{"id":30440,"date":"2023-05-03T15:10:54","date_gmt":"2023-05-03T08:10:54","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30440"},"modified":"2023-05-03T15:10:54","modified_gmt":"2023-05-03T08:10:54","slug":"hep-eo-dong-mach-chu-2","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/hep-eo-dong-mach-chu-2\/","title":{"rendered":"H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"

H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 thu h\u1eb9p c\u1ee7a \u0110M ch\u1ee7 \u1edf g\u1ea7n v\u1ecb tr\u00ed c\u1ee7a d\u00e2y ch\u1eb1ng \u0111\u1ed9ng m\u1ea1ch ngay ph\u00eda xa nguy\u00ean \u1ee7y c\u1ee7a \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i, g\u00e2y c\u1ea3n tr\u1edf d\u00f2ng m\u00e1u tr\u01b0\u1edbc ch\u1ed7 h\u1eb9p, d\u1ea7n t\u1edbi t\u0103ng \u00e1p l\u1ef1c, ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i v\u00e0 suy tim.<\/strong><\/p>\n

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

H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/a> \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 thu h\u1eb9p c\u1ee7a \u0110M ch\u1ee7 \u1edf g\u1ea7n v\u1ecb tr\u00ed c\u1ee7a d\u00e2y ch\u1eb1ng \u0111\u1ed9ng m\u1ea1ch ngay ph\u00eda xa nguy\u00ean \u1ee7y c\u1ee7a \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i, g\u00e2y c\u1ea3n tr\u1edf d\u00f2ng m\u00e1u tr\u01b0\u1edbc ch\u1ed7 h\u1eb9p, d\u1ea7n t\u1edbi t\u0103ng \u00e1p l\u1ef1c, ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i v\u00e0 suy tim. Ch\u1ed7 h\u1eb9p eo c\u00f3 th\u1ec3 l\u00e0 th\u1eaft h\u1eb9p ho\u1eb7c h\u1eb9p h\u00ecnh \u1ed1ng tr\u00ean \u0111o\u1ea1n d\u00e0i v\u00e0 c\u00f3 tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7. C\u00e1c b\u1ea5t th\u01b0\u1eddng \u0111i k\u00e8m th\u01b0\u1eddng g\u1eb7p l\u00e0 van \u0110M ch\u1ee7 hai l\u00e1 van, c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c th\u00f4ng li\u00ean th\u1ea5t.<\/p>\n

2. D\u1ecbch t\u1ec5 h\u1ecdc<\/h2>\n
    \n
  • T\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc h\u1eb9p eo \u0110M ch\u1ee7 kho\u1ea3ng 4\/10.000 tr\u1ebb m\u1edbi sinh v\u00e0 6 – 8% tr\u01b0\u1eddng h\u1ee3p tim b\u1ea9m sinh, t\u1ef7 l\u1ec7 nam n\u1eef l\u00e0 1,7:1.<\/li>\n
  • Di truy\u1ec1n: M\u1eb7c d\u00f9 kh\u00f4ng c\u00f3 \u0111\u1ed9t bi\u1ebfn gen \u0111\u1eb7c hi\u1ec7u n\u00e0o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, tuy nhi\u00ean \u0111\u00e3 c\u00f3 nh\u1eefng b\u00e1o c\u00e1o v\u1ec1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1eb9p eo \u0110M ch\u1ee7 c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh. H\u1eb9p eo \u0110M ch\u1ee7 c\u00f3 th\u1ec3 g\u1eb7p trong h\u1ed9i ch\u1ee9ng Williams-Beuren, h\u1ed9i ch\u1ee9ng Sturge-Weber. 30% b\u1ec7nh nh\u00e2n h\u1ed9i ch\u1ee9ng Turner c\u00f3 h\u1eb9p eo \u0110M ch\u1ee7 v\u00e0 5 – 15% b\u1ec7nh nh\u00e2n n\u1eef h\u1eb9p eo \u0110M ch\u1ee7 c\u00f3 h\u1ed9i ch\u1ee9ng Turner.<\/li>\n
  • C\u00f3 th\u1ec3 g\u1eb7p h\u1eb9p eo \u0110M ch\u1ee7 m\u1eafc ph\u1ea3i do qu\u00e1 tr\u00ecnh vi\u00eam trong m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nh\u01b0 vi\u00eam m\u1ea1ch Takayasu ho\u1eb7c x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<\/ul>\n

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

    C\u01a1 ch\u1ebf sinh l\u00fd b\u1ec7nh ch\u00ednh x\u00e1c v\u0201n ch\u01b0a r\u00f5 r\u00e0ng. Hai gi\u1ea3 thuy\u1ebft ch\u00ednh \u0111\u01b0\u1ee3c \u0111\u01b0a ra: gi\u1ea3m d\u00f2ng m\u00e1u t\u1edbi t\u1eed cung d\u0201n t\u1edbi k\u00e9m ph\u00e1t tri\u1ec3n quai \u0110M ch\u1ee7 c\u1ee7a b\u00e0o thai v\u00e0 s\u1ef1 lan r\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a m\u00f4 t\u1eeb \u1ed1ng \u0110M v\u00e0o th\u00e0nh \u0110M ch\u1ee7 c\u1ee7a thai nhi.<\/p>\n

    Trong h\u1eb9p eo \u0110M ch\u1ee7, th\u00e0nh \u0110M ch\u1ee7 c\u00f3 nh\u1eefng b\u1ea5t th\u01b0\u1eddng nh\u01b0 ho\u1ea1i t\u1eed d\u1ea1ng nang l\u1edbp \u00e1o gi\u1eefa, t\u0103ng \u0111\u1ed9 c\u1ee9ng v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng co gi\u00e3n, t\u0103ng cao th\u00e0nh ph\u1ea7n collagen v\u00e0 gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 tr\u01a1n \u1edf \u0111o\u1ea1n tr\u01b0\u1edbc h\u1eb9p.<\/p>\n

    \"h\u1eb9p<\/p>\n

    H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/strong><\/p>\n

    4. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/h2>\n

    Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a h\u1eb9p eo \u0110M ch\u1ee7 ph\u1ee5 thu\u1ed9c v\u00e0o th\u1eddi gian ph\u00e1t hi\u1ec7n b\u1ec7nh, m\u1ee9c \u0111\u1ed9 h\u1eb9p eo \u0110M ch\u1ee7 v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7.<\/p>\n

    Tr\u1ebb s\u01a1 sinh c\u00f3 h\u1eb9p eo \u0110M ch\u1ee7 n\u1eb7ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng suy tim v\u00e0\/ho\u1eb7c s\u1ed1c khi \u1ed1ng \u0110M \u0111\u00f3ng l\u1ea1i. Tr\u1ebb c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1ebfu h\u1eb9p eo \u0110M ch\u1ee7 m\u1ee9c \u0111\u1ed9 kh\u00f4ng n\u1eb7ng ho\u1eb7c t\u1ed3n t\u1ea1i \u1ed1ng \u0110M.<\/p>\n

    \u0110\u1ebfn tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng kh\u1edfi ph\u00e1t khi c\u00f3 t\u0103ng huy\u1ebft \u00e1p nhi\u1ec1u: \u0111au \u0111\u1ea7u, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim ho\u1eb7c t\u00e1ch th\u00e0nh \u0110M ch\u1ee7. \u0110au chi d\u01b0\u1edbi c\u00e1ch h\u1ed3i c\u00f3 th\u1ec3 g\u1eb7p khi ho\u1ea1t \u0111\u1ed9ng g\u1eafng s\u1ee9c.<\/p>\n

    5. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/h2>\n
      \n
    • Khi b\u1eaft m\u1ea1ch c\u00f3 th\u1ec3 th\u1ea5y \u0110M \u0111\u00f9i n\u1ea3y ch\u1eadm h\u01a1n so v\u1edbi \u0110M c\u00e1nh tay.<\/li>\n
    • T\u0103ng huy\u1ebft \u00e1p \u1edf chi tr\u00ean.<\/li>\n
    • Huy\u1ebft \u00e1p th\u1ea5p ho\u1eb7c kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p \u1edf chi d\u01b0\u1edbi.<\/li>\n
    • Ti\u1ebfng th\u1ed5i t\u00e2m thu t\u1ed1ng m\u00e1u \u1edf v\u00f9ng cao c\u1ea1nh \u1ee9c tr\u00e1i v\u00e0 v\u00f9ng d\u01b0\u1edbi x\u01b0\u01a1ng vai tr\u00e1i.<\/li>\n
    • C\u00f3 th\u1ec3 nghe th\u1ea5y ti\u1ebfng th\u1ed5i do c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c \u0111i k\u00e8m nh\u01b0 ti\u1ebfng th\u1ed5i t\u00e2m thu c\u1ee7a h\u1eb9p van \u1edf \u0110M ch\u1ee7 hai l\u00e1 van.<\/li>\n<\/ul>\n

      6. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t <\/strong><\/h2>\n
        \n
      • H\u1ed9i ch\u1ee9ng thi\u1ec3u s\u1ea3n tim tr\u00e1i.<\/li>\n
      • \u0110\u1ee9t \u0111o\u1ea1n quai \u0110M ch\u1ee7.<\/li>\n
      • Gi\u1ea3 h\u1eb9p eo \u0110M ch\u1ee7.<\/li>\n
      • T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra th\u1ea5t tr\u00e1i, bao g\u1ed3m h\u1eb9p d\u01b0\u1edbi van v\u00e0 tr\u00ean van \u0110M ch\u1ee7. H\u1eb9p van \u0110M ch\u1ee7 r\u1ea5t kh\u00edt.<\/li>\n
      • B\u1ec7nh \u0110M ngo\u1ea1i bi\u00ean.<\/li>\n
      • T\u00e1ch th\u00e0nh \u0110M ch\u1ee7.<\/li>\n<\/ul>\n

        7. Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n<\/h2>\n

        \u0110o huy\u1ebft \u00e1p hai tay v\u00e0 huy\u1ebft \u00e1p \u1edf ch\u00e2n \u0111\u1ec3 t\u00ecm s\u1ef1 ch\u00eanh l\u1ec7ch huy\u1ebft \u00e1p.<\/p>\n

        N\u1ebfu nghi ng\u1edd c\u00f3 h\u1eb9p eo \u0110M ch\u1ee7, khi th\u0103m kh\u00e1m n\u00ean ch\u1ee7 \u0111\u1ed9ng b\u1eaft m\u1ea1ch \u0111\u1ec3 t\u00ecm d\u1ea5u hi\u1ec7u \u0110M \u0111\u00f9i n\u1ea3y ch\u1eadm h\u01a1n \u0110M c\u00e1nh tay. \u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh c\u1ee7a h\u1eb9p eo \u0110M ch\u1ee7.<\/p>\n

        \u0110i\u1ec7n t\u00e2m \u0111\u1ed3: C\u00f3 th\u1ec3 th\u1ea5y ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i, b\u1ea5t th\u01b0\u1eddng \u0111o\u1ea1n ST-T.<\/p>\n

        Si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c: M\u1eb7t c\u1eaft tr\u00ean h\u00f5m \u1ee9c gi\u00fap \u0111\u00e1nh gi\u00e1 quai \u0110M ch\u1ee7.<\/p>\n

        T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n c\u00f3 h\u1eb9p eo \u0110M ch\u1ee7 n\u00ean \u00edt nh\u1ea5t 1 l\u1ea7n ch\u1ee5p CLVT ho\u1eb7c CHT h\u1ec7 m\u1ea1ch m\u00e1u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 \u0110M ch\u1ee7 v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u trong s\u1ecd.<\/p>\n

        8. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

        8.1 X\u00e9t nghi\u1ec7m: <\/strong><\/h3>\n

        Kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u n\u00e0o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u1eb9p eo \u0110M ch\u1ee7.<\/p>\n

        8.2 C\u00e1c th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh:<\/h3>\n

        8.2.1 \u0110\u00e1nh gi\u00e1 h\u00ecnh \u1ea3nh h\u1eb9p eo \u0110M ch\u1ee7<\/h4>\n

        T\u00ecnh tr\u1ea1ng \u1ed1ng \u0111\u1ed9ng m\u1ea1ch<\/strong><\/p>\n

        \u0110\u00f3ng.<\/p>\n

        C\u00f2n \u1ed1ng \u0110M.<\/p>\n

        D\u00f2ng m\u00e1u t\u1eeb \u0110M ch\u1ee7 sang \u0110MP (h\u1eb9p eo \u0110M ch\u1ee7 sau \u1ed1ng \u0110M \u0111i\u1ec3n h\u00ecnh).<\/p>\n

        D\u00f2ng m\u00e1u t\u1eeb \u0110MP sang \u0110M ch\u1ee7 (h\u1eb9p eo \u0110M ch\u1ee7 tr\u01b0\u1edbc \u1ed1ng \u0110M ho\u1eb7c t\u0103ng \u00e1p l\u1ef1c \u0110MP).<\/p>\n

        Tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7<\/strong><\/p>\n

        \u00cdt (\u0111i\u1ec3n h\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 2 tu\u1ed5i). Nhi\u1ec1u.<\/p>\n

        N\u1ed1i gi\u1eefa c\u00e1c \u0111o\u1ea1n h\u1eb9p eo.<\/p>\n

        \u0110M v\u00fa trong t\u1edbi \u0110M li\u00ean s\u01b0\u1eddn \u0111o\u1ea1n xa \u0110M ch\u1ee7. V\u00f2ng n\u1ed1i quanh x\u01b0\u01a1ng vai t\u1edbi \u0111o\u1ea1n xa \u0110M ch\u1ee7.<\/p>\n

        C\u00e1c b\u1ea5t th\u01b0\u1eddng quai \u0110M ch\u1ee7 kh\u00e1c<\/strong><\/p>\n

        \u0110\u1ee9t \u0111o\u1ea1n quai \u0110M ch\u1ee7.<\/p>\n

        Quai \u0110M ch\u1ee7 \u0111\u00f4i v\u1edbi h\u1eb9p m\u1ed9t ho\u1eb7c c\u1ea3 hai quai. H\u1eb9p eo \u0110M ch\u1ee7 \u0111o\u1ea1n g\u1ea7n \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i.<\/p>\n

        Vi\u00eam m\u1ea1ch ch\u1ee7 Takayasu, Rubella, h\u1ed9i ch\u1ee9ng William, u x\u01a1 th\u1ea7n kinh (neurofibromatosis), mucopolysaccharidosis v\u00e0 c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y h\u1eb9p ngo\u00e0i \u0111o\u1ea1n eo \u0110M ch\u1ee7.<\/p>\n

        B\u1ea5t th\u01b0\u1eddng \u0110M d\u01b0\u1edbi \u0111\u00f2n<\/strong><\/p>\n

        Kh\u00f4ng c\u00f3 ho\u1eb7c h\u1eb9p l\u1ed7 v\u00e0o \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i. \u0110M d\u01b0\u1edbi \u0111\u00f2n ph\u1ea3i l\u1ea1c ch\u1ed7.<\/p>\n

        Ph\u1ea7n g\u1ea7n c\u1ee7a h\u1eb9p eo. Ph\u1ea7n xa c\u1ee7a h\u1eb9p eo.<\/p>\n

        Nguy\u00ean \u1ee7y c\u1ea3 hai \u0110M d\u01b0\u1edbi \u0111\u00f2n \u1edf ph\u00eda xa \u0111o\u1ea1n h\u1eb9p eo.<\/p>\n

        C\u00e1c b\u1ea5t th\u01b0\u1eddng ph\u1ed1i h\u1ee3p v\u1edbi h\u1eb9p eo \u0110M ch\u1ee7<\/p>\n

        Th\u01b0\u1eddng g\u1eb7p<\/strong><\/p>\n

        Van \u0110M ch\u1ee7 hai l\u00e1 van v\u1edbi h\u1eb9p v\u00e0 h\u1edf van. C\u00f2n \u1ed1ng \u0110M.<\/p>\n

        Th\u00f4ng li\u00ean th\u1ea5t.<\/p>\n

        H\u1ed9i ch\u1ee9ng Turner.<\/p>\n

        Hi\u1ebfm g\u1eb7p<\/strong><\/p>\n

        Chuy\u1ec3n v\u1ecb hai \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch. Th\u1ea5t ph\u1ea3i hai \u0111\u01b0\u1eddng ra.<\/p>\n

        H\u1ed9i ch\u1ee9ng Shone (van hai l\u00e1 h\u00ecnh d\u00f9, m\u00e0ng ng\u0103n nh\u0129 tr\u00e1i, h\u1eb9p van \u0110M ch\u1ee7 v\u00e0 h\u1eb9p eo \u0110M ch\u1ee7).<\/p>\n

        8.2.2 X-quang ng\u1ef1c:<\/h4>\n
          \n
        • \u1ea4n l\u00f5m x\u01b0\u01a1ng s\u01b0\u1eddn (Posterior rib notching) \u1edf c\u00e1c x\u01b0\u01a1ng s\u01b0\u1eddn th\u1ee9 3-9 do c\u00e1c \u0110M b\u00e0ng h\u1ec7 l\u1edbn g\u00e2y l\u00f5m x\u01b0\u01a1ng s\u01b0\u1eddn theo th\u1eddi gian.<\/li>\n
        • D\u1ea5u hi\u1ec7u \u201cs\u1ed1 3\u201d \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh do gi\u00e3n cung \u0110M ch\u1ee7 v\u00e0 \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u01b0\u1edbc h\u1eb9p t\u1ea1o th\u00e0nh \u0111o\u1ea1n tr\u00ean, ch\u1ed7 th\u1eaft l\u1ea1i c\u1ee7a \u0110M ch\u1ee7 t\u1ea1i v\u1ecb tr\u00ed h\u1eb9p t\u1ea1o th\u00e0nh \u0111o\u1ea1n eo v\u00e0 gi\u00e3n sau h\u1eb9p c\u1ee7a \u0111o\u1ea1n xa \u0110M ch\u1ee7 xu\u1ed1ng t\u1ea1o th\u00e0nh ph\u1ea7n d\u01b0\u1edbi.<\/li>\n<\/ul>\n

          8.2.3. <\/strong>Si\u00eau \u00e2m tim: <\/strong><\/h4>\n
            \n
          • Nh\u00ecn chung si\u00eau \u00e2m tim \u00edt gi\u00e1 tr\u1ecb v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n sau ph\u0201u thu\u1eadt ho\u1eb7c \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh c\u00f3 th\u1ec3 c\u1eeda s\u1ed5 si\u00eau \u00e2m kh\u00f4ng thu\u1eadn l\u1ee3i nh\u01b0 tr\u1ebb em.<\/li>\n
          • H\u1eb9p eo \u0110M ch\u1ee7 c\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y \u1edf m\u1eb7t c\u1eaft tr\u00ean h\u00f5m \u1ee9c.<\/li>\n
          • Si\u00eau \u00e2m Doppler m\u00e0u v\u00e0 Doppler xung c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed h\u1eb9p eo \u0110M ch\u1ee7. Si\u00eau \u00e2m Doppler li\u00ean t\u1ee5c gi\u00fap \u01b0\u1edbc t\u00ednh m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1eb9p eo \u0110M ch\u1ee7.<\/li>\n
          • T\u00ecm c\u00e1c b\u1ec7nh b\u1ea9m sinh ph\u1ed1i h\u1ee3p, \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc bu\u1ed3ng tim v\u00e0 ch\u1ee9c n\u0103ng tim.<\/li>\n<\/ul>\n

            8.2.4 Ch\u1ee5p CLVT v\u00e0 CHT:<\/h4>\n
              \n
            • Theo khuy\u1ebfn c\u00e1o c\u1ee7a ACC\/AHA n\u0103m 2008, b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh c\u00f3 h\u1eb9p eo \u0110M ch\u1ee7 n\u00ean \u0111\u01b0\u1ee3c ch\u1ee5p CLVT ho\u1eb7c CHT \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u00edt nh\u1ea5t 1 l\u1ea7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 \u0110M ch\u1ee7.<\/li>\n
            • C\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c h\u1eb9p eo \u0110M ch\u1ee7 v\u00e0 nh\u1eefng b\u1ea5t th\u01b0\u1eddng k\u00e8m theo v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c r\u1ea5t cao (> 95%).<\/li>\n
            • Cho ph\u00e9p quan s\u00e1t to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng \u0110M ch\u1ee7 bao g\u1ed3m \u0110M ch\u1ee7 l\u00ean, quai \u0110M ch\u1ee7, \u0110M ch\u1ee7 xu\u1ed1ng, van \u0110M ch\u1ee7 v\u00e0 tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7.<\/li>\n
            • \u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 theo d\u00f5i li\u00ean t\u1ee5c sau ph\u0201u thu\u1eadt \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng gi\u00e3n \u0110M ch\u1ee7 ho\u1eb7c h\u00ecnh th\u00e0nh ph\u00ecnh m\u1ea1ch m\u1edbi.<\/li>\n
            • CHT \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n CLVT v\u00ec gi\u1ea3m nguy c\u01a1 th\u1eddi gian ph\u01a1i nhi\u1ec5m v\u1edbi tia x\u1ea1.<\/li>\n<\/ul>\n

              8.2.5 Th\u00f4ng tim: <\/strong><\/p>\n

              C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00eanh \u00e1p t\u1ed1i \u0111a qua v\u1ecb tr\u00ed h\u1eb9p eo \u0110M ch\u1ee7, tuy nhi\u00ean th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi ph\u1ed1i h\u1ee3p v\u1edbi can thi\u1ec7p.<\/p>\n","protected":false},"excerpt":{"rendered":"

              H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 thu h\u1eb9p c\u1ee7a \u0110M ch\u1ee7 \u1edf g\u1ea7n v\u1ecb tr\u00ed c\u1ee7a d\u00e2y ch\u1eb1ng \u0111\u1ed9ng m\u1ea1ch ngay ph\u00eda xa nguy\u00ean \u1ee7y c\u1ee7a \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i, g\u00e2y c\u1ea3n tr\u1edf d\u00f2ng m\u00e1u tr\u01b0\u1edbc ch\u1ed7 h\u1eb9p, d\u1ea7n t\u1edbi t\u0103ng \u00e1p l\u1ef1c, ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i v\u00e0 suy tim. 1. […]<\/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":"\nH\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 ch\u1ea9n \u0111o\u00e1n - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 s\u1ef1 thu h\u1eb9p c\u1ee7a \u0110M ch\u1ee7 \u1edf g\u1ea7n v\u1ecb tr\u00ed c\u1ee7a d\u00e2y ch\u1eb1ng \u0111\u1ed9ng m\u1ea1ch ngay ph\u00eda xa nguy\u00ean \u1ee7y c\u1ee7a \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i.\" \/>\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=\"H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 ch\u1ea9n \u0111o\u00e1n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 s\u1ef1 thu h\u1eb9p c\u1ee7a \u0110M ch\u1ee7 \u1edf g\u1ea7n v\u1ecb tr\u00ed c\u1ee7a d\u00e2y ch\u1eb1ng \u0111\u1ed9ng m\u1ea1ch ngay ph\u00eda xa nguy\u00ean \u1ee7y c\u1ee7a \u0110M d\u01b0\u1edbi \u0111\u00f2n tr\u00e1i.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/hep-eo-dong-mach-chu-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-03T08:10:54+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/265_Figure_1-2-300x151.jpg\" \/>\n<meta name=\"author\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/hep-eo-dong-mach-chu-2\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/hep-eo-dong-mach-chu-2\/\",\"name\":\"H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 ch\u1ea9n \u0111o\u00e1n - 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