{"id":29572,"date":"2023-04-29T22:44:32","date_gmt":"2023-04-29T15:44:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29572"},"modified":"2023-05-02T17:45:19","modified_gmt":"2023-05-02T10:45:19","slug":"so-luoc-ve-co-che-suy-tim-phan-suat-tong-mau-bao-ton","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/so-luoc-ve-co-che-suy-tim-phan-suat-tong-mau-bao-ton\/","title":{"rendered":"S\u01a1 l\u01b0\u1ee3c v\u1ec1 c\u01a1 ch\u1ebf suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n"},"content":{"rendered":"

C\u01a1 ch\u1ebf suy tim do b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i (T) c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo tu\u1ed5i, gi\u1edbi t\u00ednh, theo b\u1ec7nh tim m\u1ea1ch m\u00e0 kh\u00f4ng c\u00f3 suy tim n\u00ean \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 hi\u1ec3u c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t (T) kh\u00e1c nhau gi\u1eefa nh\u1eefng ng\u01b0\u1eddi suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u<\/a> \u00a0(EF) b\u1ea3o t\u1ed3n v\u00e0 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 b\u1ec7nh tim m\u1ea1ch nh\u01b0ng kh\u00f4ng suy tim. B\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t (T) \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong HF-PEF, c\u00e1c c\u01a1 ch\u1ebf kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n.<\/strong><\/p>\n

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1. C\u01a1 ch\u1ebf suy tim t\u00e2m tr\u01b0\u01a1ng:<\/h2>\n

Ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng cho ph\u00e9p t\u00e2m th\u1ea5t \u0111\u1ed5 \u0111\u1ea7y \u0111\u1ea7y \u0111\u1ee7 l\u00fac ngh\u1ec9 v\u00e0 g\u1eafng s\u1ee9c m\u00e0 kh\u00f4ng gia t\u0103ng \u00e1p l\u1ef1c t\u00e2m tr\u01b0\u01a1ng. C\u00e1c giai \u0111o\u1ea1n c\u1ee7a t\u00e2m tr\u01b0\u01a1ng l\u00e0 th\u01b0 gi\u00e3n \u0111\u1ed3ng th\u1ec3 t\u00edch v\u00e0 giai \u0111o\u1ea1n \u0111\u1ed5 \u0111\u1ea7y. Giai \u0111o\u1ea1n \u0111\u1ed5 \u0111\u1ea7y bao g\u1ed3m th\u1eddi k\u1ef3 \u0111\u1ed5 \u0111\u1ea7y nhanh s\u1edbm, th\u1eddi k\u1ef3 \u0111\u1eb3ng t\u00e2m tr\u01b0\u01a1ng v\u00e0 th\u1eddi k\u1ef3 nh\u0129 thu.<\/p>\n

Th\u1eddi k\u1ef3 \u0111\u1ed5 \u0111\u1ea7y nhanh s\u1edbm g\u00f3p ph\u1ea7n 70% \u0111\u1ebfn 80% \u0111\u1ed5 \u0111\u1ea7y t\u00e2m th\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng v\u00e0 s\u1ef1 \u0111\u00f3ng g\u00f3p n\u00e0y gi\u1ea3m theo tu\u1ed5i v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh kh\u00e1c nhau. \u0110\u1ed5 \u0111\u1ea7y t\u00e2m tr\u01b0\u01a1ng s\u1edbm x\u1ea3y ra do ch\u00eanh \u00e1p gi\u1eefa nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t ph\u1ee9c h\u1ee3p c\u00e1c y\u1ebfu t\u1ed1 h\u1ed7 t\u01b0\u01a1ng \u2013 th\u01b0 gi\u00e3n c\u01a1 tim, \u0111\u1ed9 c\u1ee9ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, \u0111\u1ed9 \u0111\u00e0n h\u1ed3i th\u1ea5t tr\u00e1i, t\u00ecnh tr\u1ea1ng co b\u00f3p c\u1ee7a th\u1ea5t tr\u00e1i, \u00e1p l\u1ef1c nh\u0129 tr\u00e1i, t\u01b0\u01a1ng t\u00e1c th\u1ea5t, \u0111\u1ed9 co th\u1eaft m\u00e0ng ngo\u00e0i tim, \u0111\u1ed9 c\u1ee9ng nh\u0129 tr\u00e1i, \u0111\u1eb7c \u0111i\u1ec3m t\u0129nh m\u1ea1ch ph\u1ed5i v\u00e0 di\u1ec7n t\u00edch van hai l\u00e1.<\/p>\n

\u0110\u1eb3ng t\u00e2m tr\u01b0\u01a1ng l\u00e0 th\u1eddi k\u1ef3 t\u00e2m tr\u01b0\u01a1ng m\u00e0 \u00e1p l\u1ef1c nh\u0129 tr\u00e1i v\u00e0 th\u1ea5t tr\u00e1i h\u1ea7u nh\u01b0 b\u1eb1ng nhau, g\u00f3p ph\u1ea7n d\u01b0\u1edbi 5% \u0111\u1ed5 \u0111\u1ea7y th\u1ea5t tr\u00e1i, v\u00e0 giai \u0111o\u1ea1n n\u00e0y s\u1ebd ng\u1eafn khi nh\u1ecbp tim nhanh.<\/p>\n

Th\u1eddi k\u1ef3 nh\u0129 thu g\u00f3p ph\u1ea7n 15% \u0111\u1ebfn 25% \u0111\u1ed5 \u0111\u1ea7y t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i m\u00e0 kh\u00f4ng l\u00e0m t\u0103ng \u00e1p l\u1ef1c nh\u0129 tr\u00e1i trung b\u00ecnh. S\u1ef1 \u0111\u00f3ng g\u00f3p n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o kho\u1ea3ng PR, t\u00ecnh tr\u1ea1ng co b\u00f3p nh\u0129, ti\u1ec1n t\u1ea3i nh\u0129, h\u1eadu t\u1ea3i nh\u0129, tr\u01b0\u01a1ng l\u1ef1c th\u1ea7n kinh t\u1ef1 ch\u1ee7, v\u00e0 nh\u1ecbp tim.<\/p>\n

M\u1eb7c d\u00f9 ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng ph\u1ee9c t\u1ea1p nh\u01b0ng c\u00e1c th\u00e0nh ph\u1ea7n quan tr\u1ecdng nh\u1ea5t l\u00e0 th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i v\u00e0 \u0111\u1ed9 c\u1ee9ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i.<\/p>\n

2. Th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i:<\/h2>\n

– Th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ch\u1ee7 \u0111\u1ed9ng, ph\u1ee5 thu\u1ed9c n\u0103ng l\u01b0\u1ee3ng b\u1eaft \u0111\u1ea7u trong su\u1ed1t giai \u0111o\u1ea1n t\u1ed1ng m\u00e1u c\u1ee7a t\u00e2m thu v\u00e0 ti\u1ebfp t\u1ee5c trong giai \u0111o\u1ea1n th\u01b0 gi\u00e3n \u0111\u1ed3ng th\u1ec3 t\u00edch v\u00e0 \u0111\u1ed5 \u0111\u1ea7y nhanh. \u1ede tim b\u00ecnh th\u01b0\u1eddng, t\u0103ng th\u01b0 gi\u00e3n do catecholamine l\u00fac g\u1eafng s\u1ee9c l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c th\u1ea5t tr\u00e1i trong giai \u0111o\u1ea1n t\u00e2m tr\u01b0\u01a1ng s\u1edbm, do \u0111\u00f3 t\u0103ng th\u01b0 gi\u00e3n l\u00e0m t\u0103ng ch\u00eanh \u00e1p nh\u0129 tr\u00e1i – th\u1ea5t tr\u00e1i m\u00e0 kh\u00f4ng t\u0103ng \u00e1p l\u1ef1c nh\u0129 tr\u00e1i v\u00e0 t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y l\u00fac g\u1eafng s\u1ee9c m\u00e0 kh\u00f4ng c\u1ea7n t\u0103ng \u00e1p l\u1ef1c nh\u0129 tr\u00e1i.<\/p>\n

– \u0110\u00e1nh gi\u00e1 th\u01b0 gi\u00e3n th\u1ea5t (T): H\u1eb1ng s\u1ed1 th\u1eddi gian th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i (T) m\u00f4 t\u1ea3 t\u1ec9 l\u1ec7 gi\u1ea3m \u00e1p l\u1ef1c th\u1ea5t tr\u00e1i l\u00fac th\u01b0 gi\u00e3n \u0111\u1ed3ng th\u1ec3 t\u00edch.<\/p>\n

\u0110o tau c\u1ea7n \u0111\u01b0a catheter v\u00e0o th\u1ea5t tr\u00e1i c\u00f3 l\u1ef1c k\u1ebf vi nh\u1ea1y v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c cao. Gi\u00e1 tr\u1ecb tau c\u00e0ng l\u1edbn, th\u1eddi gian th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i c\u00e0ng d\u00e0i v\u00e0 c\u00e0ng suy th\u01b0 gi\u00e3n. Si\u00eau \u00e2m tim Doppler c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i.<\/p>\n

– C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng th\u01b0 gi\u00e3n th\u1ea5t (T): Th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1edfi b\u1ed9 ba g\u1ed3m t\u1ea3i t\u00e2m thu, b\u1ea5t ho\u1ea1t s\u1ee3i c\u01a1 tim, v\u00e0 s\u1ef1 \u0111\u1ed3ng nh\u1ea5t c\u1ee7a s\u1ef1 ph\u00e2n b\u1ed1 t\u1ea3i v\u00e0 b\u1ea5t ho\u1ea1t theo th\u1ec3 t\u00edch v\u00e0 th\u1eddi gian. T\u1ea3i t\u00e2m thu g\u00e2y ra b\u1edfi t\u0103ng huy\u1ebft \u00e1p l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng \u1ea3nh h\u01b0\u1edfng th\u01b0 gi\u00e3n v\u00e0 suy th\u01b0 gi\u00e3n do t\u0103ng huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 suy th\u01b0 gi\u00e3n ph\u1ee5 thu\u1ed9c t\u1ea3i. S\u1ef1 \u0111\u1ed3ng nh\u1ea5t c\u1ee7a ph\u00e2n b\u1ed1 t\u1ea3i v\u00e0 b\u1ea5t ho\u1ea1t theo th\u1ec3 t\u00edch v\u00e0 th\u1eddi gian \u0111\u1ec1 c\u1eadp \u0111\u1ebfn vi\u1ec7c t\u0103ng t\u1ea3i t\u00e2m thu c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng \u1ea3nh h\u01b0\u1edfng kh\u00e1c nhau, ph\u1ee5 thu\u1ed9c v\u00e0o khi n\u00e0o t\u1ea3i \u0111\u01b0\u1ee3c g\u00e2y ra trong t\u00e2m thu. T\u0103ng \u00e1p l\u1ef1c th\u1ea5t tr\u00e1i mu\u1ed9n trong t\u00e2m thu th\u00fac \u0111\u1ea9y s\u1ef1 kh\u1edfi ph\u00e1t th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i, nh\u01b0ng s\u1ef1 th\u01b0 gi\u00e3n x\u1ea3y ra v\u1edbi t\u1ed1c \u0111\u1ed9 ch\u1eadm h\u01a1n (tau t\u0103ng). T\u0103ng \u00e1p l\u1ef1c th\u1ea5t tr\u00e1i mu\u1ed9n trong t\u00e2m thu x\u1ea3y ra theo qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a do s\u1ef1 c\u1ee9ng m\u1ea1ch m\u00e1u li\u00ean quan tu\u1ed5i. H\u01a1n n\u1eefa, \u1edf m\u1ee9c \u0111\u1ed9 s\u1ee3i c\u01a1 tim ho\u1eb7c bu\u1ed3ng tim, s\u1ef1 \u0111\u1ed3ng v\u1eadn th\u01b0 gi\u00e3n \u1edf t\u1ea5t c\u1ea3 c\u00e1c \u0111o\u1ea1n s\u1ebd t\u0103ng th\u01b0 gi\u00e3n th\u1ea5t tr\u00e1i, trong khi s\u1ef1 m\u1ea5t \u0111\u1ed3ng v\u1eadn (g\u00e2y ra b\u1edfi nh\u1ed3i m\u00e1u, thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ee5c b\u1ed9, ph\u00ec \u0111\u1ea1i kh\u00f4ng \u0111\u1ed3ng t\u00e2m, ho\u1eb7c b\u1ea5t th\u01b0\u1eddng d\u1eabn truy\u1ec1n) s\u1ebd l\u00e0m suy th\u01b0 gi\u00e3n to\u00e0n b\u1ed9 th\u1ea5t tr\u00e1i.<\/p>\n

3. \u0110\u1ed9 c\u1ee9ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i:<\/h2>\n

\u0110\u1ecbnh ngh\u0129a: \u0110\u1ed9 c\u1ee9ng ho\u1eb7c \u0111\u1ed9 \u0111\u00e0n h\u1ed3i l\u00e0 m\u1ed1i quan h\u1ec7 gi\u1eefa s\u1ef1 thay \u0111\u1ed5i \u00e1p l\u1ef1c v\u00e0 s\u1ee9c c\u0103ng.<\/p>\n

\u0110\u00e1nh gi\u00e1 \u0111\u1ed9 c\u1ee9ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t (T): \u0110\u00e1nh gi\u00e1 \u0111\u1ed9 c\u1ee9ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i b\u1eb1ng th\u00f4ng tim c\u1ea7n \u0111\u00e1nh gi\u00e1 \u0111\u1ed3ng th\u1eddi \u00e1p l\u1ef1c v\u00e0 th\u1ec3 t\u00edch \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed1i quan h\u1ec7 \u00e1p l\u1ef1c-th\u1ec3 t\u00edch cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng (EDPVR). Si\u00eau \u00e2m tim Doppler c\u00f3 th\u1ec3 cung c\u1ea5p c\u00e1c th\u00f4ng tin gi\u00e1n ti\u1ebfp v\u1ec1 \u0111\u1ed9 c\u1ee9ng th\u1ea5t tr\u00e1i.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng: \u0110\u1ed9 c\u1ee9ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng l\u00ean ch\u1ea5t n\u1ec1n ngo\u1ea1i b\u00e0o tim, c\u00e1c qu\u00e1 tr\u00ecnh t\u1ebf b\u00e0o \u1edf m\u1ee9c \u0111\u1ed9 t\u1ebf b\u00e0o c\u01a1, v\u00e0 c\u00e1c s\u1ee3i c\u01a1. Ch\u1ea5t n\u1ec1n ngo\u1ea1i b\u00e0o bao g\u1ed3m c\u00e1c protein s\u1ee3i nh\u1ecf nh\u01b0 collagen t\u00edp I (d\u1ea1ng \u01b0u th\u1ebf \u1edf t\u1ebf b\u00e0o c\u01a1 tim) v\u00e0 t\u00edp III, elastin, v\u00e0 proteoglycans, v\u00e0 c\u00e1c protein m\u00e0ng \u0111\u00e1y, nh\u01b0 collagen t\u00edp IV, laminin v\u00e0 fibronectin. .<\/p>\n

Ch\u1ea5t n\u1ec1n ngo\u1ea1i b\u00e0o t\u0103ng trong c\u00e1c t\u00ecnh tr\u1ea1ng li\u00ean quan suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n (PSTMBT) nh\u01b0 b\u1ec7nh tim do t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh m\u1ea1ch v\u00e0nh.<\/p>\n

4. C\u01a1 ch\u1ebf suy tim do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng m\u1ea1ch m\u00e1u:<\/h2>\n

\u0110\u1ed9 c\u1ee9ng m\u1ea1ch m\u00e1u gia t\u0103ng theo tu\u1ed5i, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, v\u00e0 t\u0103ng huy\u1ebft \u00e1p v\u00e0 cao h\u01a1n \u1edf n\u1eef, \u0111\u00e2y l\u00e0 t\u1ea5t c\u1ea3 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a suy tim PSTMBT. Gi\u1ea3m ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 th\u01b0\u1eddng g\u1eb7p \u1edf t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, v\u00e0 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch (t\u1ea5t c\u1ea3 b\u1ec7nh l\u00fd n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf suy tim PSTMBT) v\u00e0 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n gi\u1ea3m kh\u1ea3 n\u0103ng gi\u00e3n h\u1ec7 m\u1ea1ch m\u00e1u h\u1ec7 th\u1ed1ng, ph\u1ed5i, v\u00e0 m\u1ea1ch v\u00e0nh khi g\u1eafng s\u1ee9c. Ch\u1ee9c n\u0103ng m\u1ea1ch m\u00e1u ph\u1ed5i b\u1ea5t th\u01b0\u1eddng trong suy tim PSTMBT do t\u0103ng \u00e1p t\u0129nh m\u1ea1ch ph\u1ed5i m\u1ea1n t\u00ednh v\u00e0 c\u00e1c thay \u0111\u1ed5i li\u00ean quan tu\u1ed5i.<\/p>\n

5. Gi\u1ea3m ch\u1ee9c n\u0103ng d\u1ef1 tr\u1eef (g\u1eafng s\u1ee9c): <\/strong><\/h2>\n

Trong c\u00e1c giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n ho\u1eb7c trong t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch \u0111\u00e1ng k\u1ec3, c\u00e1c b\u1ec7nh nh\u00e2n suy tim PSTMBT c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00fac ngh\u1ec9. Tuy nhi\u00ean, nhi\u1ec1u b\u1ec7nh nh\u00e2n ch\u1ec9 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng khi g\u1eafng s\u1ee9c, v\u00e0 suy tim v\u1ec1 c\u01a1 b\u1ea3n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 kh\u00f4ng dung n\u1ea1p g\u1eafng s\u1ee9c. Gi\u1ea3m d\u1ef1 tr\u1eef m\u1ea1ch m\u00e1u (kh\u1ea3 n\u0103ng gi\u00e3n m\u1ea1ch khi g\u1eafng s\u1ee9c), d\u1ef1 tr\u1eef t\u00e2m thu th\u1ea5t tr\u00e1i, d\u1ef1 tr\u1eef t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, v\u00e0 d\u1ef1 tr\u1eef ph\u1ee9c b\u1ed9 gh\u00e9p t\u00e2m th\u1ea5t \u2013 m\u1ea1ch m\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh trong suy tim PSTMBT v\u00e0 g\u00f3p ph\u1ea7n g\u00e2y ra s\u1ef1 kh\u00f4ng dung n\u1ea1p g\u1eafng s\u1ee9c.<\/p>\n

6. C\u01a1 ch\u1ebf suy tim do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng nh\u0129:<\/h2>\n

Gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu nh\u0129 tr\u00e1i l\u00e0m h\u1ea1n ch\u1ebf \u0111\u1ed5 \u0111\u1ea7y th\u1ea5t tr\u00e1i trong b\u1ec7nh c\u1ea3nh suy th\u01b0 gi\u00e3n v\u00e0 l\u00e0m t\u0103ng \u00e1p l\u1ef1c trung b\u00ecnh nh\u0129 tr\u00e1i \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed5 \u0111\u1ea7y t\u00e2m tr\u01b0\u01a1ng s\u1edbm. Do \u0111\u00f3, ph\u00ec \u0111\u1ea1i v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m nh\u0129 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o qu\u00e1 tr\u00ecnh sinh l\u00fd b\u1ec7nh c\u1ee7a suy tim PSTMBT.<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u01a1 ch\u1ebf suy tim do b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i (T) c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo tu\u1ed5i, gi\u1edbi t\u00ednh, theo b\u1ec7nh tim m\u1ea1ch m\u00e0 kh\u00f4ng c\u00f3 suy tim n\u00ean \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 hi\u1ec3u c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t (T) kh\u00e1c nhau gi\u1eefa nh\u1eefng ng\u01b0\u1eddi suy tim ph\u00e2n su\u1ea5t […]<\/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":"\nS\u01a1 l\u01b0\u1ee3c v\u1ec1 c\u01a1 ch\u1ebf suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u01a1 ch\u1ebf suy tim do b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i (T) c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo tu\u1ed5i, gi\u1edbi t\u00ednh, theo b\u1ec7nh tim m\u1ea1ch\" \/>\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=\"S\u01a1 l\u01b0\u1ee3c v\u1ec1 c\u01a1 ch\u1ebf suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n - 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