{"id":32254,"date":"2023-05-16T00:48:29","date_gmt":"2023-05-15T17:48:29","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32254"},"modified":"2023-05-16T00:48:29","modified_gmt":"2023-05-15T17:48:29","slug":"chan-doan-phan-biet-va-dieu-tri-benh-co-tim-phi-dai-do-ruou","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/chan-doan-phan-biet-va-dieu-tri-benh-co-tim-phi-dai-do-ruou\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u"},"content":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u bao g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a suy tim c\u0169ng nh\u01b0 c\u00e1c nguy\u00ean nh\u00e2n h\u1ec7 th\u1ed1ng v\u00e0 di truy\u1ec1n kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u th\u01b0\u1eddng\u00a0 c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft \u0111\u1ed3ng th\u1eddi th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn \u0111a ng\u00e0nh.<\/strong><\/p>\n

1. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/h2>\n

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u bao g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a suy tim nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh van tim v\u00e0 thi\u1ebfu m\u00e1u c\u01a1 tim c\u0169ng nh\u01b0 c\u00e1c nguy\u00ean nh\u00e2n h\u1ec7 th\u1ed1ng v\u00e0 di truy\u1ec1n kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i, bao g\u1ed3m b\u1ec7nh c\u01a1 tim x\u01a1 gan v\u00e0 b\u1ec7nh beriberi; b\u1ec7nh m\u1ea1ch v\u00e0nh (CAD) n\u00ean \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb.<\/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

1.1. C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i<\/strong><\/h3>\n

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t bao g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed, tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3. V\u00ed d\u1ee5, b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 n\u00f3i chung n\u00ean \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc suy tim m\u1edbi v\u00e0\/ho\u1eb7c b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i.<\/p>\n

1.2. B\u1ec7nh c\u01a1 tim x\u01a1 gan <\/strong><\/h3>\n

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t bao g\u1ed3m b\u1ec7nh c\u01a1 tim x\u01a1 gan, m\u1ed9t lo\u1ea1i r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 tim kh\u00e1c x\u1ea3y ra \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan. C\u00e1c nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m v\u00e0 quan s\u00e1t \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng x\u01a1 gan c\u00f3 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 tim kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c u\u1ed1ng r\u01b0\u1ee3u. \u0110\u1ecbnh ngh\u0129a, nguy\u00ean nh\u00e2n v\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh c\u01a1 tim x\u01a1 gan ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp r\u00f5 r\u00e0ng. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tim m\u1ea1n t\u00ednh kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n x\u01a1 gan v\u1edbi kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng co b\u00f3p k\u00e9m \u0111\u1ed1i v\u1edbi c\u0103ng th\u1eb3ng v\u00e0\/ho\u1eb7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng. C\u00e1c k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng v\u00e0 huy\u1ebft \u0111\u1ed9ng c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u g\u00e2y ra, v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00eam r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tim do suy gan do x\u01a1 gan do r\u01b0\u1ee3u. Kh\u00f4ng gi\u1ed1ng nh\u01b0 b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u, c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n khi ki\u00eang r\u01b0\u1ee3u, b\u1ec7nh c\u01a1 tim do x\u01a1 gan ch\u1ec9 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n b\u1eb1ng c\u00e1ch ph\u1ee5c h\u1ed3i \u0111\u1ea7y \u0111\u1ee7 ch\u1ee9c n\u0103ng gan, ho\u1eb7c gh\u00e9p gan. C\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 bao g\u1ed3m QT k\u00e9o d\u00e0i, m\u1ea5t \u0111\u1ed3ng b\u1ed9 \u0111i\u1ec7n v\u00e0 c\u01a1 h\u1ecdc, v\u00e0 m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u ch\u1ec9nh th\u1eddi gian. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n v\u1edbi t\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong giai \u0111o\u1ea1n x\u01a1 gan m\u1ea5t b\u00f9 l\u00e2m s\u00e0ng v\u1edbi suy tim v\u1edbi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n v\u00e0\/ho\u1eb7c suy tim cung l\u01b0\u1ee3ng tim cao<\/p>\n

H\u1ecfi b\u1ec7nh s\u1eed c\u1ea9n th\u1eadn v\u00e0 si\u00eau \u00e2m tim (ho\u1eb7c h\u00ecnh \u1ea3nh tim kh\u00f4ng x\u00e2m l\u1ea5n kh\u00e1c) c\u00f3 th\u1ec3 h\u1eefu \u00edch trong vi\u1ec7c ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim x\u01a1 gan v\u1edbi b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u v\u00e0 c\u00e1c lo\u1ea1i b\u1ec7nh c\u01a1 tim gi\u00e3n kh\u00e1c. Trong b\u1ec7nh c\u01a1 tim x\u01a1 gan, c\u00e1c d\u1ea5u hi\u1ec7u t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u c\u00f3 th\u1ec3 bao g\u1ed3m nh\u0129 tr\u00e1i gi\u00e3n, th\u00e0nh th\u1ea5t tr\u00e1i d\u00e0y l\u00ean v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0\/ho\u1eb7c t\u00e2m tr\u01b0\u01a1ng. B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn gi\u00e3n th\u1ea5t tr\u00e1i (LV), c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim x\u01a1 gan.<\/p>\n

1.3. C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y rung nh\u0129 <\/strong><\/h3>\n

Trong khi rung nh\u0129 (AF) ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u, AF c\u0169ng th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi u\u1ed1ng r\u01b0\u1ee3u kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 b\u1ec7nh tim c\u1ea5u tr\u00fac. AF x\u1ea3y ra \u1edf 60% nh\u1eefng ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 b\u1ec7nh c\u01a1 tim ti\u1ec1m \u1ea9n, v\u00e0 nguy c\u01a1 AF gia t\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf nam gi\u1edbi nghi\u1ec7n r\u01b0\u1ee3u n\u1eb7ng m\u1ea1n t\u00ednh.<\/p>\n

1.4. Beriberi<\/strong><\/h3>\n

Beriberi l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra suy tim cung l\u01b0\u1ee3ng cao do thi\u1ebfu thiamine (vitamin B1) tr\u1ea7m tr\u1ecdng. Tr\u00e1i ng\u01b0\u1ee3c v\u1edbi b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u, b\u1ec7nh tim do beriberi bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu l\u00e0 suy tim b\u00ean ph\u1ea3i, c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng cung l\u01b0\u1ee3ng tim (suy gi\u1ea3m cung l\u01b0\u1ee3ng cao) v\u00e0 nhanh ch\u00f3ng ph\u1ee5c h\u1ed3i sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thiamine.<\/p>\n

2. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/strong><\/h2>\n

2.1. C\u00e1c bi\u1ec7n ph\u00e1p chung<\/strong><\/h3>\n

B\u1ec7nh nh\u00e2n n\u00ean c\u00f3 m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng v\u00e0 b\u1ea5t k\u1ef3 s\u1ef1 thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng n\u00e0o c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh. B\u1ed5 sung vitamin B12, vitamin B6 v\u00e0 folate l\u00e0 nh\u1eefng ch\u1ea5t h\u1ed7 tr\u1ee3 quan tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u n\u1eb7ng k\u00e9o d\u00e0i. C\u1ea7n theo d\u00f5i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, bao g\u1ed3m h\u1ea1 kali m\u00e1u v\u00e0 h\u1ea1 magie m\u00e1u.<\/p>\n

B\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u th\u01b0\u1eddng c\u00f3 c\u00e1c b\u1ec7nh \u0111i k\u00e8m nh\u01b0 tr\u1ea7m c\u1ea3m, b\u1ec7nh gan, l\u1ea1m d\u1ee5ng thu\u1ed1c, h\u00fat thu\u1ed1c v\u00e0 b\u1ec7nh ph\u1ed5i, c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft \u0111\u1ed3ng th\u1eddi th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn \u0111a ng\u00e0nh.<\/p>\n

2.2. Ki\u00eang r\u01b0\u1ee3u <\/strong><\/h3>\n

B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u c\u1ea7n ki\u00eang ho\u00e0n to\u00e0n v\u00e0 v\u0129nh vi\u1ec5n vi\u1ec7c u\u1ed1ng r\u01b0\u1ee3u.<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t nh\u1ecf \u0111\u00e3 g\u1ee3i \u00fd r\u1eb1ng ch\u1ee9c n\u0103ng LV \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ki\u00eang r\u01b0\u1ee3u. Th\u1eddi gian ng\u1eafn c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng suy tim tr\u01b0\u1edbc khi cai nghi\u1ec7n c\u00f3 th\u1ec3 gi\u00fap ph\u1ee5c h\u1ed3i . Kh\u00f4ng c\u00f3 \u0111i\u1ec3m n\u00e0o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ea3o ng\u01b0\u1ee3c. M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 tr\u00edch d\u1eabn vi\u1ec7c thi\u1ebfu x\u01a1 h\u00f3a m\u00f4 k\u1ebd c\u01a1 tim nh\u01b0 m\u1ed9t ch\u1ec9 s\u1ed1 ti\u1ec1m n\u0103ng v\u1ec1 kh\u1ea3 n\u0103ng \u0111\u1ea3o ng\u01b0\u1ee3c, nh\u01b0ng d\u1eef li\u1ec7u h\u1ea1n ch\u1ebf v\u1ec1 h\u00ecnh th\u00e1i h\u1ecdc \u0111\u00e3 mang l\u1ea1i nhi\u1ec1u k\u1ebft qu\u1ea3 kh\u00e1c nhau.<\/p>\n

2.3. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/strong><\/h3>\n

\u0110i\u1ec1u tr\u1ecb suy tim v\u1edbi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m th\u01b0\u1eddng bao g\u1ed3m s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (ACE), thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 angiotensin-neprilysin ho\u1eb7c thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 angiotensin II, thu\u1ed1c \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 mineralocorticoid v\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf natri- ch\u1ea5t \u1ee9c ch\u1ebf \u0111\u1ed3ng v\u1eadn chuy\u1ec3n glucose 2 nh\u01b0 \u0111\u00e3 ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u1edbi LVEF \u226440%, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c k\u1ebft h\u1ee3p v\u1edbi ki\u00eang khem c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n ho\u1eb7c \u0111\u1ea3o ng\u01b0\u1ee3c qu\u00e1 tr\u00ecnh t\u00e1i c\u1ea5u tr\u00fac ti\u00eau c\u1ef1c c\u1ee7a c\u01a1 tim. V\u1edbi \u0111i\u1ec1u tr\u1ecb cai nghi\u1ec7n v\u00e0\/ho\u1eb7c d\u00f9ng thu\u1ed1c, LVEF t\u0103ng l\u00ean >40 ph\u1ea7n tr\u0103m c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong r\u1ea5t th\u1ea5p.<\/p>\n

2.4. Qu\u1ea3n l\u00fd lo\u1ea1n nh\u1ecbp tim<\/strong><\/h3>\n

Lo\u1ea1n nh\u1ecbp tim \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb theo c\u00e1c khuy\u1ebfn ngh\u1ecb ti\u00eau chu\u1ea9n<\/p>\n

3. Ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u<\/strong><\/h2>\n

B\u1ec7nh nh\u00e2n ki\u00eang r\u01b0\u1ee3u ho\u1eb7c s\u1eed d\u1ee5ng r\u01b0\u1ee3u nh\u1eb9 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n ho\u1eb7c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i v\u00f4 c\u0103n, trong khi ti\u1ebfp t\u1ee5c u\u1ed1ng r\u01b0\u1ee3u n\u1eb7ng c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u h\u01a1n.<\/p>\n

Trong s\u1ed1 nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u, c\u00e1c y\u1ebfu t\u1ed1 d\u1ef1 \u0111o\u00e1n \u0111\u1ed9c l\u1eadp v\u1ec1 t\u1eed vong ho\u1eb7c gh\u00e9p tim bao g\u1ed3m AF, th\u1eddi gian QRS >120 ms v\u00e0 thi\u1ebfu li\u1ec7u ph\u00e1p ch\u1eb9n beta. \u0110\u00e1ng ch\u00fa \u00fd, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t kh\u00f4ng c\u1ea5y gh\u00e9p l\u00e0 t\u01b0\u01a1ng t\u1ef1 gi\u1eefa nh\u1eefng ng\u01b0\u1eddi ki\u00eang r\u01b0\u1ee3u v\u00e0 nh\u1eefng ng\u01b0\u1eddi gi\u1ea3m l\u01b0\u1ee3ng r\u01b0\u1ee3u u\u1ed1ng xu\u1ed1ng <80 g m\u1ed7i ng\u00e0y (h\u1ea7u h\u1ebft <20 \u0111\u1ebfn 30 g m\u1ed7i ng\u00e0y).<\/p>\n

T\u1ef7 l\u1ec7 t\u1eed vong t\u1ea1i b\u1ec7nh vi\u1ec7n c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u l\u00e0 kho\u1ea3ng 4,5%; m\u1ed9t n\u1eeda s\u1ed1 ca nh\u1eadp vi\u1ec7n l\u00e0 do nguy\u00ean nh\u00e2n tim m\u1ea1ch, v\u1edbi m\u1ed9t ph\u1ea7n t\u01b0 do HF c\u1ea5p t\u00ednh. B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u th\u01b0\u1eddng c\u00f3 c\u00e1c b\u1ec7nh \u0111i k\u00e8m \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng nh\u01b0 tr\u1ea7m c\u1ea3m, b\u1ec7nh gan, l\u1ea1m d\u1ee5ng thu\u1ed1c, t\u0103ng huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng, h\u00fat thu\u1ed1c v\u00e0 b\u1ec7nh ph\u1ed5i.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u bao g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u1ee7a suy tim c\u0169ng nh\u01b0 c\u00e1c nguy\u00ean nh\u00e2n h\u1ec7 th\u1ed1ng v\u00e0 di truy\u1ec1n kh\u00e1c c\u1ee7a b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u th\u01b0\u1eddng\u00a0 c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft \u0111\u1ed3ng […]<\/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":"\n\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u th\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft \u0111\u1ed3ng th\u1eddi th\u00f4ng qua ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn \u0111a ng\u00e0nh.\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i do r\u01b0\u1ee3u - 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