{"id":31305,"date":"2023-05-04T14:42:09","date_gmt":"2023-05-04T07:42:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31305"},"modified":"2023-05-04T16:31:43","modified_gmt":"2023-05-04T09:31:43","slug":"tong-quan-ve-hoi-chung-wolff-parkinson-white","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tong-quan-ve-hoi-chung-wolff-parkinson-white\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White (WPW), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “con \u0111\u01b0\u1eddng b\u1ecf qua” ho\u1eb7c h\u1ed9i ch\u1ee9ng ti\u1ec1n k\u00edch th\u00edch<\/a>, \u0111\u1eb7c tr\u01b0ng qua c\u00e1c cu\u1ed9c t\u1ea5n c\u00f4ng c\u1ee7a nh\u1ecbp tim nhanh do s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a con \u0111\u01b0\u1eddng \u0111i\u1ec7n thay th\u1ebf tr\u1ef1c ti\u1ebfp k\u1ebft n\u1ed1i nh\u0129 v\u00e0 th\u1ea5t, b\u1ecf qua n\u00fat nh\u0129 th\u1ea5t. Ti\u00ean l\u01b0\u1ee3ng v\u00e0 k\u1ebft c\u1ee5c l\u00e2u d\u00e0i c\u1ee7a WPW l\u00e0 r\u1ea5t t\u1ed1t sau khi \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/strong><\/p>\n

\"H\u1ed9i
\n1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n

1.1 D\u1ecbch t\u1ec5 h\u1ecdc<\/strong><\/p>\n

S\u1ef1 ph\u1ed5 bi\u1ebfn c\u1ee7a h\u1ed9i ch\u1ee9ng v\u00e0 c\u00e1c d\u1ea1ng WPW l\u00e0 \u00edt h\u01a1n 1% d\u00e2n s\u1ed1 v\u1edbi d\u1ea1ng WPW l\u00e0 ph\u1ed5 bi\u1ebfn h\u01a1n 100
\nl\u1ea7n so v\u1edbi h\u1ed9i ch\u1ee9ng WPW. S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u1ea3 hai s\u1ebd \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn sau.<\/p>\n

1.2 Sinh l\u00fd b\u1ec7nh<\/strong>
\nN\u0103m 1943, c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 ch\u1ee9ng minh trong h\u1ed9i ch\u1ee9ng WPW c\u00f3 nh\u1eefng b\u00f3 d\u1eabn truy\u1ec1n b\u1ea5t th\u01b0\u1eddng (b\u00f3 Kent) n\u1ed1i t\u1eeb nh\u0129 xu\u1ed1ng th\u1ea5t v\u00e0 kh\u00f4ng \u0111i qua h\u1ec7 th\u1ed1ng n\u00fat nh\u0129-th\u1ea5t (n\u00fat AV).<\/p>\n

Xung \u0111\u1ed9ng t\u1eeb nh\u0129 xu\u1ed1ng th\u1ea5t qua b\u00f3 Kent nhanh h\u01a1n v\u00e0 g\u00e2y kh\u1eed c\u1ef1c th\u1ea5t s\u1edbm h\u01a1n khi qua n\u00fat AV. Khi \u0111\u00f3, th\u1ea5t s\u1ebd \u0111\u01b0\u1ee3c kh\u1eed c\u1ef1c t\u1eeb c\u1ea3 hai xung \u0111\u1ed9ng: m\u1ed9t qua n\u00fat AV v\u00e0 m\u1ed9t qua \u0111\u01b0\u1eddng ph\u1ee5 (b\u00f3 Kent).<\/p>\n

D\u1eabn truy\u1ec1n AV th\u00f4ng qua con \u0111\u01b0\u1eddng b\u1ecf qua nh\u0129 th\u1ea5t (b\u00f3 Kent), m\u1ed9t con \u0111\u01b0\u1eddng ph\u1ee5 (AP) m\u00e0 d\u1eabn truy\u1ec1n c\u00e1c xung t\u1eeb t\u00e2m nh\u0129 \u0111\u1ebfn t\u00e2m th\u1ea5t. \u0110i\u1ec1u n\u00e0y tr\u1ef1c ti\u1ebfp g\u00e2y k\u00edch ho\u1ea1t t\u00e2m th\u1ea5t s\u1edbm h\u01a1n khi k\u00edch ho\u1ea1t b\u1eb1ng n\u00fat nh\u0129 th\u1ea5t (ti\u1ec1n k\u00edch th\u00edch). K\u1ebft qu\u1ea3 l\u00e0, m\u1ed9t kho\u1ea3ng PR ng\u1eafn \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y tr\u00ean m\u1ed9t ECG. Con \u0111\u01b0\u1eddng ph\u1ee5 n\u00e0y l\u00e0 b\u1ea9m sinh, v\u00e0 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 t\u00e1i h\u1ea5p thu th\u1ea5t b\u1ea1i c\u1ee7a h\u1ee3p b\u00e0o c\u01a1 tim t\u1ea1i v\u00f2ng x\u01a1 trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi.
\n\u2022 Kho\u1ea3ng 75% con \u0111\u01b0\u1eddng ph\u1ee5 c\u00f3 th\u1ec3 d\u1eabn truy\u1ec1n c\u00e1c xung theo c\u1ea3 hai h\u01b0\u1edbng (xu\u00f4i v\u00e0 ng\u01b0\u1ee3c) gi\u1eefa t\u00e2m nh\u0129 v\u00e0 t\u00e2m th\u1ea5t.
\n\u2022 Kho\u1ea3ng 35% con \u0111\u01b0\u1eddng ph\u1ee5 ch\u1ec9 c\u00f3 th\u1ec3 d\u1eabn truy\u1ec1n xung ng\u01b0\u1ee3c t\u1eeb t\u00e2m th\u1ea5t \u0111\u1ebfn t\u00e2m nh\u0129 v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi
\nl\u00e0 con \u0111\u01b0\u1eddng “\u1ea9n”. H\u1ea7u h\u1ebft trong s\u1ed1 n\u00e0y l\u00e0 b\u00ean tr\u00e1i, m\u00e0 kh\u00f4ng t\u1ea1o ra s\u00f3ng delta ho\u1eb7c d\u1ea1ng WPW tr\u00ean ECG, nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 \u0111\u1ec3 h\u1ed7 tr\u1ee3 nh\u1ecbp nhanh v\u00e0o l\u1ea1i.
\n\u2022 Kho\u1ea3ng 25% con \u0111\u01b0\u1eddng ph\u1ee5 d\u1eabn truy\u1ec1n xung xu\u00f4i t\u1eeb t\u00e2m nh\u0129 \u0111\u1ebfn t\u00e2m th\u1ea5t.
\nC\u01a1 ch\u1ebf d\u1eabn truy\u1ec1n m\u1ed9t chi\u1ec1u c\u1ee7a xung d\u1ecdc theo con \u0111\u01b0\u1eddng ph\u1ee5 trong c\u1ea3 hai chi\u1ec1u xu\u00f4i ho\u1eb7c ng\u01b0\u1ee3c v\u1eabn ch\u01b0a x\u00e1c \u0111\u1ecbnh.
\nWPW ch\u1ec9 \u0111\u01a1n gi\u1ea3n l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng ti\u1ec1n k\u00edch th\u00edch, n\u00f3 c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i lo\u1ea1n nh\u1ecbp, v\u00e0 v\u1edbi b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i v\u00e0 d\u1ecb d\u1ea1ng van ba l\u00e1 (ng\u1ed9 \u0111\u1ed9c lithium).<\/p>\n

C\u1ea5u tr\u00fac c\u1ee7a con \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5<\/strong><\/p>\n

Nh\u1eefng kh\u1ea3o s\u00e1t \u0111i\u1ec7n sinh l\u00fd cho th\u1ea5y b\u00f3 Kent c\u00f3 th\u1ec3 \u0111\u1ecbnh v\u1ecb \u1edf b\u1ea5t c\u1ee9 n\u01a1i n\u00e0o trong r\u00e3nh nh\u0129 th\u1ea5t hay trong v\u00e1ch li\u00ean th\u1ea5t. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0:<\/p>\n

– Th\u00e0nh b\u00ean tim tr\u00e1i (50%)<\/p>\n

– Sau v\u00e1ch li\u00ean th\u1ea5t (30%)<\/p>\n

– Tr\u01b0\u1edbc v\u00e1ch li\u00ean th\u1ea5t b\u00ean ph\u1ea3i (10%)<\/p>\n

– Th\u00e0nh b\u00ean tim ph\u1ea3i (10%)<\/p>\n

Kho\u1ea3ng 13% nh\u1eefng ng\u01b0\u1eddi c\u00f3 k\u00edch th\u00edch s\u1edbm c\u00f3 nhi\u1ec1u h\u01a1n m\u1ed9t \u0111\u01b0\u1eddng ph\u1ee5.<\/p>\n

2. \u0110\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng<\/h2>\n

Ph\u1ea7n l\u1edbn c\u00e1c b\u1ec7nh nh\u00e2n v\u1edbi d\u1ea1ng WPW kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng,<\/strong> trong khi m\u1ed9t t\u1ef7 l\u1ec7 nh\u1ecf c\u00f3 lo\u1ea1n nh\u1ecbp (v\u00ed d\u1ee5, rung nh\u0129 v\u1edbi \u0111\u00e1p \u1ee9ng th\u1ea5t nhanh). B\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng WPW v\u00e0 c\u00f3 lo\u1ea1n nh\u1ecbp c\u00f3 th\u1ec3 c\u00f3 b\u1ea5t k\u1ef3 bi\u1ec3u hi\u1ec7n sau:
\n\u2022 \u0110\u00e1nh tr\u1ed1ng ng\u1ef1c
\n\u2022 X\u00e2y x\u1ea9m v\u00e0\/ho\u1eb7c ch\u00f3ng m\u1eb7t
\n\u2022 Ng\u1ea5t ho\u1eb7c g\u1ea7n ng\u1ea5t
\n\u2022 \u0110au ng\u1ef1c
\n\u2022 \u0110\u1ed9t t\u1eed do tim<\/p>\n

3. ECG trong h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White<\/h2>\n

ECG trong h\u1ed9i ch\u1ee9ng WPW c\u00f3 2 \u0111\u1eb7c \u0111i\u1ec3m ch\u00ednh:<\/p>\n

+ Kho\u1ea3ng PR ng\u1eafn (<0,12 gi\u00e2y) do xung \u0111\u1ed9ng d\u1eabn truy\u1ec1n qua \u0111\u01b0\u1eddng ph\u1ee5 nhanh h\u01a1n.<\/p>\n

+ Ph\u1ee9c b\u1ed9 QRS l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa:<\/p>\n

– Kh\u1eed c\u1ef1c th\u1ea5t s\u1edbm (s\u00f3ng delta): do xung \u0111\u1ed9ng t\u1eeb nh\u0129 xu\u1ed1ng th\u1ea5t qua \u0111\u01b0\u1eddng ph\u1ee5.<\/p>\n

– V\u00e0 kh\u1eed c\u1ef1c th\u1ea5t tr\u1ec5 h\u01a1n (QRS): do xung \u0111\u1ed9ng qua n\u00fat AV.<\/p>\n

S\u00f3ng Delta tuy \u0111\u1ebfn t\u00e2m th\u1ea5t s\u1edbm nh\u01b0ng lan truy\u1ec1n ch\u1eadm theo c\u01a1 ch\u1ebf tr\u1ef1c ti\u1ebfp t\u1eeb s\u1ee3i c\u01a1 \u0111\u1ebfn s\u1ee3i c\u01a1 (cell to cell) n\u00ean kh\u00f4ng kh\u1eed c\u1ef1c \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 t\u00e2m th\u1ea5t.<\/p>\n

D\u1eabn truy\u1ec1n qua \u0111\u01b0\u1eddng ph\u1ee5 c\u00e0ng nhanh (hay qua n\u00fat AV c\u00e0ng ch\u1eadm) th\u00ec l\u01b0\u1ee3ng c\u01a1 tim \u0111\u01b0\u1ee3c kh\u1eed c\u1ef1c t\u1eeb \u0111\u01b0\u1eddng ph\u1ee5 c\u00e0ng l\u1edbn \u2192 s\u00f3ng delta c\u00e0ng l\u1edbn, c\u00e0ng n\u1ed5i tr\u1ed9i v\u00e0 QRS c\u00e0ng d\u00e3n r\u1ed9ng.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n tr\u00ean ECG:<\/p>\n

+ Khi m\u1ed9t ng\u01b0\u1eddi c\u00f3 ECG theo c\u00e1c ti\u00eau chu\u1ea9n tr\u00ean v\u00e0 kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ec7nh th\u00ec g\u1ecdi l\u00e0 ECG d\u1ea1ng WPW (WPW pattern) hay WPW kh\u00f4ng tri\u1ec7u ch\u1ee9ng.<\/p>\n

+ Khi b\u1ec7nh nh\u00e2n v\u1eeba c\u00f3 ECG d\u1ea1ng WPW v\u1eeba c\u00f3 c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp \u0111\u1eb7c tr\u01b0ng th\u00ec g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng WPW (WPW syndrome).<\/p>\n

4. \u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White<\/strong><\/h2>\n


\n<\/strong>B\u1ec7nh nh\u00e2n b\u1ecb h\u1ed9i ch\u1ee9ng WPW \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00ec m\u1ed9t trong hai:
\n– \u00a0Lo\u1ea1n nh\u1ecbp tim c\u00f3 tri\u1ec7u ch\u1ee9ng
\n– Nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim, v\u00ed d\u1ee5, rung nh\u0129 ti\u1ec1n k\u00edch th\u00edch, ho\u1eb7c cu\u1ed3ng nh\u0129 v\u1edbi \u0111\u00e1p \u1ee9ng th\u1ea5t nhanh v\u1edbi b\u1ec7nh nh\u00e2n Kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng
\nD\u1ea1ng WPW kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.
\nC\u00f3 tri\u1ec7u ch\u1ee9ng
\nTrong tr\u01b0\u1eddng h\u1ee3p c\u1ee7a h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb nh\u1eb1m ng\u0103n ch\u1eb7n \u0111\u00e1p \u1ee9ng th\u1ea5t nhanh n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n ti\u1ec1n k\u00edch th\u00edch v\u00e0 rung nh\u0129 \u0111\u1ec3 tr\u00e1nh rung nh\u0129.
\n\u2022 B\u1ec7nh nh\u00e2n kh\u00f4ng \u1ed5n \u0111\u1ecbnh: l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb l\u00e0 kh\u1eed c\u1ef1c \u0111i\u1ec7n \u0111\u1ed3ng b\u1ed9 n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.
\n\u2022 B\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh: b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh v\u1edbi WPW n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Procainamide truy\u1ec1n t\u0129nh m\u1ea1ch v\u1edbi li\u1ec1u 15 mg\/kg m\u00e0 s\u1ebd l\u00e0m ch\u1eadm \u0111\u00e1p \u1ee9ng th\u1ea5t nhanh v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh rung nh\u0129.<\/p>\n

\u0110i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i
\n<\/strong>\u0110i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i WPW bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb y t\u1ebf \u0111\u1ec3 ki\u1ec3m so\u00e1t \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c t\u00e1i ph\u00e1t v\u00e0 c\u1eaft \u0111\u1ed1t b\u1eb1ng s\u00f3ng cao t\u1ea7n (RFA) qua \u1ed1ng th\u00f4ng<\/p>\n

C\u1eaft \u0111\u1ed1t b\u1eb1ng s\u00f3ng cao t\u1ea7n qua \u1ed1ng th\u00f4ng
\nX\u1eed l\u00fd d\u1ee9t kho\u00e1t l\u00e0 c\u1eaft \u0111\u1ed1t con \u0111\u01b0\u1eddng ph\u1ee5.
\nLi\u1ec7u ph\u00e1p c\u1eaft \u0111\u1ed1t qua \u1ed1ng th\u00f4ng d\u01b0\u1eddng nh\u01b0 c\u00f3 hi\u1ec7u qu\u1ea3 trong h\u01a1n 90% b\u1ec7nh nh\u00e2n trong \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng WPW b\u1ea5t k\u1ec3 tu\u1ed5i t\u00e1c.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong> B\u1ec7nh H\u1ecdc Tim M\u1ea1ch Lecturio<\/p>\n","protected":false},"excerpt":{"rendered":"

H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White (WPW), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “con \u0111\u01b0\u1eddng b\u1ecf qua” ho\u1eb7c h\u1ed9i ch\u1ee9ng ti\u1ec1n k\u00edch th\u00edch, \u0111\u1eb7c tr\u01b0ng qua c\u00e1c cu\u1ed9c t\u1ea5n c\u00f4ng c\u1ee7a nh\u1ecbp tim nhanh do s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a con \u0111\u01b0\u1eddng \u0111i\u1ec7n thay th\u1ebf tr\u1ef1c ti\u1ebfp k\u1ebft n\u1ed1i nh\u0129 v\u00e0 th\u1ea5t, b\u1ecf qua n\u00fat nh\u0129 th\u1ea5t. Ti\u00ean l\u01b0\u1ee3ng v\u00e0 k\u1ebft […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White (WPW), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 "con \u0111\u01b0\u1eddng b\u1ecf qua" ho\u1eb7c h\u1ed9i ch\u1ee9ng ti\u1ec1n k\u00edch th\u00edch hay k\u00edch th\u00edch s\u1edbm.\" \/>\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=\"T\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White - Vinmec\" \/>\n<meta property=\"og:description\" content=\"H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White (WPW), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 "con \u0111\u01b0\u1eddng b\u1ecf qua" ho\u1eb7c h\u1ed9i ch\u1ee9ng ti\u1ec1n k\u00edch th\u00edch hay k\u00edch th\u00edch s\u1edbm.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tong-quan-ve-hoi-chung-wolff-parkinson-white\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-04T07:42:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-04T09:31:43+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/63f6a40e58eef8862347d0dd_WPW_INTRO-min-2-300x169.webp\" \/>\n<meta name=\"author\" content=\"Dai Tran Van\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dai Tran Van\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 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\/04\/tong-quan-ve-hoi-chung-wolff-parkinson-white\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tong-quan-ve-hoi-chung-wolff-parkinson-white\/\",\"name\":\"T\u1ed5ng quan v\u1ec1 h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White - 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