{"id":30172,"date":"2023-05-01T22:48:33","date_gmt":"2023-05-01T15:48:33","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30172"},"modified":"2023-05-01T22:48:33","modified_gmt":"2023-05-01T15:48:33","slug":"benh-ly-co-tim-hiem-gap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-ly-co-tim-hiem-gap\/","title":{"rendered":"B\u1ec7nh l\u00fd c\u01a1 tim hi\u1ebfm g\u1eb7p."},"content":{"rendered":"<p><strong>B\u1ec7nh l\u00fd c\u01a1 tim l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng tim m\u1ea1ch. Tuy nhi\u00ean, c\u0169ng c\u00f3 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 c\u01a1 tim hi\u1ebfm g\u1eb7p h\u01a1n nh\u01b0: b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u, b\u1ec7nh c\u01a1 tim Takotsubo s\u1ebd \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong b\u00e0y vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n<h2>1.B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u<\/h2>\n<p>B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u l\u00e0 nguy\u00ean nh\u00e2n th\u1ee9 hai d\u0201n \u0111\u1ebfn <strong>b\u1ec7nh c\u01a1 tim gi\u00e3n m\u1eafc ph\u1ea3i <\/strong>\u1edf c\u00e1c n\u01b0\u1edbc ph\u01b0\u01a1ng T\u00e2y, nguy\u00ean nh\u00e2n l\u00e0 do d\u00f9ng m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng r\u01b0\u1ee3u l\u1edbn trong m\u1ed9t th\u1eddi gian d\u00e0i.<\/p>\n<p><strong>C\u01a1 ch\u1ebf b\u1ec7nh sinh <\/strong>c\u1ee7a b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u v\u0201n ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7. T\u00e1c \u0111\u1ed9ng g\u00e2y \u0111\u1ed9c c\u1ee7a r\u01b0\u1ee3u c\u1ea5p t\u00ednh \u0111\u1ed1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 tim l\u00e0 tho\u00e1ng qua, nh\u01b0ng vi\u1ec7c d\u00f9ng l\u00e2u d\u00e0i c\u00f3 th\u1ec3 d\u0201n \u0111\u1ebfn suy gi\u1ea3m v\u0129nh vi\u1ec5n kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a c\u01a1 tim do \u1ea3nh h\u01b0\u1edfng c\u1ee7a ethanol v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a n\u00f3. Ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u1ed9c h\u1ea1i \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn nhi\u1ec1u nh\u1ea5t l\u00e0 acetaldehyde, m\u1ed9t ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a r\u01b0\u1ee3u \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t trong gan b\u1edfi enzym dehydrogenase. Acetaldehyde \u0111\u01b0\u1ee3c cho l\u00e0 g\u00e2y suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u01a1 tim th\u00f4ng qua m\u1ed9t qu\u00e1 tr\u00ecnh ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ty th\u1ec3, t\u1ed5n th\u01b0\u01a1ng oxy h\u00f3a v\u00e0 suy y\u1ebfu n\u1ed9i m\u00f4i.<\/p>\n<p>M\u1ed9t s\u1ed1 c\u01a1 ch\u1ebf \u0111\u01b0\u1ee3c \u0111\u01b0a ra theo \u0111\u00f3 ti\u00eau th\u1ee5 r\u01b0\u1ee3u c\u00f3 th\u1ec3 tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp (th\u00f4ng qua c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a) g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim v\u00e0 b\u1ec7nh c\u01a1 tim: (1) t\u00e1c d\u1ee5ng \u0111\u1ed9c tr\u1ef1c ti\u1ebfp c\u1ee7a ethanol g\u00e2y ra ch\u1ebft t\u1ebf b\u00e0o theo ch\u01b0\u01a1ng tr\u00ecnh v\u00e0 m\u1ea5t t\u1ebf b\u00e0o c\u01a1 v\u00e0 acetaldehyde g\u00e2y ra s\u1ef1 co th\u1eaft c\u01a1 tim; (2) thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng (\u0111\u1eb7c bi\u1ec7t l\u00e0 thiamine); v\u00e0 (3) hi\u1ebfm h\u01a1n l\u00e0 t\u00e1c d\u1ee5ng \u0111\u1ed9c h\u1ea1i c\u1ee7a ph\u1ee5 gia (coban).<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-30177 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/21994-alcoholic-cardiomyopathy-illustration-300x300.webp\" alt=\"b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/21994-alcoholic-cardiomyopathy-illustration-300x300.webp 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/21994-alcoholic-cardiomyopathy-illustration-150x150.webp 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/21994-alcoholic-cardiomyopathy-illustration-768x768.webp 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/21994-alcoholic-cardiomyopathy-illustration.webp 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u<\/strong><\/p>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u <\/strong>n\u00ean nghi ng\u1edd \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng r\u01b0\u1ee3u s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u v\u00e0 k\u00e9o d\u00e0i v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u gi\u00e3n th\u1ea5t tr\u00e1i ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim (v\u00ed d\u1ee5 nh\u01b0 kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi).<\/p>\n<p><strong>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n: <\/strong>B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3 ba ti\u00eau ch\u00ed sau:<\/p>\n<ul>\n<li>Ti\u00eau th\u1ee5 r\u01b0\u1ee3u n\u1eb7ng l\u00e2u d\u00e0i (th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 &gt; 80g m\u1ed7i ng\u00e0y trong kho\u1ea3ng th\u1eddi gian \u00edt nh\u1ea5t 5 n\u0103m).<\/li>\n<li>\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh c\u01a1 tim gi\u00e3n: Hai \u0111\u1eb7c \u0111i\u1ec3m sau th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng si\u00eau \u00e2m tim. N\u1ebfu si\u00eau \u00e2m tim d\u01b0\u1edbi m\u1ee9c ch\u1ea9n \u0111o\u00e1n, c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim (CMR) ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y:<\/li>\n<li>\u0110\u1ed9 gi\u00e3n th\u1ea5t tr\u00e1i \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 th\u1ec3 t\u00edch cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i ho\u1eb7c k\u00edch th\u01b0\u1edbc t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i (LVDD) l\u1edbn h\u01a1n 2 \u0111\u1ed9 l\u1ec7ch chu\u1ea9n tr\u00ean m\u1ee9c b\u00ecnh th\u01b0\u1eddng (b\u1eb1ng si\u00eau \u00e2m tim, LVDD &gt; 58,4 mm \u1edf nam v\u00e0 &gt; 52,2 mm \u1edf n\u1eef theo h\u1ed9i si\u00eau \u00e2m tim Hoa K\u00ec v\u00e0 h\u1ed9i h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch Ch\u00e2u \u00c2u).<\/li>\n<li>LVEF d\u01b0\u1edbi m\u1ee9c b\u00ecnh th\u01b0\u1eddng. M\u1eb7c d\u00f9 ph\u1ea1m vi b\u00ecnh th\u01b0\u1eddng c\u1ee7a LVEF kh\u00e1c nhau gi\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 d\u00e2n s\u1ed1, LVEF &lt; 50% l\u00e0 b\u1ea5t th\u01b0\u1eddng v\u00e0 l\u00e0 ng\u01b0\u1ee1ng ch\u1ea5p nh\u1eadn cho b\u1ec7nh c\u01a1 tim gi\u00e3n.<\/li>\n<\/ul>\n<p><strong>Kh\u00f4ng c\u00f3 <\/strong>b\u1ec7nh tim do t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh van tim, b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 (h \u1ed9i ch\u1ee9ng \u0110MV m\u1ea1n t\u00ednh) v\u00e0 c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim gi\u00e3n \u0111\u1ee7 \u0111\u1ec3 g\u00e2y ra r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i. C \u1ea7n lo\u1ea1i tr\u1eeb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/p>\n<p><strong>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u: <\/strong>Nguy\u00ean t\u1eafc gi\u1ed1ng v\u1edbi b\u1ec7nh c\u01a1 tim gi\u00e3n n\u00f3i chung v\u00e0 b\u00ean c\u1ea1nh \u0111\u00f3 l\u00e0 d\u1eebng s\u1eed d\u1ee5ng r\u01b0\u1ee3u ho\u00e0n to\u00e0n v\u00e0 v\u0129nh vi\u1ec5n. Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u thay \u0111\u1ed5i t\u00f9y theo vi\u1ec7c ti\u1ebfp t\u1ee5c hay kh\u00f4ng v\u00e0 m\u1ee9c \u0111\u1ed9 s\u1eed d\u1ee5ng r\u01b0\u1ee3u. B\u1ec7nh nh\u00e2n ki\u00eang r\u01b0\u1ee3u ho\u1eb7c s\u1eed d\u1ee5ng r\u01b0\u1ee3u v\u1eeba ph\u1ea3i c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n ho\u1eb7c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u0111\u00e3 th\u1ea5y v\u1edbi b\u1ec7nh c\u01a1 tim gi\u00e3n v\u00f4 c\u0103n, trong khi ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng r\u01b0\u1ee3u nhi\u1ec1u c\u00f3 li\u00ean quan \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng x\u1ea5u h\u01a1n. Do nh\u1eefng b\u1ec7nh nh\u00e2n l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u m\u00e3n t\u00ednh th\u01b0\u1eddng c\u00f3 s\u1ef1 thi\u1ebfu h\u1ee5t vitamin B1, \u0111i\u1ec1u n\u00e0y c\u0169ng g\u00f3p ph\u1ea7n l\u00e0m n\u1eb7ng b\u1ec7nh c\u01a1 tim. Do \u0111\u00f3 <strong>c\u1ea7n thi\u1ebft cung c\u1ea5p vitamin B1 v\u00e0 folate <\/strong>cho nh\u00f3m b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p>Trong qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng s\u1ef1 b\u1ea5t th\u01b0\u1eddng d\u0201n \u0111\u1ebfn nh\u1eefng b\u1ec7nh l\u00fd c\u01a1 tim. C\u00e1c b\u1ec7nh t\u00edch tr\u1eef lysosomal v\u00e0 glycogen c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t d\u1ea1ng b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf. Haemochromatosis (b\u1ec7nh nhi\u1ec5m s\u1eaft) c\u0169ng g\u00e2y ra b\u1ec7nh c\u01a1 tim h\u1ea1n ch\u1ebf b\u1edfi c\u00e1c c\u01a1 ch\u1ebf ch\u01b0a r\u00f5 r\u00e0ng. C\u00e1c b\u1ea5t th\u01b0\u1eddng chuy\u1ec3n h\u00f3a m\u1eafc ph\u1ea3i nh\u01b0 <strong><em>b\u1ec7nh to c\u1ef1c chi <\/em><\/strong>d\u0201n \u0111\u1ebfn ph\u00ec \u0111\u1ea1i hai t\u00e2m th\u1ea5t. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh c\u01a1 tim v\u1edbi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0\/ho\u1eb7c t\u00e2m tr\u01b0\u01a1ng, ngay c\u1ea3 khi kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1ng k\u1ec3 \u1edf \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00f9ng th\u01b0\u1ee3ng t\u00e2m m\u1ea1c.<\/p>\n<h2><strong>2. B\u1ec7nh c\u01a1 tim Takotsubo<\/strong><\/h2>\n<p>B\u1ec7nh c\u01a1 tim Takotsubo, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh c\u01a1 tim do c\u0103ng th\u1eb3ng (stress), hay h\u1ed9i ch\u1ee9ng ph\u00ecnh m\u1ecfm th\u1ea5t tr\u00e1i tho\u00e1ng qua, l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng hi\u1ebfm g\u1eb7p nh\u01b0ng hi\u1ec7n nay \u0111\u01b0\u1ee3c ghi nh\u1eadn nhi\u1ec1u h\u01a1n. B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu tho\u00e1ng qua c\u1ee7a v\u00f9ng m\u1ecfm v\u00e0\/ho\u1eb7c v\u00f9ng gi\u1eefa c\u1ee7a t\u00e2m th\u1ea5t tr\u00e1i, v\u1edbi ho\u1ea1t \u0111\u1ed9ng b\u00f9 tr\u1eeb c\u1ee7a v\u00f9ng \u0111\u00e1y tim t\u1ea1o ra ph\u00ecnh t\u1ea1i v\u00f9ng m\u1ecfm trong th\u00ec t\u00e2m thu.<\/p>\n<p>B\u1ec7nh ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ph\u1ee5 n\u1eef m\u00e3n kinh v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi c\u0103ng th\u1eb3ng (stress) v\u1ec1 c\u1ea3m x\u00fac ho\u1eb7c th\u1ec3 ch\u1ea5t d\u1eef d\u1ed9i (v\u00ed d\u1ee5 nh\u01b0 m\u1ea5t ng\u01b0\u1eddi th\u00e2n, b\u1ea1o h\u00e0nh trong gia \u0111\u00ecnh, thi\u00ean tai).<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-30181 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Lecturio_5195_Takotsubo-cardiomyopathy-300x115.png\" alt=\"B\u1ec7nh c\u01a1 tim Takotsubo\" width=\"441\" height=\"169\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Lecturio_5195_Takotsubo-cardiomyopathy-300x115.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Lecturio_5195_Takotsubo-cardiomyopathy-1024x394.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Lecturio_5195_Takotsubo-cardiomyopathy-768x296.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Lecturio_5195_Takotsubo-cardiomyopathy-1536x591.png 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Lecturio_5195_Takotsubo-cardiomyopathy.png 1645w\" sizes=\"(max-width: 441px) 100vw, 441px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>B\u1ec7nh c\u01a1 tim Takotsubo<\/strong><\/p>\n<p><strong><em>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng <\/em><\/strong>c\u1ee7a b\u1ec7nh c\u01a1 tim Takotsubo t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p t\u00ednh, v\u1edbi \u0111au ng\u1ef1c sau x\u01b0\u01a1ng \u1ee9c, ST ch\u00eanh l\u00ean v\u00e0 t\u0103ng d\u1ea5u \u1ea5n sinh h\u1ecdc c\u01a1 tim. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c c\u00f3 th\u1ec3 bao g\u1ed3m nh\u1ecbp nh\u1ecbp nhanh v\u00e0 nh\u1ecbp tim ch\u1eadm, d\u1ea5u hi\u1ec7u suy th\u1ea5t tr\u00e1i, t\u1eafc ngh\u1ebdn LVOT (\u0111\u01b0\u1eddng ra th\u1ea5t tr\u00e1i) tho\u00e1ng qua v\u00e0 th\u1eadm ch\u00ed s\u1ed1c tim.<\/p>\n<p><strong><em>Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh <\/em><\/strong>kh\u00f4ng c\u00f3 h\u1eb9p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e1ng k\u1ec3.<\/p>\n<p><strong><em>Ch\u1ea9n \u0111o\u00e1n <\/em><\/strong>\u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng ch\u1ee5p bu\u1ed3ng th\u1ea5t tr\u00e1i ho\u1eb7c si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c (TTE), x\u00e1c \u0111\u1ecbnh ph\u00ecnh v\u00f9ng m\u1ecfm \u0111\u1eb7c tr\u01b0ng v\u1edbi t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i k\u00e8m theo. C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a b\u1ec7nh c\u01a1 tim Takotsubo v\u0201n ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5; tuy nhi\u00ean, c\u00e1c c\u01a1 ch\u1ebf \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t bao g\u1ed3m d\u01b0 th\u1eeba catecholamine g\u00e2y co th\u1eaft \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng vi m\u1ea1ch m\u00e1u, ho\u1eb7c do \u0111\u1ed9c t\u00ednh tr\u1ef1c ti\u1ebfp qua trung gian catecholamine.<\/p>\n<p><strong><em>\u0110i\u1ec1u tr\u1ecb <\/em><\/strong>v\u1ec1 c\u01a1 b\u1ea3n l\u00e0 h\u1ed7 tr\u1ee3, truy\u1ec1n d\u1ecbch \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 c\u1ed1 g\u1eafng l\u00e0m gi\u1ea3m b\u1edbt b\u1ea5t k\u1ef3 c\u0103ng th\u1eb3ng c\u1ea3m x\u00fac ho\u1eb7c th\u1ec3 ch\u1ea5t.<\/p>\n<p><strong><em>Ti\u00ean l\u01b0\u1ee3ng <\/em><\/strong>th\u01b0\u1eddng t\u1ed1t \u1edf nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau giai \u0111o\u1ea1n c\u1ea5p t\u00ednh, v\u1edbi s\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng t\u00e2m th\u1ea5t tr\u00e1i b\u00ecnh th\u01b0\u1eddng trong v\u00f2ng 4 &#8211; 6 tu\u1ea7n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh l\u00fd c\u01a1 tim l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng tim m\u1ea1ch. Tuy nhi\u00ean, c\u0169ng c\u00f3 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 c\u01a1 tim hi\u1ebfm g\u1eb7p h\u01a1n nh\u01b0: b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u, b\u1ec7nh c\u01a1 tim Takotsubo s\u1ebd \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong b\u00e0y vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1.B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u B\u1ec7nh c\u01a1 [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh l\u00fd c\u01a1 tim hi\u1ebfm g\u1eb7p. - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh l\u00fd c\u01a1 tim th\u01b0\u1eddng g\u1eb7p trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng. 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