{"id":30976,"date":"2023-05-16T00:50:07","date_gmt":"2023-05-15T17:50:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30976"},"modified":"2023-05-16T00:50:07","modified_gmt":"2023-05-15T17:50:07","slug":"tac-dong-cua-tang-huyet-ap-toi-benh-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/tac-dong-cua-tang-huyet-ap-toi-benh-tim-mach\/","title":{"rendered":"T\u00e1c \u0111\u1ed9ng c\u1ee7a t\u0103ng huy\u1ebft \u00e1p t\u1edbi b\u1ec7nh tim m\u1ea1ch"},"content":{"rendered":"

X\u00e9t v\u1ec1 nguy c\u01a1 cho d\u00e2n s\u1ed1, t\u0103ng huy\u1ebft \u00e1p (THA) l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng nh\u1ea5t c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi b\u1ec7nh tim m\u1ea1ch \u1edf giai \u0111o\u1ea1n s\u1edbm; THA ph\u1ed5 bi\u1ebfn h\u01a1n h\u00fat thu\u1ed1c l\u00e1, r\u1ed1i lo\u1ea1n lipid m\u00e1u v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c. T\u0103ng huy\u1ebft \u00e1p chi\u1ebfm kho\u1ea3ng 54% t\u1ed5ng s\u1ed1 ca \u0111\u1ed9t qu\u1ef5 v\u00e0 47% t\u1ed5ng s\u1ed1 bi\u1ebfn c\u1ed1 b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 tr\u00ean to\u00e0n c\u1ea7u. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng c\u1ee7a t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed1i v\u1edbi nguy c\u01a1 r\u1ed1i lo\u1ea1n tim m\u1ea1ch v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a nguy c\u01a1 tim m\u1ea1ch \u0111\u1ed1i v\u1edbi c\u00e1c quy\u1ebft \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/strong><\/p>\n

1. T\u00e1c \u0111\u1ed9ng c\u1ee7a t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed1i v\u1edbi b\u1ec7nh tim m\u1ea1ch<\/h2>\n

T\u0103ng huy\u1ebft \u00e1p l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc nhi\u1ec1u b\u1ec7nh tim m\u1ea1ch, bao g\u1ed3m \u0111\u1ed9t qu\u1ef5, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, suy tim<\/a>, rung nh\u0129, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng v\u00e0 b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i vi.<\/p>\n

Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra nguy c\u01a1 m\u1eafc c\u1ea3 b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 \u0111\u1ed9t qu\u1ef5 t\u0103ng d\u1ea7n khi huy\u1ebft \u00e1p t\u0103ng tr\u00ean 115\/75 mmHg. \u0110\u1ed1i v\u1edbi m\u1ed7i 20\/10 mmHg huy\u1ebft \u00e1p t\u00e2m thu\/t\u00e2m tr\u01b0\u01a1ng t\u0103ng l\u00ean, t\u1ef7 l\u1ec7 t\u1eed vong li\u00ean quan \u0111\u1ebfn b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 \u0111\u1ed9t qu\u1ef5 s\u1ebd t\u0103ng g\u1ea5p \u0111\u00f4i. Tuy nhi\u00ean, nh\u1eefng quan s\u00e1t n\u00e0y kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c m\u1ed1i quan h\u1ec7 nh\u00e2n qu\u1ea3, v\u00ec t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c nh\u01b0 t\u0103ng tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3, c\u00f3 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n lipid m\u00e1u, kh\u00f4ng dung n\u1ea1p glucose v\u00e0 h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a. B\u1eb1ng ch\u1ee9ng t\u1ed1t nh\u1ea5t v\u1ec1 vai tr\u00f2 nguy\u00ean nh\u00e2n c\u1ee7a vi\u1ec7c t\u0103ng huy\u1ebft \u00e1p trong c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u00e0 s\u1ef1 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 khi huy\u1ebft \u00e1p gi\u1ea3m khi \u0111i\u1ec1u tr\u1ecb h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n

S\u1ef1 gia t\u0103ng nguy c\u01a1 tim m\u1ea1ch ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 d\u01b0\u1edbi d\u1ea1ng t\u0103ng huy\u1ebft \u00e1p t\u00e2m thu \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u00e0 t\u0103ng c\u1ea3 huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i. \u00c1p l\u1ef1c m\u1ea1ch, hay Hi\u1ec7u \u00e1p, l\u00e0 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng v\u00e0 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u1ee7 y\u1ebfu b\u1edfi \u0111\u1ed9 c\u1ee9ng c\u1ee7a \u0111\u1ed9ng m\u1ea1ch l\u1edbn, c\u0169ng l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o nguy c\u01a1, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i. Ng\u01b0\u1ee3c l\u1ea1i, t\u0103ng huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng \u0111\u01a1n \u0111\u1ed9c, trong \u0111\u00f3 huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng t\u0103ng nh\u01b0ng huy\u1ebft \u00e1p t\u00e2m thu b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 kh\u00f4ng li\u00ean quan \u0111\u1ebfn nguy c\u01a1 tim m\u1ea1ch cao h\u01a1n.<\/p>\n

C\u00e1c ph\u00e9p \u0111o huy\u1ebft \u00e1p \u1edf b\u00ean ngo\u00e0i ph\u00f2ng kh\u00e1m c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 tim m\u1ea1ch t\u1ed1t h\u01a1n so v\u1edbi c\u00e1c ph\u00e9p \u0111o t\u1ea1i ph\u00f2ng kh\u00e1m, m\u1ed9t th\u1ef1c t\u1ebf \u0111\u00e3 d\u1eabn \u0111\u1ebfn t\u1ea7m quan tr\u1ecdng ng\u00e0y c\u00e0ng t\u0103ng c\u1ee7a vi\u1ec7c theo d\u00f5i huy\u1ebft \u00e1p t\u1ea1i nh\u00e0 v\u00e0 t\u1ea1i nh\u00e0 (ABPM) \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p.<\/p>\n

2. T\u00e1c \u0111\u1ed9ng c\u1ee7a t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed1i v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n tim m\u1ea1ch c\u1ee5 th\u1ec3<\/h2>\n

M\u1ee9c \u0111\u1ed9 li\u00ean quan gi\u1eefa t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh tim m\u1ea1ch thay \u0111\u1ed5i t\u00f9y theo t\u1eebng b\u1ec7nh tim m\u1ea1ch c\u1ee5 th\u1ec3. V\u00ed d\u1ee5, t\u0103ng huy\u1ebft \u00e1p (\u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 huy\u1ebft \u00e1p \u2265140\/90 mmHg) l\u00e0m t\u0103ng nguy c\u01a1 suy tim v\u00e0 m\u1eafc b\u1ec7nh m\u1ea1ch v\u00e0nh. Tuy nhi\u00ean, nguy c\u01a1 suy tim t\u0103ng \u1edf m\u1ee9c \u0111\u1ed9 cao h\u01a1n so v\u1edbi nguy c\u01a1 c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh.<\/p>\n

B\u1eb1ng ch\u1ee9ng t\u1ed1t nh\u1ea5t v\u1ec1 vai tr\u00f2 nguy\u00ean nh\u00e2n c\u1ee7a vi\u1ec7c t\u0103ng huy\u1ebft \u00e1p trong c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u00e0 s\u1ef1 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 khi huy\u1ebft \u00e1p gi\u1ea3m khi \u0111i\u1ec1u tr\u1ecb h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n

3. C\u00e1c t\u00e1c \u0111\u1ed9ng ph\u1ee5 c\u1ee7a t\u0103ng huy\u1ebft \u00e1p v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c<\/h2>\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c nhau c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u00ean kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 c\u00e1c k\u1ebft c\u1ee5c tim m\u1ea1ch kh\u00e1c. Ngo\u00e0i t\u0103ng huy\u1ebft \u00e1p, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh l\u00e0 tu\u1ed5i gi\u00e0, t\u0103ng cholesterol to\u00e0n ph\u1ea7n v\u00e0 lipoprotein t\u1ef7 tr\u1ecdng th\u1ea5p (LDL), cholesterol lipoprotein t\u1ef7 tr\u1ecdng cao (HDL) th\u1ea5p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 h\u00fat thu\u1ed1c l\u00e1. Do \u0111\u00f3, nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p \u0111\u00e1ng k\u1ec3 nh\u01b0ng kh\u00f4ng c\u00f3 ho\u1eb7c c\u00f3 \u00edt y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c c\u00f3 nguy c\u01a1 t\u1ed5ng th\u1ec3 t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u00edt t\u0103ng huy\u1ebft \u00e1p nh\u01b0ng c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c.<\/p>\n

Nhi\u1ec1u m\u00f4 h\u00ecnh d\u1ef1 \u0111o\u00e1n r\u1ee7i ro s\u1eed d\u1ee5ng c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n, \u0111\u00e1ng ch\u00fa \u00fd nh\u1ea5t l\u00e0 thang \u0111i\u1ec3m r\u1ee7i ro Framingham. Kh\u1ea3 n\u0103ng c\u1ee7a ti\u00eau ch\u00ed r\u1ee7i ro Framingham \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n b\u1ec7nh tim m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i, nh\u01b0ng m\u1ee9c \u0111\u1ed9 r\u1ee7i ro tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn ti\u00eau ch\u00ed r\u1ee7i ro Framingham c\u00f3 th\u1ec3 kh\u00f4ng \u00e1p d\u1ee5ng cho t\u1ea5t c\u1ea3 c\u00e1c nh\u00f3m b\u1ec7nh nh\u00e2n. C\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t \u0111\u1ec3 c\u1ea3i thi\u1ec7n d\u1ef1a tr\u00ean \u0111\u00e1nh gi\u00e1 r\u1ee7i ro Framingham, bao g\u1ed3m protein ph\u1ea3n \u1ee9ng C, BNP, si\u00eau \u00e2m tim v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh c\u1ee7a m\u1ea1ch m\u00e1u. Tuy nhi\u00ean, hi\u1ec7n t\u1ea1i ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 b\u1ed5 sung \u0111\u00e1ng k\u1ec3 v\u00e0o thang \u0111i\u1ec3m Framingham, v\u00e0 ch\u00fang c\u00f3 th\u1ec3 kh\u00f4ng hi\u1ec7u qu\u1ea3 v\u1ec1 m\u1eb7t chi ph\u00ed.<\/p>\n

C\u00e1c m\u00f4 h\u00ecnh d\u1ef1 \u0111o\u00e1n r\u1ee7i ro kh\u00e1c c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, bao g\u1ed3m m\u1ed9t m\u00f4 h\u00ecnh \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA) v\u00e0 H\u1ed9i Tim m\u1ea1ch h\u1ecdc Hoa K\u1ef3 (ACC) k\u1ebft h\u1ee3p d\u1eef li\u1ec7u t\u1eeb nhi\u1ec1u nh\u00f3m b\u1ec7nh nh\u00e2n v\u00e0 bao g\u1ed3m nguy c\u01a1 m\u1eafc t\u1ea5t c\u1ea3 c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch, bao g\u1ed3m \u0111\u1ed9t qu\u1ef5, thay v\u00ec ch\u1ec9 b\u1ec7nh tim m\u1ea1ch v\u00e0nh.<\/p>\n

4. T\u1ed5ng k\u1ebft<\/h2>\n
    \n
  • X\u00e9t v\u1ec1 nguy c\u01a1 do d\u00e2n s\u1ed1 quy \u0111\u1ecbnh, t\u0103ng huy\u1ebft \u00e1p l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng nh\u1ea5t \u0111\u1ed1i v\u1edbi b\u1ec7nh tim m\u1ea1ch s\u1edbm; n\u00f3 quan tr\u1ecdng h\u01a1n h\u00fat thu\u1ed1c l\u00e1, r\u1ed1i lo\u1ea1n lipid m\u00e1u v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh kh\u00e1c<\/li>\n
  • T\u0103ng huy\u1ebft \u00e1p l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc nhi\u1ec1u b\u1ec7nh tim m\u1ea1ch, bao g\u1ed3m \u0111\u1ed9t qu\u1ef5, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, suy tim, rung t\u00e2m nh\u0129, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng v\u00e0 b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i vi. Nguy c\u01a1 m\u1eafc c\u1ea3 b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 \u0111\u1ed9t qu\u1ef5 t\u0103ng d\u1ea7n khi huy\u1ebft \u00e1p t\u0103ng d\u1ea7n tr\u00ean 115\/75 mmHg, nh\u01b0 \u0111\u01b0\u1ee3c ch\u1ec9 ra trong nhi\u1ec1u nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc. Tuy nhi\u00ean, b\u1eb1ng ch\u1ee9ng t\u1ed1t nh\u1ea5t v\u1ec1 vai tr\u00f2 nguy\u00ean nh\u00e2n c\u1ee7a vi\u1ec7c t\u0103ng huy\u1ebft \u00e1p trong c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u00e0 s\u1ef1 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p<\/li>\n
  • M\u1ee9c \u0111\u1ed9 li\u00ean quan gi\u1eefa t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh tim m\u1ea1ch thay \u0111\u1ed5i t\u00f9y theo k\u1ebft qu\u1ea3 tim m\u1ea1ch c\u1ee5 th\u1ec3. S\u1eed d\u1ee5ng d\u1eef li\u1ec7u t\u1eeb nhi\u1ec1u nghi\u00ean c\u1ee9u, vi\u1ec7c gi\u1ea3m huy\u1ebft \u00e1p t\u00e2m thu 5 v\u00e0 10 mmHg \u0111\u01b0\u1ee3c d\u1ef1 \u0111o\u00e1n s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 t\u01b0\u01a1ng \u0111\u1ed1i 10 v\u00e0 20% trong c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch l\u1edbn, t\u01b0\u01a1ng \u1ee9ng, bao g\u1ed3m gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5, b\u1ec7nh m\u1ea1ch v\u00e0nh, suy tim v\u00e0 b\u1ec7nh tim m\u1ea1ch. c\u00e1i ch\u1ebft.<\/li>\n
  • C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c nhau c\u00f3 t\u00e1c \u0111\u1ed9ng ph\u1ee5 l\u00ean kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n b\u1ec7nh tim m\u1ea1ch v\u00e0nh v\u00e0 c\u00e1c h\u1eadu qu\u1ea3 tim m\u1ea1ch kh\u00e1c. Nhi\u1ec1u m\u00f4 h\u00ecnh d\u1ef1 \u0111o\u00e1n r\u1ee7i ro s\u1eed d\u1ee5ng c\u00e1c y\u1ebfu t\u1ed1 n\u00e0y v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n, bao g\u1ed3m m\u1ed9t m\u00f4 h\u00ecnh \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA) v\u00e0 \u0110\u1ea1i h\u1ecdc Tim m\u1ea1ch Hoa K\u1ef3 (ACC) k\u1ebft h\u1ee3p d\u1eef li\u1ec7u t\u1eeb nhi\u1ec1u nh\u00f3m b\u1ec7nh nh\u00e2n v\u00e0 bao g\u1ed3m nguy c\u01a1 c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch, bao g\u1ed3m \u0111\u1ed9t qu\u1ef5, ch\u1ee9 kh\u00f4ng ph\u1ea3i b\u1ec7nh tim m\u1ea1ch v\u00e0nh \u0111\u01a1n thu\u1ea7n<\/li>\n
  • L\u1ee3i \u00edch m\u00e0 b\u1ec7nh nh\u00e2n nh\u1eadn \u0111\u01b0\u1ee3c t\u1eeb vi\u1ec7c h\u1ea1 huy\u1ebft \u00e1p ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa vi\u1ec7c gi\u1ea3m tuy\u1ec7t \u0111\u1ed1i (ch\u1ee9 kh\u00f4ng ph\u1ea3i t\u01b0\u01a1ng \u0111\u1ed1i) nguy c\u01a1 d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 b\u1ea5t l\u1ee3i v\u00e0 t\u00e1c h\u1ea1i ti\u1ec1m \u1ea9n c\u0169ng nh\u01b0 g\u00e1nh n\u1eb7ng c\u1ee7a li\u1ec7u ph\u00e1p h\u1ea1 huy\u1ebft \u00e1p. Ch\u00fang t\u00f4i v\u00e0 m\u1ed9t s\u1ed1 t\u1ed5 ch\u1ee9c chuy\u00ean nghi\u1ec7p khuy\u1ebfn c\u00e1o r\u1eb1ng n\u00ean k\u1ebft h\u1ee3p c\u00e1c d\u1ea5u hi\u1ec7u nguy c\u01a1 tim m\u1ea1ch t\u1ed5ng th\u1ec3 trong c\u00e1c quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    X\u00e9t v\u1ec1 nguy c\u01a1 cho d\u00e2n s\u1ed1, t\u0103ng huy\u1ebft \u00e1p (THA) l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng nh\u1ea5t c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi b\u1ec7nh tim m\u1ea1ch \u1edf giai \u0111o\u1ea1n s\u1edbm; THA ph\u1ed5 bi\u1ebfn h\u01a1n h\u00fat thu\u1ed1c l\u00e1, r\u1ed1i lo\u1ea1n lipid m\u00e1u v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c. 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