111i v\u00e0o t\u1ebf b\u00e0o c\u01a1 tim theo gradient \u0111i\u1ec7n h\u00f3a theo c\u00e1ch t\u01b0\u01a1ng t\u1ef1 nh\u01b0 kali. Sau khi thu\u1ed1c \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 cao nh\u1ea5t s\u1ebd d\u1ea7n c\u00e2n b\u1eb1ng gi\u1eefa c\u00e1c khoang n\u1ed9i b\u00e0o v\u00e0 n\u1ed9i m\u1ea1ch, v\u00e0 do \u0111\u00f3 c\u1ea7n ph\u1ea3i ghi ngay h\u00ecnh \u1ea3nh. Sau 4 gi\u1edd c\u1ea7n ghi l\u1ea1i h\u00ecnh \u1ea3nh ph\u00e2n b\u1ed1 thu\u1ed1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u01b0\u1edbi m\u00e1u c\u01a1 tim khi ngh\u1ec9.<\/p>\n

3.2 Ch\u1ea5t \u0111\u00e1nh d\u1ea5u g\u1eafn Technetium-99m<\/h3>\n

99mTc \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1eeb m\u1ed9t m\u00e1y ph\u00e1t \u0111i\u1ec7n v\u00e0 \u0111\u01b0\u1ee3c t\u1ea1o ph\u1ee9c v\u1edbi m\u1ed9t ph\u00e2n t\u1eed h\u1eefu c\u01a1 (sestamibi ho\u1eb7c tetrofosmin). 99mTc- sestamibi v\u00e0 99mTc-tetrofosmin khu\u1ebfch t\u00e1n th\u1ee5 \u0111\u1ed9ng v\u00e0o t\u1ebf b\u00e0o c\u01a1, l\u00e0 n\u01a1i ch\u00fang li\u00ean k\u1ebft v\u1edbi ty th\u1ec3.<\/p>\n

H\u00ecnh \u1ea3nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau khi ti\u00eam 30 – 60 ph\u00fat, nh\u01b0ng c\u1ea7n ph\u1ea3i ti\u00eam ri\u00eang 2 l\u1ea7n khi g\u1eafng s\u1ee9c v\u00e0 khi ngh\u1ec9 ng\u01a1i c\u00e1ch nhau 1 ho\u1eb7c 2 ng\u00e0y. C\u00f3 th\u1ec3 ti\u00eam nitrat tr\u01b0\u1edbc khi ti\u00eam thu\u1ed1c l\u00fac ngh\u1ec9 \u0111\u1ec3 t\u1ed1i \u0111a h\u00f3a s\u1ef1 h\u1ea5p thu thu\u1ed1c v\u00e0o c\u01a1 tim.<\/p>\n

3.3 So s\u00e1nh c\u00e1c b\u1ed9 \u0111\u1ebfm<\/h3>\n

201Tl l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u00e1nh d\u1ea5u t\u01b0\u1edbi m\u00e1u v\u01b0\u1ee3t tr\u1ed9i v\u1ec1 m\u1eb7t sinh l\u00fd, nh\u01b0ng 99mTc c\u00f3 m\u1ed9t s\u1ed1 l\u1ee3i th\u1ebf v\u1ec1 \u1ee9ng d\u1ee5ng th\u1ef1c t\u1ebf. C\u00e1c h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c t\u1ea1o ra c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng cao h\u01a1n v\u00ec c\u00e1c photon c\u00f3 n\u0103ng l\u01b0\u1ee3ng cao h\u01a1n v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111\u1ec3 cho ph\u00e9p \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t tr\u00e1i. Ngo\u00e0i ra, th\u1eddi gian b\u00e1n h\u1ee7y ng\u1eafn h\u01a1n (6 gi\u1edd so v\u1edbi 73 gi\u1edd) l\u00e0m gi\u1ea3m ph\u01a1i nhi\u1ec5m b\u1ee9c x\u1ea1 cho b\u1ec7nh nh\u00e2n.<\/p>\n

4. \u1ee8ng d\u1ee5ng x\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n

4.1 Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h3>\n

\u0110\u00e1nh gi\u00e1 ch\u1ea9n \u0111o\u00e1n v\u00e0 ti\u00ean l\u01b0\u1ee3ng trong nghi ng\u1edd b\u1ec7nh m\u1ea1ch v\u00e0nh khi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 <\/strong>g\u1eafng s\u1ee9c c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u00e1ng tin c\u1eady :<\/strong><\/p>\n

    \n
  • Ph\u1ee5 n\u1eef.<\/li>\n
  • B\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ea1t m\u1ee5c ti\u00eau khi l\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c. B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ngh\u1ec9 ng\u01a1i b\u1ea5t th\u01b0\u1eddng \u0111\u00e1ng k\u1ec3.<\/li>\n<\/ul>\n

    H\u01b0\u1edbng d\u0201n qu\u1ea3n l\u00fd trong b\u1ec7nh m\u1ea1ch v\u00e0nh \u0111\u00e3 bi\u1ebft :<\/p>\n

      \n
    • Sau nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n
    • Sau ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Sau t\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh.<\/li>\n
    • \u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n, s\u1ef1 thi\u1ebfu m\u00e1u v\u00e0 ch\u1ee9c n\u0103ng c\u01a1 tim trong r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/li>\n<\/ul>\n

      Gi\u1ea3i th\u00edch h\u00ecnh \u1ea3nh Khi\u1ebfm khuy\u1ebft t\u01b0\u1edbi m\u00e1u:<\/p>\n

        \n
      • C\u1ed1 \u0111\u1ecbnh (tr\u00ean g\u1eafng s\u1ee9c v\u00e0 ngh\u1ec9 ng\u01a1i): G\u1ee3i \u00fd s\u1eb9o sau nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n
      • \u0110\u1ea3o ng\u01b0\u1ee3c (ch\u1ec9 tr\u00ean g\u1eafng s\u1ee9c): G\u1ee3i \u00fd gi\u1ea3m t\u01b0\u1edbi m\u00e1u c\u01a1 tim \u0111o\u1ea1n xa t\u01b0\u01a1ng \u1ee9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p c\u00f3 h\u1ea1n ch\u1ebf d\u00f2ng ch\u1ea3y.<\/li>\n
      • X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed (v\u00f9ng t\u01b0\u1edbi m\u00e1u c\u1ee7a m\u1ea1ch v\u00e0nh), di\u1ec7n t\u00edch v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng (vai tr\u00f2 ti\u00ean l\u01b0\u1ee3ng).<\/li>\n<\/ul>\n

        C\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c h\u00ecnh gi\u1ea3, v\u00ed d\u1ee5: M\u00f4 m\u1ec1m \u1edf ph\u00eda tr\u01b0\u1edbc \u1edf ph\u1ee5 n\u1eef, ph\u00eda sau \u1edf nam gi\u1edbi. D\u1ea5u hi\u1ec7u nguy c\u01a1 cao, v\u00ed d\u1ee5:<\/p>\n

          \n
        • Ph\u1ed5i t\u0103ng h\u1ea5p thu Tl-201.<\/li>\n
        • Gi\u00e3n c\u01a1 tim do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 tho\u00e1ng qua (TID): T\u0103ng th\u1ec3 t\u00edch th\u1ea5t tr\u00e1i sau g\u1eafng s\u1ee9c so v\u1edbi l\u00fac ngh\u1ec9. Ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i tr\u00ean ghi h\u00ecnh c\u00f3 g\u1eafn \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/li>\n<\/ul>\n

          Gi\u00e1 tr\u1ecb l\u00e2m s\u00e0ng c\u1ee7a x\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim:<\/p>\n

            \n
          • Ch\u1ea9n \u0111o\u00e1n ho\u1eb7c lo\u1ea1i tr\u1eeb b\u1ec7nh m\u1ea1ch v\u00e0nh: \u0110\u1ec3 ph\u00e1t hi\u1ec7n h\u1eb9p m\u1ea1ch v\u00e0nh, \u0111\u1ed9 nh\u1ea1y c\u1ee7a x\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 kho\u1ea3ng 90%. \u0110\u1ed9 \u0111\u1eb7c hi\u1ec7u th\u01b0\u1eddng th\u1ea5p h\u01a1n, kho\u1ea3ng<\/li>\n
          • 75%, nh\u01b0ng c\u00f3 th\u1ec3 b\u1ecb \u0111\u00e1nh gi\u00e1 th\u1ea5p do di\u1ec5n gi\u1ea3i qu\u00e1 m\u1ee9c c\u00e1c h\u00ecnh gi\u1ea3 v\u00e0 do sai s\u1ed1 x\u00e1c \u0111\u1ecbnh. Trong th\u1ef1c t\u1ebf, t\u1ef7 l\u1ec7 chu\u1ea9n t\u1eafc c\u00f3 \u00fd ngh\u0129a h\u01a1n \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u, \u0111\u00f3 l\u00e0 t\u1ef7 l\u1ec7 c\u00e1c x\u00e9t nghi\u1ec7m b\u00ecnh th\u01b0\u1eddng trong d\u00e2n s\u1ed1 c\u00f3 x\u00e1c su\u1ea5t th\u1ea5p v\u00e0 t\u1ef7 l\u1ec7 n\u00e0y th\u01b0\u1eddng l\u00e0 90% tr\u1edf l\u00ean.<\/li>\n
          • Ti\u00ean l\u01b0\u1ee3ng: X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 m\u1ed9t th\u0103m d\u00f2 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng, v\u00e0 do \u0111\u00f3 kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n gi\u1ea3i ph\u0201u m\u1ea1ch v\u00e0nh v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c ho\u00e0n h\u1ea3o. Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cung c\u1ea5p th\u00f4ng tin v\u1edbi kh\u1ea3 n\u0103ng ti\u00ean l\u01b0\u1ee3ng m\u1ea1nh m\u1ebd \u0111\u1ed9c l\u1eadp v\u1edbi d\u1eef li\u1ec7u l\u00e2m s\u00e0ng v\u00e0 th\u1eadm ch\u00ed c\u1ea3 d\u1eef li\u1ec7u ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch.<\/li>\n
          • X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim b\u00ecnh th\u01b0\u1eddng d\u1ef1 \u0111o\u00e1n t\u1ef7 l\u1ec7 t\u1eed vong do tim ho\u1eb7c nh\u1ed3i m\u00e1u c\u01a1 tim h\u00e0ng n\u0103m l\u00e0 kho\u1ea3ng 0,6%.<\/li>\n
          • Nguy c\u01a1 t\u1eed vong th\u1ea5p duy tr\u00ec t\u1edbi 5 n\u0103m \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh bi\u1ebft tr\u01b0\u1edbc, kho\u1ea3ng th\u1eddi gian n\u00e0y ng\u1eafn h\u01a1n \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh m\u1ea1ch v\u00e0nh \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/li>\n
          • Nguy c\u01a1 t\u1eed vong t\u0103ng t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi m\u1ee9c \u0111\u1ed9 b\u1ea5t th\u01b0\u1eddng tr\u00ean k\u1ebft qu\u1ea3 x\u1ea1 h\u00ecnh.<\/li>\n
          • T\u1eed vong do tim ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i, trong khi nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng t\u1eed vong ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c d\u1ef1 \u0111o\u00e1n theo ph\u1ea1m vi v\u00f9ng gi\u1ea3m t\u01b0\u1edbi m\u00e1u.<\/li>\n
          • Ti\u00ean l\u01b0\u1ee3ng v\u1ec1 l\u1ee3i \u00edch t\u1eeb t\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ph\u1ea1m vi gi\u1ea3m t\u01b0\u1edbi m\u00e1u chi\u1ebfm > 10% kh\u1ed1i c\u01a1 th\u1ea5t tr\u00e1i.<\/li>\n
          • R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i: X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim c\u00f3 gi\u00e1 tr\u1ecb trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 \u0111\u00f4ng mi\u00ean c\u1ee7a c\u01a1 tim v\u00e0 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau khi t\u00e1i th\u00f4ng m\u1ea1ch.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

            X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim trong tr\u01b0\u1eddng h\u1ee3p h\u1eb9p m\u1ea1ch v\u00e0nh c\u00f3 d\u00f2ng ch\u1ea3y gi\u1edbi h\u1ea1n, t\u01b0\u1edbi m\u00e1u c\u01a1 tim khi ngh\u1ec9 th\u01b0\u1eddng v\u0201n b\u00ecnh th\u01b0\u1eddng do gi\u00e3n \u0111\u1ed9ng m\u1ea1ch. Khi g\u1eafng s\u1ee9c, c\u00f3 \u00edt d\u1ef1 tr\u1eef ch\u1ea5t gi\u00e3n m\u1ea1ch, v\u00e0 t\u01b0\u1edbi m\u00e1u h\u1ea1 l\u01b0u s\u1ebd th\u1ea5p h\u01a1n so v\u1edbi h\u1ea1 l\u01b0u c\u1ee7a m\u1ea1ch […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[88,33],"tags":[],"yoast_head":"\nX\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim - Vinmec<\/title>\n<meta name=\"description\" content=\"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong b\u1ec7nh l\u00fd tim m\u1ea1ch. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y cung c\u1ea5p c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft.\" \/>\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=\"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim - Vinmec\" \/>\n<meta property=\"og:description\" content=\"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong b\u1ec7nh l\u00fd tim m\u1ea1ch. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y cung c\u1ea5p c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-29T11:20:24+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190930_071654_118953_xa-hinh-tuoi-mau-co.max-1800x1800-1-300x200.png\" \/>\n<meta name=\"author\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 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\/29\/xa-hinh-tuoi-mau-co-tim\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/\",\"name\":\"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-29T11:20:24+00:00\",\"dateModified\":\"2023-04-29T11:20:24+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\"},\"description\":\"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong b\u1ec7nh l\u00fd tim m\u1ea1ch. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y cung c\u1ea5p c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim\"}]},{\"@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\/dded5c0d4cb1bb77d05cf29ab5f85629\",\"name\":\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g\",\"caption\":\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/viettai304-304gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim - Vinmec","description":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong b\u1ec7nh l\u00fd tim m\u1ea1ch. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y cung c\u1ea5p c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft.","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":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim - Vinmec","og_description":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong b\u1ec7nh l\u00fd tim m\u1ea1ch. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y cung c\u1ea5p c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/","og_site_name":"Vinmec","article_published_time":"2023-04-29T11:20:24+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190930_071654_118953_xa-hinh-tuoi-mau-co.max-1800x1800-1-300x200.png"}],"author":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","twitter_card":"summary_large_image","twitter_misc":{"Written by":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/","name":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-29T11:20:24+00:00","dateModified":"2023-04-29T11:20:24+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629"},"description":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong b\u1ec7nh l\u00fd tim m\u1ea1ch. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y cung c\u1ea5p c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/xa-hinh-tuoi-mau-co-tim\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim"}]},{"@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\/dded5c0d4cb1bb77d05cf29ab5f85629","name":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g","caption":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/viettai304-304gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29059"}],"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\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29059"}],"version-history":[{"count":1,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29059\/revisions"}],"predecessor-version":[{"id":29061,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29059\/revisions\/29061"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29059"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29059"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29059"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}