{"id":30126,"date":"2023-05-01T22:53:12","date_gmt":"2023-05-01T15:53:12","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30126"},"modified":"2023-05-01T22:53:12","modified_gmt":"2023-05-01T15:53:12","slug":"benh-co-tim-han-che-va-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-co-tim-han-che-va-chan-doan\/","title":{"rendered":"B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00e0 ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"

B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf<\/a> c\u00f3 th\u1ec3 v\u00f4 c\u0103n (nguy\u00ean ph\u00e1t) ho\u1eb7c th\u1ee9 ph\u00e1t do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00f4 c\u0103n th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, v\u1edbi 63% t\u1eed vong trong v\u00f2ng 3 n\u0103m t\u1eeb khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/strong><\/p>\n

1.\u0110\u1ecbnh ngh\u0129a<\/h2>\n

L\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm g\u1eb7p \u0111\u1eb7c tr\u01b0ng b\u1edfi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn gi\u1ea3m kh\u1ea3 n\u0103ng co gi\u00e3n v\u00e0 gi\u1ea3m \u0111\u1ed5 \u0111\u1ea7y th\u1ea5t tr\u00e1i. Ch\u1ee9c n\u0103ng t\u00e2m thu th\u01b0\u1eddng trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng, \u00edt nh\u1ea5t \u1edf giai \u0111o\u1ea1n s\u1edbm c\u1ee7a b\u1ec7nh. \u0110i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u00e0m l\u00e0 ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u1edbi vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft<\/strong>, b\u1edfi vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft c\u1ea7n ph\u0201u thu\u1eadt b\u00f3c m\u00e0ng ngo\u00e0i tim \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

B\u1ec7nh c\u00f3 th\u1ec3 v\u00f4 c\u0103n (nguy\u00ean ph\u00e1t) ho\u1eb7c th\u1ee9 ph\u00e1t do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00f4 c\u0103n th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, v\u1edbi 63% t\u1eed vong trong v\u00f2ng 3 n\u0103m t\u1eeb khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/p>\n

\"B\u1ec7nh<\/p>\n

Gi\u1ea3i ph\u1eabu b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf<\/strong><\/p>\n

2. Sinh l\u00fd b\u1ec7nh<\/h2>\n

C\u01a1 ch\u1ebf sinh l\u00fd b\u1ec7nh c\u1ee7a b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00f4 c\u0103n \u0111\u1ebfn nay v\u0201n ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh v\u00e0 c\u00f3 xu h\u01b0\u1edbng li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd c\u01a1 x\u01b0\u01a1ng. C\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng, b\u1ec7nh l\u00fd th\u00e2m nhi\u1ec5m v\u00e0 x\u01a1 h\u00f3a n\u1ed9i m\u1ea1c.<\/p>\n

3. Nguy\u00ean nh\u00e2n<\/h2>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf (T\u1ea1i c\u01a1 tim v\u00e0 t\u1ea1i n\u1ed9i m\u1ea1c)<\/p>\n\n\n\n\n
T\u1ea1i c\u01a1 tim:<\/strong><\/p>\n

B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf kh\u00f4ng do th\u00e2m nhi\u1ec5m<\/strong><\/p>\n

–\u00a0 V\u00f4 c\u0103n – X\u01a1 c\u1ee9ng b\u00ec<\/p>\n

B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf do nguy\u00ean nh\u00e2n th\u00e2m nhi\u1ec5m<\/strong><\/p>\n

–\u00a0 B\u1ec7nh nhi\u1ec5m b\u1ed9t<\/p>\n

–\u00a0 Sarcoid<\/p>\n

–\u00a0 B\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a: B\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a \u0111\u01b0\u1eddng, b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a d\u1ef1 tr\u1eef lysosome (Gaucher, Fabry, Hurler)<\/p>\n

–\u00a0 B\u1ec7nh nhi\u1ec5m s\u1eaft<\/td>\n<\/tr>\n

T\u1ea1i n\u1ed9i m\u1ea1c:<\/strong><\/p>\n

–\u00a0 X\u01a1 h\u00f3a n\u1ed9i m\u1ea1c<\/p>\n

–\u00a0 H\u1ed9i ch\u1ee9ng t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan (Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c Loeffler)<\/p>\n

–\u00a0 Ung th\u01b0 di c\u0103n<\/p>\n

–\u00a0 Carcinoid<\/p>\n

–\u00a0 Do thu\u1ed1c (anthracyclines ph\u00f3ng x\u1ea1)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

4. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

4.1 Th\u0103m kh\u00e1m l\u00e2m s\u00e0ng<\/strong><\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u1ee9 tr\u1ec7 tu\u1ea7n ho\u00e0n ph\u1ed5i v\u00e0 tu\u1ea7n ho\u00e0n h\u1ec7 th\u1ed1ng: Kh\u00f3 th\u1edf, ph\u00f9 ngo\u1ea1i vi, h\u1ed3i h\u1ed9p tr\u1ed1ng ng\u1ef1c, m\u1ec7t th\u1ec9u, ng\u1ea5t, h\u1ea1n ch\u1ebf g\u1eafng s\u1ee9c do kh\u00f4ng t\u0103ng \u0111\u01b0\u1ee3c th\u1ec3 t\u00edch nh\u00e1t b\u00f3p v\u00e0 cung l\u01b0\u1ee3ng tim c\u00f9ng v\u1edbi s\u1ef1 t\u0103ng t\u1ea7n s\u1ed1 tim.<\/p>\n

Ngo\u00e0i c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a suy tim sung huy\u1ebft, khi th\u0103m kh\u00e1m c\u00f3 th\u1ec3 nghe th\u1ea5y ti\u1ebfng tim th\u1ee9 3, th\u1ee9 4. M\u1ecfm tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1edd th\u1ea5y, kh\u00e1c bi\u1ec7t so v\u1edbi tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft.<\/p>\n

D\u1ea5u hi\u1ec7u Kussmaul: Khi h\u00edt s\u00e2u v\u00e0o t\u0129nh m\u1ea1ch c\u1ea3nh n\u1ed5i h\u01a1n. Do khi h\u00edt s\u00e2u, \u00e1p l\u1ef1c \u00e2m trong l\u1ed3ng ng\u1ef1c t\u0103ng l\u00ean, l\u00e0m m\u00e1u v\u1ec1 tim nhi\u1ec1u h\u01a1n, nh\u01b0ng th\u1ea5t ph\u1ea3i l\u1ea1i b\u1ecb h\u1ea1n ch\u1ebf gi\u00e3n n\u1edf d\u0201n \u0111\u1ebfn \u1ee9 m\u00e1u \u1edf nh\u0129 ph\u1ea3i v\u00e0 tr\u00e0o l\u00ean c\u00e1c t\u0129nh m\u1ea1ch c\u1ed5. Vi\u1ec7c t\u0103ng \u00e1p l\u1ef1c trung t\u00e2m d\u0201n \u0111\u1ebfn ph\u00ec \u0111\u1ea1i gan l\u00e1ch, c\u1ed5 tr\u01b0\u1edbng v\u00e0 ph\u00f9 to\u00e0n th\u00e2n.<\/p>\n

4.2 C\u00e1c x\u00e9t nghi\u1ec7m th\u0103m d\u00f2<\/h3>\n

\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 <\/em><\/strong>c\u00f3 th\u1ec3 th\u1ea5y s\u00f3ng P hai l\u00e1 ho\u1eb7c P ph\u1ebf, gi\u1ea3m \u0111i\u1ec7n th\u1ebf v\u00f9ng tr\u01b0\u1edbc tim, b\u1ea5t th\u01b0\u1eddng ST-T, c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp: Ngo\u1ea1i t\u00e2m thu, block nh\u0129 th\u1ea5t, ch\u1eadm d\u0201n truy\u1ec1n trong th\u1ea5t.<\/p>\n

Si\u00eau \u00e2m tim: <\/em><\/strong>Gi\u00e3n hai bu\u1ed3ng nh\u0129, th\u1ea5t tr\u00e1i b\u00e9 ho\u1eb7c b\u00ecnh th\u01b0\u1eddng k\u00e8m theo ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i b\u1ea3o t\u1ed3n ho\u1eb7c gi\u1ea3m trong giai \u0111o\u1ea1n mu\u1ed9n, ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng gi\u1ea3m. C\u00f3 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u h\u1ea1n ch\u1ebf d\u00f2ng ch\u1ea3y tr\u00ean ph\u1ed5 qua van hai l\u00e1. Ph\u00ec \u0111\u1ea1i t\u00e2m th\u1ea5t, d\u00e0y v\u00e1ch li\u00ean nh\u0129 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a th\u00e2m nhi\u1ec5m, c\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y h\u00ecnh \u1ea3nh l\u1ed1m \u0111\u1ed1m trong c\u01a1 tim. Si\u00eau \u00e2m Doppler m\u00f4 v\u00e0 si\u00eau \u00e2m \u0111\u00e1nh d\u1ea5u m\u00f4 c\u00f3 \u00edch trong vi\u1ec7c ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00e0 vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft.<\/p>\n

X-quang ng\u1ef1c: <\/em><\/strong>C\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh gi\u00e3n nh\u0129 tr\u00e1i th\u1ee9 ph\u00e1t, ph\u00f9 ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i. N\u1ebfu c\u00f3 h\u00ecnh \u1ea3nh canxi h\u00f3a m\u00e0ng ngo\u00e0i tim th\u00ec ngh\u0129 \u0111\u1ebfn b\u1ec7nh vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft.<\/p>\n

X\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n th\u00e2m nhi\u1ec5m n\u1ebfu c\u00f3.<\/p>\n

Th\u00f4ng tim tr\u00e1i v\u00e0 ph\u1ea3i <\/em><\/strong>c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft \u0111\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh vi\u00eam m\u00e0ng ngo\u00e0i tim co th\u1eaft: T\u0103ng \u00e1p l\u1ef1c t\u00e2m thu th\u1ea5t ph\u1ea3i r\u00f5 r\u1ec7t (> 50 mmHg). \u00c1p l\u1ef1c cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i l\u1edbn h\u01a1n \u00e1p l\u1ef1c cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t ph\u1ea3i > 5 mmHg l\u00fac ngh\u1ec9 ng\u01a1i hO\u1eb7c g\u1eafng s\u1ee9c. \u00c1p l\u1ef1c cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t ph\u1ea3i < 1\/3 \u00e1p l\u1ef1c t\u00e2m thu th\u1ea5t ph\u1ea3i.<\/p>\n

C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim <\/em><\/strong>cung c\u1ea5p nhi\u1ec1u h\u01a1n th\u00f4ng tin gi\u00fap x\u00e1c \u0111\u1ecbnh ho\u1eb7c lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf. Ch\u1ee5p v\u1edbi t\u01b0\u01a1ng ph\u1ea3n gadolinium mu\u1ed9n c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a, s\u1eb9o, ho\u1ea1i t\u1eed, th\u00e2m nhi\u1ec5m c\u01a1 tim.<\/p>\n

5. Ti\u00ean l\u01b0\u1ee3ng<\/h2>\n

Ti\u00ean l\u01b0\u1ee3ng th\u01b0\u1eddng x\u1ea5u do ch\u1ea9n \u0111o\u00e1n b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi b\u1ec7nh \u0111\u00e3 \u1edf giai \u0111o\u1ea1n cu\u1ed1i. Kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o cho h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n; h\u1ea7u h\u1ebft l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, h\u1ed7 tr\u1ee3 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 . C\u00e1c \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n th\u01b0\u1eddng d\u00f9ng trong b\u1ec7nh c\u01a1 tim gi\u00e3n (v\u00ed d\u1ee5, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n [ACE], digoxin, thu\u1ed1c ch\u1eb9n beta) \u0111\u01b0\u1ee3c dung n\u1ea1p k\u00e9m trong b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u0169ng c\u00f3 th\u1ec3 b\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ef1 \u0111\u1ed9ng (\u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh tim do nhi\u1ec5m b\u1ed9t) ho\u1eb7c huy\u1ebft \u00e1p th\u1ea5p. T\u1ef7 l\u1ec7 cao c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n, block trong tim v\u00e0 \u0111\u1ed9t t\u1eed.<\/p>\n

6. Nh\u1eefng \u0111i\u1ec3m ch\u00ednh c\u1ea7n n\u1eafm<\/h2>\n
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    Trong b\u1ec7nh l\u00fd c\u01a1 tim b\u1ecb h\u1ea1n ch\u1ebf, d\u00e0y l\u00ean c\u1ee7a n\u1ed9i m\u1ea1c c\u01a1 tim ho\u1eb7c c\u01a1 tim b\u1ecb th\u00e2m nhi\u1ec5m l\u00e0m th\u1ea5t tr\u00e1i tr\u1edf n\u00ean c\u1ee9ng l\u1ea1i, k\u00e9m \u0111\u00e0n h\u1ed3i v\u00e0 do \u0111\u00f3 l\u00e0m r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng, ch\u1ee9c n\u0103ng t\u00e2m thu v\u1eabn b\u00ecnh th\u01b0\u1eddng cho \u0111\u1ebfn giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh.<\/p>\n<\/div>\n<\/li>\n

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    \u0110\u00f4i khi, m\u00f4 van ho\u1eb7c h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n c\u00f3 li\u00ean quan, g\u00e2y h\u1edf van tim ho\u1eb7c c\u00e1c block c\u1ee7a tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp.<\/p>\n<\/div>\n<\/li>\n

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    Nguy\u00ean nh\u00e2n th\u01b0\u1eddng kh\u00f4ng r\u00f5, nh\u01b0ng m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p l\u00e0 do c\u00e1c r\u1ed1i lo\u1ea1n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c, bao g\u1ed3m b\u1ec7nh tho\u00e1i h\u00f3a d\u1ea1ng tinh b\u1ed9t, b\u1ec7nh nhi\u1ec5m s\u1eafc t\u1ed1 s\u1eaft m\u00f4 ho\u1eb7c b\u1ec7nh sacoid.<\/p>\n<\/div>\n<\/li>\n

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    Ch\u1ea9n \u0111o\u00e1n b\u1eb1ng si\u00eau \u00e2m tim v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh.<\/p>\n<\/div>\n<\/li>\n

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    \u0110i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng k\u00e9m tr\u1eeb khi c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n; thu\u1ed1c l\u1ee3i ti\u1ec3u c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i cho b\u1ec7nh nh\u00e2n c\u00f3 ph\u00f9 ho\u1eb7c t\u1eafc ngh\u1ebdn m\u1ea1ch ph\u1ed5i nh\u01b0ng ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u0111\u1ec3 tr\u00e1nh g\u00e2y gi\u1ea3m ti\u1ec1n g\u00e1nh.<\/p>\n<\/div>\n<\/li>\n

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    C\u00e1c \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n th\u01b0\u1eddng d\u00f9ng trong b\u1ec7nh c\u01a1 tim gi\u00e3n (v\u00ed d\u1ee5, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, digoxin, thu\u1ed1c ch\u1eb9n beta) \u0111\u01b0\u1ee3c dung n\u1ea1p k\u00e9m trong b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf.<\/p>\n<\/div>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf c\u00f3 th\u1ec3 v\u00f4 c\u0103n (nguy\u00ean ph\u00e1t) ho\u1eb7c th\u1ee9 ph\u00e1t do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c. B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00f4 c\u0103n th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, v\u1edbi 63% t\u1eed vong trong v\u00f2ng 3 n\u0103m t\u1eeb khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. 1.\u0110\u1ecbnh ngh\u0129a L\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm g\u1eb7p \u0111\u1eb7c tr\u01b0ng b\u1edfi r\u1ed1i […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nB\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00e0 ch\u1ea9n \u0111o\u00e1n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf c\u00f3 th\u1ec3 v\u00f4 c\u0103n ho\u1eb7c th\u1ee9 ph\u00e1t do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c, th\u01b0\u1eddng c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, th\u01b0\u1eddng t\u1eed vong 63% t\u1eed vong trong v\u00f2ng 3 n\u0103m\" \/>\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=\"B\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf v\u00e0 ch\u1ea9n \u0111o\u00e1n - 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