{"id":29098,"date":"2023-05-01T22:51:28","date_gmt":"2023-05-01T15:51:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29098"},"modified":"2023-05-01T22:51:28","modified_gmt":"2023-05-01T15:51:28","slug":"ung-dung-chup-cong-huong-tu-trong-benh-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/ung-dung-chup-cong-huong-tu-trong-benh-tim-mach\/","title":{"rendered":"\u1ee8ng d\u1ee5ng ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh tim m\u1ea1ch"},"content":{"rendered":"

Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb <\/a>\u0111\u00e1nh gi\u00e1 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim v\u00e0 s\u1ef1 s\u1ed1ng c\u00f2n c\u01a1 tim l\u00e0 \u1ee9ng d\u1ee5ng quan tr\u1ecdng trong k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh h\u1ecdc. B\u00e0i vi\u1ebft cung c\u1ea5p v\u1ec1 vai tr\u00f2 c\u1ee7a k\u1ef9 thu\u1eadt n\u00e0y.<\/strong><\/p>\n

\"C\u1ed9ng<\/p>\n

C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim<\/strong><\/p>\n

1.\u0110\u00e1nh gi\u00e1 thi\u1ebfu m\u00e1u c\u01a1 tim<\/h2>\n

\u0110\u1ec3 ph\u00e1t hi\u1ec7n thi\u1ebfu m\u00e1u c\u01a1 tim c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t \u0111\u1ed1i quang t\u1eeb gadolinium ghi h\u00ecnh \u1ea3nh t\u01b0\u1edbi m\u00e1u c\u01a1 tim th\u00ec \u0111\u1ea7u c\u00f9ng v\u1edbi c\u00e1c t\u00e1c nh\u00e2n gi\u00e3n m\u1ea1ch, ho\u1eb7c \u0111\u00e1nh gi\u00e1 v\u1eadn \u0111\u1ed9ng v\u00f9ng th\u00e0nh tim v\u1edbi dobutamine, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 si\u00eau \u00e2m tim g\u1eafng s\u1ee9c.<\/p>\n

Coi ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111\u00e1nh gi\u00e1 t\u01b0\u1edbi m\u00e1u c\u01a1 tim th\u00ec \u0111\u1ea7u c\u00f3 \u0111\u1ed9 nh\u1ea1y 91%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 81% v\u00e0 \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng h\u01a1n so v\u1edbi k\u1ef9 thu\u1eadt ch\u1ee5p SPECT b\u1edfi kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 nhi\u1ec5u khi l\u00e0m v\u1edbi SPECT v\u00e0 kh\u00f4ng li\u00ean quan \u0111\u1ebfn b\u1ea5t k\u1ef3 b\u1ee9c x\u1ea1 ion h\u00f3a n\u00e0o. \u0110\u1ed3ng th\u1eddi ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb l\u1ea1i c\u00f3 \u0111\u1ed9 ph\u00e2n gi\u1ea3i kh\u00f4ng gian t\u1ed1t h\u01a1n v\u00e0 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 PET, c\u00f3 th\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng m\u1ee9c \u0111\u1ed9 t\u01b0\u1edbi m\u00e1u m\u00f4, m\u1eb7c d\u00f9 ph\u01b0\u01a1ng ti\u1ec7n kh\u00e1 c\u1ed3ng k\u1ec1nh v\u00e0 hi\u1ec7n m\u1edbi ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nghi\u00ean c\u1ee9u.<\/p>\n

Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c d\u00f9ng thu\u1ed1c gi\u00e3n m\u1ea1ch b\u1eb1ng c\u00e1ch truy\u1ec1n adenosine v\u1edbi t\u1ed1c \u0111\u1ed9 140 pg\/kg\/min (3 mg\/mL) \u0111\u1ebfn khi c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 s\u1ef1 \u0111\u00e1p \u1ee9ng huy\u1ebft \u0111\u1ed9ng (th\u01b0\u1eddng l\u00e0 3 ph\u00fat), ti\u1ebfp theo truy\u1ec1n nhanh ch\u1ea5t \u0111\u1ed1i quang gadolinium v\u00e0 nhanh ch\u00f3ng ghi h\u00ecnh c\u00e1c m\u1eb7t c\u1eaft tr\u1ee5c ng\u1eafn \u1edf c\u00e1c m\u1ee9c \u0111\u00e1y, gi\u1eefa t\u00e2m th\u1ea5t v\u00e0 m\u1ecfm tim khi ch\u1ea5t \u0111\u1ed1i quang \u0111i v\u00e0o c\u01a1 tim. Quy tr\u00ecnh ch\u1ee5p y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n ph\u1ea3i n\u00edn th\u1edf l\u00e2u. C\u00f3 th\u1ec3 ghi \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh r\u00f5 n\u00e9t b\u1eb1ng c\u00e1ch h\u00edt th\u1edf nh\u1eb9 nh\u00e0ng sau khi h\u00edt s\u00e2u v\u00e0 n\u00edn th\u1edf t\u1ed1i \u0111a.<\/p>\n

Khi s\u1eed d\u1ee5ng adenosine trong nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c s\u1eed d\u1ee5ng t\u00e1c nh\u00e2n gi\u00e3n m\u1ea1ch b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u kh\u00f4ng s\u1eed d\u1ee5ng c\u00e1c th\u1ee9c \u0103n v\u00e0 \u0111\u1ed3 u\u1ed1ng c\u00f3 ch\u1ee9a cafein (VD: C\u00e0 ph\u00ea, ch\u00e8, socola, Coca-Cola…) l\u00fd t\u01b0\u1edfng l\u00e0 trong v\u00f2ng 24 gi\u1edd tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 block nh\u0129 th\u1ea5t \u0111\u1ed9 cao v\u00e0 hen ph\u1ebf qu\u1ea3n n\u1eb7ng. Trong nghi\u1ec7m ph\u00e1p gang s\u1ee9c DObutamine, ph\u1ea3i ng\u1eebng S\u1eed d\u1ee5ng thu\u1ed1c ch\u1eb9n \u00df giao c\u1ea3m v\u00e0 c\u00e1c thu\u1ed1c ch\u1eb9n k\u00eanh canxi trong v\u00f2ng 48 gi\u1edd nh\u01b0ng kh\u00f4ng c\u1ea7n ng\u1eebng nh\u1eefng thu\u1ed1c tr\u00ean v\u1edbi nghi\u1ec7m ph\u00e1p s\u1eed d\u1ee5ng ch\u1ea5t gi\u00e3n m\u1ea1ch. Adenosine kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi dipyridamole v\u00ec dipyridamole k\u00e9o d\u00e0i \u0111\u00e1ng k\u1ec3 th\u1eddi gian b\u00e1n h\u1ee7y c\u1ee7a adenosine v\u00e0 b\u1ea3n th\u00e2n n\u00f3 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 l\u00e0 m\u1ed9t thu\u1ed1c \u0111\u1ec3 test g\u1eafng s\u1ee9c.<\/p>\n

L\u01b0u \u00fd trong th\u1ef1c h\u00e0nh: <\/strong>\u0110\u1ec3 c\u00f3 h\u00ecnh \u1ea3nh t\u01b0\u1edbi m\u00e1u c\u01a1 tim trong nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c, n\u00ean \u0111\u1eb7t hai \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch ri\u00eang bi\u1ec7t, m\u1ed9t \u0111\u01b0\u1eddng l\u1edbn (18G ho\u1eb7c l\u1edbn h\u01a1n) \u0111\u1ec3 t\u1ea1o thu\u1eadn l\u1ee3i cho truy\u1ec1n nhanh ch\u1ea5t \u0111\u1ed1i quang v\u00e0 m\u1ed9t \u0111\u01b0\u1eddng truy\u1ec1n kh\u00e1c \u0111\u1ec3 truy\u1ec1n adenosine. Theo d\u00f5i huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf tay v\u1edbi \u0111\u01b0\u1eddng truy\u1ec1n ch\u1ea5t \u0111\u1ed1i quang b\u1edfi s\u1eed d\u1ee5ng b\u0103ng \u0111o huy\u1ebft \u00e1p c\u00f3 th\u1ec3 l\u00e0m gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh truy\u1ec1n adenosine.<\/p>\n

H\u1ea1n ch\u1ebf \u0111\u00e1ng k\u1ec3 c\u1ee7a h\u00ecnh \u1ea3nh ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb t\u01b0\u1edbi m\u00e1u c\u01a1 tim 1,5 Tesla l\u00e0 s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a kho\u1ea3ng t\u1ed1i gi\u1ea3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u trong ph\u00e1t hi\u1ec7n gi\u1ea3m t\u01b0\u1edbi m\u00e1u l\u1edbp d\u01b0\u1edbi n\u1ed9i m\u1ea1c. H\u00ecnh \u1ea3nh v\u1edbi b\u01b0\u1edbc s\u00f3ng d\u00e0i h\u01a1n (3 tesla) c\u00f3 th\u1ec3 n\u00e2ng cao h\u01a1n t\u1ef7 s\u1ed1 t\u01b0\u01a1ng ph\u1ea3n tr\u00ean s\u00f3ng \u00e2m v\u00e0 l\u00e0m gi\u1ea3m nguy c\u01a1 c\u1ee7a y\u1ebfu t\u1ed1 nhi\u1ec5u n\u00e0y gi\u00fap c\u1ea3i thi\u1ec7n \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u c\u1ee7a ch\u1ea9n \u0111o\u00e1n.<\/p>\n

Hi\u1ec7n t\u01b0\u1ee3ng gi\u1ea3 n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng h\u00ecnh \u1ea3nh t\u01b0\u1edbi m\u00e1u \u0111\u01b0\u1ee3c ghi l\u1ea1i l\u00fac ngh\u1ec9 v\u00e0 \u0111\u01b0\u1ee3c c\u1ee7ng c\u1ed1 r\u00f5 h\u01a1n b\u1eb1ng h\u00ecnh \u1ea3nh ch\u1ee5p \u1edf th\u00ec mu\u1ed9n. K\u1ef9 thu\u1eadt ch\u1ee5p th\u00ec mu\u1ed9n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n x\u01a1 h\u00f3a gi\u00fap cho ph\u00e2n bi\u1ec7t gi\u1eefa thi\u1ebfu m\u00e1u v\u00e0 nh\u1ed3i m\u00e1u.<\/p>\n

\u0110i\u1ec3m h\u1ea1n ch\u1ebf c\u1ee7a ch\u1ee5p CHT tim l\u00e0 h\u1ea1n ch\u1ebf kh\u00f4ng gian b\u00ean trong m\u00e1y qu\u00e9t v\u00e0 s\u1ef1 thi\u1ebfu trang thi\u1ebft b\u1ecb h\u1ed3i s\u1ee9c \u0111\u1ea3m b\u1ea3o an to\u00e0n trong ph\u00f2ng ch\u1ee5p, c\u0169ng nh\u01b0 c\u00e1c l\u01b0\u1ee3ng t\u1eed hidro c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u00e0m nhi\u1ec5u h\u00ecnh \u1ea3nh \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 l\u00e0m vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1y monitor theo d\u00f5i bi\u1ebfn \u0111\u1ed5i ST tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, s\u1ef1 bi\u1ebfn \u0111\u1ed5i ST tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00e0 giai \u0111o\u1ea1n mu\u1ed9n trong qu\u00e1 tr\u00ecnh thi\u1ebfu m\u00e1u, v\u00e0 theo d\u00f5i nh\u1ecbp tim, kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 giao ti\u1ebfp v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 thay th\u1ebf cho s\u1ef1 theo d\u00f5i \u0111o\u1ea1n ST.<\/p>\n

M\u1eb7c d\u00f9 c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf nh\u1ea5t \u0111\u1ecbnh, m\u1ed9t h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb t\u01b0\u1edbi m\u00e1u c\u01a1 tim b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o > 99% kh\u00f4ng c\u00f3 bi\u1ebfn c\u1ed1 trong 3 n\u0103m ti\u1ebfp theo.<\/p>\n

2.\u0110\u00e1nh gi\u00e1 s\u1ed1ng c\u00f2n c\u01a1 tim v\u00e0 c\u01a1 tim \u0111\u00f4ng mi\u00ean<\/h2>\n

B\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a h\u01a1n 60% b\u1ec7nh nh\u00e2n suy tim.<\/p>\n

T\u1ebf b\u00e0o c\u01a1 tim c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 v\u00f9ng c\u01a1 tim \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u b\u1edfi \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p g\u00e2y gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a c\u01a1 tim nh\u01b0ng ch\u01b0a s\u1eb9o h\u00f3a v\u00e0 c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i kh\u1ea3 n\u0103ng co b\u00f3p n\u1ebfu \u0111\u01b0\u1ee3c t\u00e1i t\u01b0\u1edbi m\u00e1u th\u00e0nh c\u00f4ng. \u0110\u00f4ng mi\u00ean c\u01a1 tim l\u00e0 v\u00f9ng c\u01a1 tim b\u1ecb gi\u1ea3m co b\u00f3p do thi\u1ebfu m\u00e1u c\u01a1 tim ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau khi \u0111\u01b0\u1ee3c t\u00e1i t\u01b0\u1edbi m\u00e1u.<\/p>\n

T\u00e1i t\u01b0\u1edbi m\u00e1u th\u00e0nh c\u00f4ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb thi\u1ebfu m\u00e1u v\u00e0nh \u0111\u00e1ng k\u1ec3 (> 4 v\u00f9ng c\u01a1 tim) nh\u01b0ng t\u1ebf b\u00e0o c\u01a1 tim c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng gi\u00fap c\u1ea3i thi\u1ec7n ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u v\u00e0 ti\u00ean l\u01b0\u1ee3ng t\u01b0\u01a1ng quan v\u1edbi m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i. Theo ph\u00e2n t\u00edch k\u1ebft qu\u1ea3 d\u1eef li\u1ec7u t\u1eeb nhi\u1ec1u nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u v\u00e0 s\u1ed5 b\u1ed9 (nghi\u00ean c\u1ee9u ti\u1ebfn c\u1ee9u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u1ea5n \u0111\u1ec1 n\u00e0y \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh v\u00e0 t\u1eeb c\u00e1c b\u00e1o c\u00e1o ng\u1eafn t\u1ea1m th\u1eddi). Tuy nhi\u00ean, t\u00e1i t\u01b0\u1edbi m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 nh\u1eefng t\u1ebf b\u00e0o c\u01a1 tim c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng d\u01b0\u1eddng nh\u01b0 kh\u00f4ng mang l\u1ea1i l\u1ee3i \u00edch m\u00e0 c\u00f3 th\u1ec3 c\u00f2n g\u00e2y h\u1ea1i, b\u1edfi v\u00ec nh\u1eefng r\u1ee7i ro cao h\u01a1n trong tr\u01b0\u1eddng h\u1ee3p suy ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i \u0111\u00e1ng k\u1ec3.<\/p>\n

H\u00ecnh \u1ea3nh CHT tim th\u00ec ng\u1ea5m thu\u1ed1c \u0111\u1ed1i quang mu\u1ed9n cho ph\u00e9p x\u00e1c \u0111\u1ecbnh v\u00f9ng x\u01a1 h\u00f3a c\u01a1 tim khi nguy\u00ean nh\u00e2n l\u00e0 thi\u1ebfu m\u00e1u lan r\u1ed9ng t\u1eeb l\u1edbp d\u01b0\u1edbi n\u1ed9i m\u1ea1c h\u01b0\u1edbng ra th\u01b0\u1ee3ng t\u00e2m m\u1ea1c.<\/p>\n

CHT c\u00f3 \u0111\u1ed9 ph\u00e2n gi\u1ea3i v\u1ec1 kh\u00f4ng gian t\u1ed1t h\u01a1n, n\u00f3 v\u01b0\u1ee3t tr\u1ed9i h\u01a1n c\u1ea3 PET v\u00e0 SPECT trong x\u00e1c \u0111\u1ecbnh x\u01a1 h\u00f3a. Kh\u1ea3 n\u0103ng s\u1ed1ng c\u00f2n t\u1ef7 l\u1ec7 v\u1edbi \u0111\u1ed9 x\u01a1 h\u00f3a xuy\u00ean th\u00e0nh v\u1edbi v\u00f9ng x\u01a1 h\u00f3a > 50% \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 v\u00f9ng c\u01a1 tim kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng. \u0110\u1ed9 \u0111\u1eb7c hi\u1ec7u c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p k\u1ef9 thu\u1eadt v\u1edbi g\u1eafng s\u1ee9c dobutamine li\u1ec1u th\u1ea5p \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00f9ng. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch v\u1edbi v\u00f9ng nh\u1ed3i m\u00e1u xuy\u00ean th\u00e0nh v\u00e0 c\u00f3 \u0111\u1ed9 nh\u1ea1y 95% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 85% khi k\u1ebft h\u1ee3p v\u1edbi h\u00ecnh \u1ea3nh \u1edf th\u00ec ng\u1ea5m thu\u1ed1c mu\u1ed9n.<\/p>\n

CHT th\u1ec3 hi\u1ec7n r\u1eb1ng, khi kh\u00f4ng c\u00f3 x\u01a1 h\u00f3a, ch\u1ee9c n\u0103ng c\u01a1 tim c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i \u0111\u00e1ng k\u1ec3 ngay c\u1ea3 v\u00f9ng c\u01a1 tim m\u1ecfng (< 5 mm) v\u00e0 t\u00e1i c\u1ea5u tr\u00fac c\u01a1 tim m\u00e0 tr\u01b0\u1edbc gi\u1edd v\u0201n \u0111\u01b0\u1ee3c coi l\u00e0 c\u01a1 tim kh\u00f4ng c\u00f2n s\u1ed1ng. H\u01a1n th\u1ebf n\u1eefa, s\u1ef1 ng\u1ea5m thu\u1ed1c mu\u1ed9n l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng \u0111\u1ed9c l\u1eadp c\u00f3 gi\u00e1 tr\u1ecb trong d\u1ef1 \u0111o\u00e1n t\u1eed vong.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111\u00e1nh gi\u00e1 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim v\u00e0 s\u1ef1 s\u1ed1ng c\u00f2n c\u01a1 tim l\u00e0 \u1ee9ng d\u1ee5ng quan tr\u1ecdng trong k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh h\u1ecdc. B\u00e0i vi\u1ebft cung c\u1ea5p v\u1ec1 vai tr\u00f2 c\u1ee7a k\u1ef9 thu\u1eadt n\u00e0y. C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim 1.\u0110\u00e1nh gi\u00e1 thi\u1ebfu m\u00e1u c\u01a1 tim \u0110\u1ec3 ph\u00e1t hi\u1ec7n thi\u1ebfu m\u00e1u […]<\/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":"\n\u1ee8ng d\u1ee5ng ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb trong b\u1ec7nh tim m\u1ea1ch<\/title>\n<meta name=\"description\" content=\"Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb trong thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim, s\u1ef1 s\u1ed1ng c\u00f2n c\u01a1 tim l\u00e0 \u1ee9ng d\u1ee5ng quan tr\u1ecdng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y\" \/>\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\" 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