{"id":30146,"date":"2023-05-01T22:50:13","date_gmt":"2023-05-01T15:50:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30146"},"modified":"2023-05-01T22:50:13","modified_gmt":"2023-05-01T15:50:13","slug":"tong-quan-benh-co-tim-that-phai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tong-quan-benh-co-tim-that-phai\/","title":{"rendered":"T\u1ed5ng quan b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i"},"content":{"rendered":"

B\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp (ARVC) l\u00e0 b\u1ea5t th\u01b0\u1eddng tim c\u00f3 t\u00ednh di truy\u1ec1n v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 c\u01a1 tim th\u1ea5t ph\u1ea3i \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng m\u00f4 s\u1ee3i – m\u1ee1, l\u00e0 ti\u1ec1n \u0111\u1ec1 cho c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong.<\/strong><\/p>\n

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

B\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp (ARVC)<\/a> l\u00e0 b\u1ea5t th\u01b0\u1eddng tim c\u00f3 t\u00ednh di truy\u1ec1n v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 c\u01a1 tim th\u1ea5t ph\u1ea3i \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng m\u00f4 s\u1ee3i – m\u1ee1, l\u00e0 ti\u1ec1n \u0111\u1ec1 cho c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong. C\u00e1c b\u1ea5t th\u01b0\u1eddng n\u00e0y ti\u1ebfn tri\u1ec3n g\u00e2y gi\u00e3n th\u1ea5t ph\u1ea3i v\u00e0 suy th\u1ea5t ph\u1ea3i. Trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p, th\u1ea5t tr\u00e1i c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng, bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd th\u1ea5t tr\u00e1i \u0111\u01a1n \u0111\u1ed9c. T\u1ef7 l\u1ec7 b\u1ec7nh g\u1eb7p v\u00e0o kho\u1ea3ng t\u1eeb 1\/2000 t\u1edbi 1\/5000.<\/p>\n

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

B\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp<\/strong><\/p>\n

2. B\u1ec7nh nguy\u00ean<\/h2>\n

Kho\u1ea3ng 40 – 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh v\u1edbi di truy\u1ec1n qua gen theo t\u00ednh tr\u1ea1ng tr\u1ed9i. M\u1ed9t v\u00e0i v\u1ecb tr\u00ed \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 1, 2, 3, 10 v\u00e0 14, g\u00e2y ra \u0111\u1ed9t bi\u1ebfn c\u00e1c gen quy \u0111\u1ecbnh vi\u1ec7c t\u1ed5ng h\u1ee3p protein (plakoglobin, desmoplakin, plakophilin, desmoglein).<\/p>\n

\u0110\u1ed9t bi\u1ebfn l\u1eb7n tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng (b\u1ec7nh Naxos) c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u01b0 d\u00e0y s\u1eebng lan t\u1ecfa l\u00f2ng b\u00e0n tay, b\u00e0n ch\u00e2n, t\u00f3c xo\u0103n v\u00e0 c\u00e1c di\u1ec5n bi\u1ebfn l\u00e2m s\u00e0ng \u00e1c t\u00ednh \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh do \u0111\u1ed9t bi\u1ebfn gen plakoglobin tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 17.<\/p>\n

3.C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h3>\n

V\u1ec1 m\u1eb7t \u0111\u1ea1i th\u1ec3, nh\u1eefng bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac \u0111i\u1ec3n h\u00ecnh trong b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp bao g\u1ed3m: Gi\u00e3n th\u1ea5t ph\u1ea3i k\u00e8m c\u01a1 tim th\u1ea5t ph\u1ea3i m\u1ecfng v\u00e0 th\u00e2m nhi\u1ec5m m\u00f4 s\u1ee3i – m\u1ee1. C\u00e1c v\u1ecb tr\u00ed \u0111\u1eb7c bi\u1ec7t b\u1ecb \u1ea3nh h\u01b0\u1edfng bao g\u1ed3m: M\u1ecfm th\u1ea5t ph\u1ea3i, bu\u1ed3ng nh\u1eadn v\u00e0 ph\u1ea7n \u0111\u01b0\u1eddng ra.<\/p>\n

Khi b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng th\u00eam ph\u1ea7n th\u00e0nh t\u1ef1 do th\u1ea5t ph\u1ea3i d\u0201n \u0111\u1ebfn ph\u00ecnh th\u1ea5t ph\u1ea3i v\u00e0 gi\u00e3n bu\u1ed3ng th\u1ea5t ph\u1ea3i. Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ea5t tr\u00e1i v\u1edbi t\u1ef7 l\u1ec7 bi\u1ebfn c\u1ed1 v\u1ec1 r\u1ed1i lo\u1ea1n nh\u1ecbp v\u00e0 suy tim cao h\u01a1n.<\/p>\n

Gi\u1ea3i ph\u0201u b\u1ec7nh cho th\u1ea5y m\u00f4 c\u01a1 th\u1ea5t ph\u1ea3i b\u1ecb thay th\u1ebf b\u1edfi c\u00e1c m\u00f4 s\u1ee3i – m\u1ee1 v\u1edbi c\u00e1c \u1ed5 vi\u00eam v\u00e0 th\u00e2m nhi\u1ec5m c\u01a1 tim. C\u00e1c \u1ed5 th\u00e2m nhi\u1ec5m m\u00f4 s\u1ee3i – m\u1ee1 <\/em>ch\u00ednh l\u00e0 c\u01a1 ch\u1ea5t g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp, l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp.<\/p>\n

4. Tri\u1ec7u ch\u1ee9ng<\/h2>\n

B\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/em>, m\u1ed9t v\u00e0i tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 h\u1ed3i h\u1ed9p tr\u1ed1ng ng\u1ef1c, cho\u00e1ng v\u00e0 ng\u1ea5t; th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau g\u1eafng s\u1ee9c. B\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, gi\u1edbi v\u00e0 \u0111\u00f4i khi, bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i kho\u1ebb m\u1ea1nh ch\u00ednh l\u00e0 \u0111\u1ed9t t\u1eed do tim c\u00f3 li\u00ean quan \u0111\u1ebfn g\u1eafng s\u1ee9c.<\/p>\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim ph\u1ea3i hi\u1ebfm g\u1eb7p. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n bi\u1ec3u hi\u1ec7n b\u1ec7nh mu\u1ed9n h\u01a1n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng suy tim sung huy\u1ebft k\u00e8m ho\u1eb7c kh\u00f4ng k\u00e8m r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t; m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 b\u1ecb ch\u1ea9n \u0111o\u00e1n nh\u1ea7m l\u00e0 b\u1ec7nh c\u01a1 tim gi\u00e3n<\/em>. Di\u1ec5n bi\u1ebfn t\u1ef1 nhi\u00ean c\u1ee7a b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i sinh r\u1ed1i lo\u1ea1n nh\u1ecbp c\u00f3 th\u1ec3 chia th\u00e0nh nhi\u1ec1u giai \u0111o\u1ea1n ri\u00eang bi\u1ec7t ti\u1ebfn tri\u1ec3n t\u0103ng d\u1ea7n v\u1ec1 m\u1eb7t tri\u1ec7u ch\u1ee9ng v\u00e0 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac:<\/p>\n

    \n
  • Giai \u0111o\u1ea1n ti\u1ec1m \u1ea9n: <\/strong>L\u00e0 giai \u0111o\u1ea1n kh\u00f4ng tri\u1ec7u ch\u1ee9ng tr \u00ean c\u1eadn l\u00e2m s\u00e0ng v\u1edbi nh\u1eefng bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac th\u1ea5t ph\u1ea3i r\u1ea5t nh\u1ecf ho\u1eb7c kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng. \u0110\u1ed9t t\u1eed do tim v\u0201n c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf giai \u0111o\u1ea1n n\u00e0y.<\/li>\n
  • Giai \u0111o\u1ea1n bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n \u0111i\u1ec7n h\u1ecdc: <\/strong>\u0110i\u1ec3n h\u00ecnh v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t ngu\u1ed3n g\u1ed1c th\u1ea5t ph\u1ea3i c\u00f3 tri\u1ec7u ch\u1ee9ng. C\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp c\u00f3 th\u1ec3 g\u1eb7p: N go\u1ea1i t\u00e2m thu th\u1ea5t, c\u01a1n nhanh th\u1ea5t kh\u00f4ng b\u1ec1n b\u1ec9, rung th\u1ea5t. V\u1ec1 m\u1eb7t c\u1ea5u tr\u00fac, c\u00e1c bi\u1ec3u hi\u1ec7n bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac th\u1ea5t ph\u1ea3i bi\u1ec3u hi\u1ec7n r\u00f5.<\/li>\n
  • Giai \u0111o\u1ea1n suy th\u1ea5t ph\u1ea3i: <\/strong>C \u01a1 tim th\u1ea5t ph\u1ea3i m\u1ea5t d\u1ea7n do th\u00e2m nhi\u1ec5m m\u00f4 s\u1ee3i – m\u1ee1 thay th\u1ebf l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea5t ph\u1ea3i, gi\u1ea3m ch\u1ee9c n\u0103ng co b\u00f3p; bu\u1ed3ng th\u1ea5t ph\u1ea3i gi\u00e3n l\u1edbn.<\/li>\n
  • Giai \u0111o\u1ea1n suy tim to\u00e0n b\u1ed9: <\/strong>G iai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n b\u1ec7nh \u1ea3nh h\u01b0\u1edfng t\u1edbi v\u00e1ch li\u00ean th\u1ea5t v\u00e0 th\u1ea5t tr\u00e1i d\u0201n t\u1edbi suy tim sung huy\u1ebft v\u00e0 bi\u1ec3u hi\u1ec7n gi\u1ed1ng b\u1ec7nh c\u01a1 tim gi\u00e3n.<\/li>\n<\/ul>\n

    5. Th\u0103m d\u00f2 c\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

    \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 t\u00edn hi\u1ec7u trung b\u00ecnh: <\/strong>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 12 chuy\u1ec3n \u0111\u1ea1o c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u00ecnh th\u01b0\u1eddng \u1edf kho\u1ea3ng 40% tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh. Bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 h\u00ecnh \u1ea3nh s\u00f3ng T \u0111\u1ea3o ng\u01b0\u1ee3c \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc tim ph\u1ea3i (V1 – V3). C\u0169ng c\u00f3 th\u1ec3 g\u1eb7p bi\u1ec3u hi\u1ec7n QRS k\u00e9o d\u00e0i, s\u01b0\u1eddn l\u00ean c\u1ee7a s\u00f3ng S k\u00e9o d\u00e0i, ch\u1eadm tr\u1ec5 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a \u0111o\u1ea1n cu\u1ed1i v\u00e0 \u0111i\u1ec7n th\u1ebf Epsilon \u1edf chuy\u1ec3n \u0111\u1ea1o V1 – V3, th\u1ec3 hi\u1ec7n kh\u1eed c\u1ef1c th\u1ea5t mu\u1ed9n. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 t\u00edn hi\u1ec7u trung b\u00ecnh (SAECG: Signal-averaged ECG) cho th\u1ea5y \u0111i\u1ec7n th\u1ebf mu\u1ed9n (LP: late potential) \u1edf 50 – 80% tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i sinh r\u1ed1i lo\u1ea1n nh\u1ecbp.<\/p>\n

    Si\u00eau \u00e2m Doppler tim (c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim):<\/strong><\/p>\n

    Si\u00eau doppler \u00e2m tim c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t \u1edf giai \u0111o\u1ea1n ti\u1ec1m \u1ea9n c\u1ee7a b\u1ec7nh. C\u00e1c bi\u1ec3u hi\u1ec7n c\u00f3 th\u1ec3 g\u1eb7p: T\u1eeb r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00f9ng th\u1ea5t ph\u1ea3i khu tr\u00fa cho t\u1edbi gi\u00e3n l\u1edbn th\u1ea5t ph\u1ea3i v\u1edbi ph\u00ecnh th\u1ea5t ph\u1ea3i v\u00e0 suy ch\u1ee9c n\u0103ng th\u1ea5t ph\u1ea3i. Giai \u0111o\u1ea1n mu\u1ed9n, g\u1eb7p c\u00e1c bi\u1ec3u hi\u1ec7n \u1edf th\u1ea5t tr\u00e1i v\u00e0 suy tim to\u00e0n b\u1ed9.<\/p>\n

    C\u1ed9ng h\u01b0\u1edfng t\u1eeb tim (CHT)<\/strong> c\u00f3 \u0111\u1ed9 nh\u1ea1y cao h\u01a1n khi x\u00e1c \u0111\u1ecbnh gi\u1ea3i ph\u0201u b\u1ec7nh th\u1ea5t ph\u1ea3i trong b\u1ec7nh c\u01a1 tim sinh r\u1ed1i lo\u1ea1n nh\u1ecbp v\u00e0 hi\u1ec7n t\u1ea1i c\u0169ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nhi\u1ec1u h\u01a1n. CHT tim cho ph\u00e9p \u0111\u00e1nh gi\u00e1 th\u1ec3 t\u00edch bu\u1ed3ng th\u1ea5t, v\u1eadn \u0111\u1ed9ng v\u00f9ng v\u00e0 v\u1eadn \u0111\u1ed9ng to\u00e0n b\u1ed9 th\u1ea5t, c\u0169ng nh\u01b0 th\u00e2m nhi\u1ec5m m\u1ee1 c\u01a1 tim v\u00e0 t\u0103ng t\u00edn hi\u1ec7u mu\u1ed9n v\u1edbi gadolinium.<\/p>\n

    Holter \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 24 gi\u1edd: <\/strong>Ngo\u1ea1i t\u00e2m thu th\u1ea5t (> 1000\/24 gi\u1edd) v\u00e0 nhanh th\u1ea5t kh\u00f4ng b\u1ec1n b\u1ec9 ho\u1eb7c b\u1ec1n b\u1ec9 v\u1edbi d\u1ea1ng block nh\u00e1nh tr\u00e1i (ch\u1ec9 ra ngu\u1ed3n g\u1ed1c th\u1ea5t ph\u1ea3i). Holter \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 gi\u00e1 tr\u1ecb quan tr\u1ecdng trong ph\u00e1t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, qua \u0111\u00f3 gi\u00fap ph\u00e2n t\u1ea7ng nguy c\u01a1 \u0111\u1ed9t t\u1eed do tim, gi\u00fap c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u1ec9 \u0111\u1ecbnh c\u1ea5y m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng hay kh\u00f4ng.<\/p>\n

    Test g\u1eafng s\u1ee9c: <\/strong>C\u00f3 th\u1ec3 g\u1eb7p ngo\u1ea1i t\u00e2m thu th\u1ea5t d\u00e0y h\u01a1n v\u00e0 c\u01a1n nh\u1ecbp nhanh th\u1ea5t.<\/p>\n

    6. C\u00e1c th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n:<\/h2>\n

    CHT tim ra \u0111\u1eddi \u0111\u00e3 c\u00f3 th\u1ec3 thay th\u1ebf ch\u1ee5p bu\u1ed3ng th\u1ea5t ph\u1ea3i.<\/p>\n

    Th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong ph\u00e2n t\u1ea7ng nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t. K\u00edch th\u00edch tim theo ch\u01b0\u01a1ng tr\u00ecnh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng g\u00e2y c\u00e1c c\u01a1n nh\u1ecbp nhanh th\u1ea5t tr\u00ean th\u1ef1c nghi\u1ec7m, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra \u0111\u00e1nh gi\u00e1 nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t nguy hi\u1ec3m c\u0169ng nh\u01b0 nguy c\u01a1 \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp. \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5y m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng, th\u0103m d\u00f2 \u0111i\u1ec7n sinh l\u00fd v\u1edbi c\u00f4ng ngh\u1ec7 3D c\u00f2n gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00e1c v\u00f9ng c\u01a1 ch\u1ea5t g\u00e2y lo\u1ea1n nh\u1ecbp, h\u01b0\u1edbng d\u0201n trong tri\u1ec7t \u0111\u1ed1t c\u00e1c c\u01a1n r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t \u0111\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u1ea7n s\u1ed1c \u0111i\u1ec7n c\u1ee7a m\u00e1y ICD.<\/p>\n

    Sinh thi\u1ebft m\u00f4 c\u01a1 tim g\u1eb7p kh\u00f3 kh\u0103n, do c\u1ea7n l\u1ea5y m\u0201u b\u1ec7nh ph\u1ea9m th\u00e0nh c\u01a1 tim, trong khi b\u1ec7nh l\u1ea1i g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u00f9ng m\u1ecfng nh\u1ea5t c\u1ee7a th\u1ea5t ph\u1ea3i, l\u00e0m t\u0103ng nguy c\u01a1 th\u1ee7ng th\u1ea5t ph\u1ea3i; h\u01a1n n\u1eefa, b\u1ec7nh l\u00fd ch\u1ec9 bi\u1ec3u hi\u1ec7n t\u1eebng ph\u1ea7n, v\u00ec v\u1eady, k\u1ebft qu\u1ea3 sinh thi\u1ebft \u00e2m t\u00ednh kh\u00f4ng kh\u1eb3ng \u0111\u1ecbnh lo\u1ea1i tr\u1eeb b\u1ec7nh l\u00fd.<\/p>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp (ARVC) l\u00e0 b\u1ea5t th\u01b0\u1eddng tim c\u00f3 t\u00ednh di truy\u1ec1n v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 c\u01a1 tim th\u1ea5t ph\u1ea3i \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng m\u00f4 s\u1ee3i – m\u1ee1, l\u00e0 ti\u1ec1n \u0111\u1ec1 cho c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong. 1.\u0110\u1ecbnh ngh\u0129a B\u1ec7nh c\u01a1 tim th\u1ea5t […]<\/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":"\nT\u1ed5ng quan b\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh c\u01a1 tim th\u1ea5t ph\u1ea3i g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp c\u00f3 t\u00ednh di truy\u1ec1n v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 c\u01a1 tim th\u1ea5t ph\u1ea3i thay th\u1ebf b\u1eb1ng m\u00f4 s\u1ee3i - 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