{"id":31700,"date":"2023-05-16T00:47:20","date_gmt":"2023-05-15T17:47:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31700"},"modified":"2023-05-16T00:47:20","modified_gmt":"2023-05-15T17:47:20","slug":"benh-hoc-benh-co-tim-phi-dai-do-ruou","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/benh-hoc-benh-co-tim-phi-dai-do-ruou\/","title":{"rendered":"B\u1ec7nh h\u1ecdc b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u"},"content":{"rendered":"

U\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u trong th\u1eddi gian d\u00e0i l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i th\u1ee9 ph\u00e1t. Tuy nhi\u00ean, s\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 gi\u1ea3m ho\u1eb7c ng\u1eebng u\u1ed1ng r\u01b0\u1ee3u.<\/strong><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a v\u00e0 t\u1ef7 l\u1ec7 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/h2>\n

B\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i m\u1eafc ph\u1ea3i do u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u trong th\u1eddi gian d\u00e0i.<\/p>\n

T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf b\u1ec7nh nh\u00e2n suy tim (HF) ho\u1eb7c b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i r\u1ea5t kh\u00e1c nhau (v\u00ed d\u1ee5: t\u1eeb 4 \u0111\u1ebfn 40 ph\u1ea7n tr\u0103m tr\u1edf l\u00ean) v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a d\u00e2n s\u1ed1 nghi\u00ean c\u1ee9u v\u00e0 ng\u01b0\u1ee1ng ti\u00eau th\u1ee5 r\u01b0\u1ee3u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u.<\/p>\n

T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u c\u00f3 v\u1ebb gi\u1ed1ng nhau gi\u1eefa nam v\u00e0 n\u1eef m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u; tuy nhi\u00ean, g\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt \u1edf nam gi\u1edbi cao h\u01a1n v\u1edbi lo\u1ea1t ghi nh\u1eadn t\u1ef7 l\u1ec7 gi\u1edbi t\u00ednh khi nh\u1eadp vi\u1ec7n v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh g\u1ea7n nh\u01b0 l\u00e0 9:1. Nh\u00f3m tu\u1ed5i ch\u00ednh b\u1ecb \u1ea3nh h\u01b0\u1edfng l\u00e0 t\u1eeb 45 \u0111\u1ebfn 59 tu\u1ed5i, ti\u1ebfp theo l\u00e0 60 \u0111\u1ebfn 74 tu\u1ed5i. Kho\u1ea3ng m\u1ed9t ph\u1ea7n ba s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u nh\u01b0ng ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ec7nh tim m\u1ea1ch c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i (LV). R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu LV t\u01b0\u01a1ng quan v\u1edbi t\u1ed5ng l\u01b0\u1ee3ng ethanol u\u1ed1ng trong su\u1ed1t cu\u1ed9c \u0111\u1eddi. Tuy nhi\u00ean, khi \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n v\u1edbi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u LV (LVEF), ph\u1ee5 n\u1eef ti\u00eau th\u1ee5 t\u1ed5ng l\u01b0\u1ee3ng ethanol \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 th\u1ea5p h\u01a1n so v\u1edbi nam gi\u1edbi. Do \u0111\u00f3, ph\u1ee5 n\u1eef d\u01b0\u1eddng nh\u01b0 t\u0103ng \u0111\u1ed9 nh\u1ea1y c\u1ea3m v\u1edbi \u0111\u1ed9c t\u00ednh tr\u00ean tim; m\u1ed9t khuynh h\u01b0\u1edbng t\u01b0\u01a1ng t\u1ef1 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi b\u1ec7nh gan do r\u01b0\u1ee3u v\u00e0 b\u1ec7nh c\u01a1. M\u1ed9t c\u01a1 ch\u1ebf \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t cho s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1edbi t\u00ednh n\u00e0y l\u00e0 s\u1ef1 t\u00edch t\u1ee5 qu\u00e1 m\u1ee9c c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a ethanol \u1edf ph\u1ee5 n\u1eef do chuy\u1ec3n h\u00f3a ethanol \u1edf d\u1ea1 d\u00e0y th\u1ea5p h\u01a1n v\u00e0 t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a ethanol \u1edf gan cao h\u01a1n.<\/p>\n

Li\u00ean quan \u0111\u1ebfn vi\u1ec7c u\u1ed1ng r\u01b0\u1ee3u \u2014<\/strong> \u1ede m\u1ee9c \u0111\u1ed9 u\u1ed1ng r\u01b0\u1ee3u cao h\u01a1n, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng LV v\u00e0 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u c\u00f3 li\u00ean quan \u0111\u1ebfn c\u1ea3 l\u01b0\u1ee3ng r\u01b0\u1ee3u trung b\u00ecnh h\u00e0ng ng\u00e0y v\u00e0 th\u1eddi gian u\u1ed1ng. Ng\u1ed9 \u0111\u1ed9c r\u01b0\u1ee3u c\u00f3 th\u1ec3 g\u00e2y ra r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tim c\u1ea5p t\u00ednh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ngay c\u1ea3 khi nh\u1eefng ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh u\u1ed1ng v\u1edbi s\u1ed1 l\u01b0\u1ee3ng \u00edt khi c\u1ea7n giao ti\u1ebfp x\u00e3 h\u1ed9i . T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, \u1edf nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00f4ng nghi\u1ec7n r\u01b0\u1ee3u, th\u00f3i quen u\u1ed1ng r\u01b0\u1ee3u say c\u00f3 li\u00ean quan \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i c\u01a1 tim tho\u00e1ng qua c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1eb1ng ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI), t\u0103ng c\u00e1c d\u1ea5u hi\u1ec7u huy\u1ebft thanh \u0111\u1ed1i v\u1edbi t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim, thay \u0111\u1ed5i c\u00e1c ch\u1ec9 s\u1ed1 vi m\u00f4 c\u1ee7a r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 tim v\u00e0 co th\u1eaft m\u1ea1ch v\u00e0nh.<\/p>\n

H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n ph\u00e1t tri\u1ec3n b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u \u0111\u00e3 u\u1ed1ng h\u01a1n 80 \u0111\u1ebfn 90 g ethanol m\u1ed7i ng\u00e0y trong h\u01a1n 5 n\u0103m (m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u tr\u00edch d\u1eabn trung b\u00ecnh l\u00e0 15 n\u0103m). \u0110i\u1ec1u n\u00e0y t\u01b0\u01a1ng \u1ee9ng v\u1edbi kho\u1ea3ng m\u1ed9t l\u00edt r\u01b0\u1ee3u vang, t\u00e1m c\u1ed1c bia c\u1ee1 ti\u00eau chu\u1ea9n ho\u1eb7c n\u1eeda l\u00edt r\u01b0\u1ee3u m\u1ea1nh m\u1ed7i ng\u00e0y. R\u1ee7i ro d\u1ef1a tr\u00ean l\u01b0\u1ee3ng ethanol tuy\u1ec7t \u0111\u1ed1i, v\u00ec v\u1eady vi\u1ec7c ti\u00eau th\u1ee5 m\u1ed9t lo\u1ea1i \u0111\u1ed3 u\u1ed1ng c\u1ee5 th\u1ec3 (ch\u1eb3ng h\u1ea1n nh\u01b0 r\u01b0\u1ee3u vang) kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7.<\/p>\n

\"benh-co-tim-phi-dai-do-ruou\"
B\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/figcaption><\/figure>\n

2. B\u1ec7nh h\u1ecdc\u00a0<\/strong><\/h2>\n

C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7. T\u00e1c d\u1ee5ng \u0111\u1ed9c h\u1ea1i c\u1ee7a vi\u1ec7c say r\u01b0\u1ee3u c\u1ea5p t\u00ednh \u0111\u1ed1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim l\u00e0 tho\u00e1ng qua, nh\u01b0ng vi\u1ec7c ti\u00eau th\u1ee5 m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p c\u01a1 tim v\u0129nh vi\u1ec5n 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 alcohol dehydrogenase. Acetaldehyde \u0111\u01b0\u1ee3c cho l\u00e0 g\u00e2y suy nh\u01b0\u1ee3c 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 gi\u1ea3m c\u00e2n b\u1eb1ng canxi n\u1ed9i m\u00f4i.<\/p>\n

C\u00f3 m\u1ed9t s\u1ed1 c\u01a1 ch\u1ebf \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t m\u00e0 vi\u1ec7c ti\u00eau th\u1ee5 ethanol 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<\/p>\n

    \n
  • Ph\u01a1i nhi\u1ec5m ethanol c\u00f3 th\u1ec3 g\u00e2y ra stress oxy h\u00f3a trong c\u01a1 tim tr\u1ef1c ti\u1ebfp b\u1eb1ng c\u00e1ch k\u00edch th\u00edch t\u1ea1o ra c\u00e1c g\u1ed1c t\u1ef1 do ho\u1eb7c gi\u00e1n ti\u1ebfp b\u1eb1ng c\u00e1ch k\u00edch ho\u1ea1t c\u00e1c h\u1ec7 th\u1ed1ng kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u1ec7 th\u1ed1ng renin-angiotensin (RAS)<\/li>\n
  • Acetaldehyde t\u1eeb ethanol k\u00edch ho\u1ea1t RAS c\u1ee5c b\u1ed9, c\u00f3 li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh ch\u1ebft theo ch\u01b0\u01a1ng tr\u00ecnh d\u1eabn \u0111\u1ebfn m\u1ea5t t\u1ebf b\u00e0o c\u01a1 v\u00e0 t\u00e1i c\u1ea5u tr\u00fac b\u1ea5t l\u1ee3i \u1edf c\u1ea5p \u0111\u1ed9 t\u1ebf b\u00e0o v\u00e0 t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch \u1edf c\u1ea5p \u0111\u1ed9 h\u1ec7 th\u1ed1ng. T\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n ho\u1eb7c l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam suy tim.<\/li>\n
  • Suy gi\u1ea3m n\u0103ng l\u01b0\u1ee3ng sinh h\u1ecdc c\u1ee7a ty th\u1ec3 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n, theo \u0111\u1ec1 xu\u1ea5t c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y nh\u1eefng thay \u0111\u1ed5i trong c\u1ea5u tr\u00fac v\u00e0\/ho\u1eb7c ch\u1ee9c n\u0103ng c\u1ee7a ty th\u1ec3.<\/li>\n
  • STAT3 \u1edf m\u1ee9c \u0111\u1ed9 th\u1ea5p, \u0111\u00f3ng vai tr\u00f2 l\u00e0 m\u1ee5c ti\u00eau cu\u1ed1i c\u1ee7a ALDH2 (aldehyde dehydrogenase). ALDH2 mang l\u1ea1i t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 tim m\u1ea1ch sau khi ti\u1ebfp x\u00fac v\u1edbi ethanol th\u00f4ng qua STAT3, \u0111\u00e2y l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n con \u0111\u01b0\u1eddng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh h\u00f4 h\u1ea5p c\u1ee7a ty th\u1ec3 . \u1ede chu\u1ed9t, m\u1ed9t l\u01b0\u1ee3ng r\u01b0\u1ee3u v\u1eeba ph\u1ea3i k\u00edch th\u00edch ALDH2, trong khi li\u1ec1u cao s\u1ebd \u1ee9c ch\u1ebf ALDH2.<\/li>\n
  • Thay \u0111\u1ed5i chuy\u1ec3n h\u00f3a v\u00e0 v\u1eadn chuy\u1ec3n axit b\u00e9o c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 tim .<\/li>\n
  • S\u1eed d\u1ee5ng ethanol trong th\u1eddi gian d\u00e0i l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p protein c\u1ee7a c\u01a1 tim v\u00e0 \u0111\u1ea9y nhanh qu\u00e1 tr\u00ecnh d\u1ecb h\u00f3a protein v\u00e0 qu\u00e1 tr\u00ecnh t\u1ef1 th\u1ef1c.<\/li>\n<\/ul>\n

    C\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u, m\u1eb7c d\u00f9 b\u1eb1ng ch\u1ee9ng c\u00f2n h\u1ea1n ch\u1ebf.<\/p>\n

    M\u1eb7c d\u00f9 ng\u01b0\u1eddi ta t\u1eebng cho r\u1eb1ng r\u01b0\u1ee3u g\u00e2y ra b\u1ec7nh c\u01a1 tim ch\u1ee7 y\u1ebfu do thi\u1ebfu dinh d\u01b0\u1ee1ng, nh\u01b0ng gi\u1edd \u0111\u00e2y r\u00f5 r\u00e0ng l\u00e0 suy dinh d\u01b0\u1ee1ng kh\u00f4ng ph\u1ea3i l\u00e0 y\u1ebfu t\u1ed1 h\u00e0ng \u0111\u1ea7u. M\u1eb7c d\u00f9 b\u1ec7nh tim beriberi \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 b\u1ec7nh tim do r\u01b0\u1ee3u, nh\u01b0ng n\u00f3 kh\u00e1c v\u1edbi b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/p>\n

    Ngo\u00e0i c\u00e1c \u0111\u1ed9c t\u00ednh tr\u00ean do ethanol v\u00e0 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a n\u00f3, c\u00e1c ch\u1ea5t ph\u1ee5 gia trong \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n (v\u00ed d\u1ee5, coban \u0111\u01b0\u1ee3c th\u00eam v\u00e0o bia) c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng \u0111\u1ed9c \u0111\u1ed1i v\u1edbi c\u01a1 tim.<\/p>\n

    C\u00e1c d\u1ea5u hi\u1ec7u \u0111\u1ea1i th\u1ec3 v\u00e0 vi th\u1ec3 trong b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u v\u00e0 kh\u00f4ng th\u1ec3 ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c v\u1edbi nh\u1eefng d\u1ea5u hi\u1ec7u quan s\u00e1t \u0111\u01b0\u1ee3c trong b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i v\u00f4 c\u0103n, m\u1eb7c d\u00f9 t\u00ecnh tr\u1ea1ng sau n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u00f4 h\u1ecdc r\u00f5 r\u1ec7t h\u01a1n. C\u00e1c ph\u00e1t hi\u1ec7n bao g\u1ed3m x\u01a1 h\u00f3a m\u00f4 k\u1ebd, ph\u00ec \u0111\u1ea1i t\u1ebf b\u00e0o c\u01a1 v\u00e0 ti\u00eau c\u01a1.<\/p>\n

    Tuy nhi\u00ean, m\u1ed9t s\u1ed1 chi ti\u1ebft c\u1ea5u tr\u00fac c\u00f3 th\u1ec3 g\u1ee3i \u00fd b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u g\u00e2y ra. R\u01b0\u1ee3u, ngay c\u1ea3 v\u1edbi m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn thay \u0111\u1ed5i c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a ty th\u1ec3, v\u00e0 m\u1eabu b\u1ec7nh ph\u1ea9m sinh thi\u1ebft n\u1ed9i m\u1ea1c c\u01a1 tim t\u1eeb nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u m\u1ea1n t\u00ednh cho th\u1ea5y s\u1ef1 thay \u0111\u1ed5i c\u1ea5u tr\u00fac c\u1ee7a m\u1ea1ng l\u01b0\u1edbi ty th\u1ec3. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt in vitro cho th\u1ea5y nh\u1eefng thay \u0111\u1ed5i si\u00eau c\u1ea5u tr\u00fac tim sau khi ti\u1ebfp x\u00fac v\u1edbi ethanol l\u00e0 nh\u1ea5t qu\u00e1n v\u00e0 c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c.<\/p>\n

    S\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a nh\u1eefng thay \u0111\u1ed5i c\u1ea5u tr\u00fac ph\u00e1t tri\u1ec3n d\u1ea7n d\u1ea7n c\u00f3 li\u00ean quan \u0111\u1ebfn giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"

    U\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u trong th\u1eddi gian d\u00e0i l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i th\u1ee9 ph\u00e1t. Tuy nhi\u00ean, s\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 gi\u1ea3m ho\u1eb7c ng\u1eebng u\u1ed1ng r\u01b0\u1ee3u. 1. \u0110\u1ecbnh ngh\u0129a v\u00e0 t\u1ef7 l\u1ec7 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i […]<\/p>\n","protected":false},"author":60,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nB\u1ec7nh h\u1ecdc b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u - Vinmec<\/title>\n<meta name=\"description\" content=\"S\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim trong b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 gi\u1ea3m ho\u1eb7c ng\u1eebng u\u1ed1ng r\u01b0\u1ee3u.\" \/>\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=\"B\u1ec7nh h\u1ecdc b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u - Vinmec\" \/>\n<meta property=\"og:description\" content=\"S\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim trong b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 gi\u1ea3m ho\u1eb7c ng\u1eebng u\u1ed1ng r\u01b0\u1ee3u.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/benh-hoc-benh-co-tim-phi-dai-do-ruou\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-15T17:47:20+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/grey-haired-displeased-bearded-old-man-has-sudden-painful-spasm-chest-closes-eyes-presses-hands-heart-poses-against-beige-wall-300x200.jpg\" \/>\n<meta name=\"author\" content=\"L\u00ea Th\u1ecb \u00c1nh Kim\" \/>\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\u00ea Th\u1ecb \u00c1nh Kim\" \/>\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\/16\/benh-hoc-benh-co-tim-phi-dai-do-ruou\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/benh-hoc-benh-co-tim-phi-dai-do-ruou\/\",\"name\":\"B\u1ec7nh h\u1ecdc b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u - 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