{"id":34601,"date":"2023-06-04T14:43:59","date_gmt":"2023-06-04T07:43:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34601"},"modified":"2023-06-04T14:43:59","modified_gmt":"2023-06-04T07:43:59","slug":"nhip-nhanh-that-nguyen-nhan-va-cach-dieu-tri-hieu-qua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/04\/nhip-nhanh-that-nguyen-nhan-va-cach-dieu-tri-hieu-qua\/","title":{"rendered":"Nh\u1ecbp nhanh th\u1ea5t: Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3"},"content":{"rendered":"<p><strong>Nh\u1ecbp nhanh th\u1ea5t (Ventricular Tachycardia \u2013 VT) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n nh\u1ecbp tim ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Ch\u1ea9n \u0111o\u00e1n nhanh th\u1ea5t tr\u00ean ECG khi c\u00f3 &gt;2 ph\u1ee9c b\u1ed9 nh\u1ecbp th\u1ea5t li\u00ean ti\u1ebfp v\u00e0 c\u00f3 t\u1ea7n s\u1ed1 t\u1eeb &gt; 100 \u2013 250 l\u1ea7n\/ph\u00fat, k\u00e8m theo ph\u1ee9c b\u1ed9 QRS r\u1ed9ng &gt;120ms. \u00a0Theo Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC), kho\u1ea3ng 2,7 tri\u1ec7u ng\u01b0\u1eddi M\u1ef9 b\u1ecb nh\u1ecbp nhanh th\u1ea5t m\u1ed7i n\u0103m. Tuy nhi\u00ean, b\u1ec7nh l\u00fd n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1ecbp nhanh th\u1ea5t. \u00a0<\/strong><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<p><strong>1.1 Nguy\u00ean nh\u00e2n<\/strong><br \/>\nNh\u1ecbp nhanh th\u1ea5t c\u00f3 th\u1ec3 x\u1ea3y ra do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau:<\/p>\n<ul>\n<li>Tim: th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh tim c\u1ea5u tr\u00fac, c\u00e1c h\u1ed9i ch\u1ee9ng (H\/C) nh\u01b0: H\/c QT d\u00e0i, H\/C Brugada, H\/c Barth, c\u00e1c b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i, m\u1eafc ph\u1ea3i, b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh m\u1ea1ch v\u00e0nh, vi\u00eam c\u01a1 tim, \u2026<\/li>\n<li>Do thu\u1ed1c: \u00a0b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 quinidine ho\u1eb7c procainamide\u2026<\/li>\n<li>Ch\u1ea5t k\u00edch th\u00edch, stress, r\u1ed1i lo\u1ea1n lo \u00e2u, b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p, thi\u1ebfu m\u00e1u&#8230;<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i nh\u01b0 h\u1ea1 kali, h\u1ea1 magie m\u00e1u\u2026<\/li>\n<\/ul>\n<p><strong>1.2 Ph\u00e2n lo\u1ea1i nh\u1ecbp nhanh th\u1ea5t<\/strong><\/p>\n<p>&#8211; Ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng:<\/p>\n<p>+ VTv\u1edbi huy\u1ebft \u0111\u1ed9ng h\u1ecdc \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>+ VT v\u1edbi r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng h\u1ecdc.<\/p>\n<ul>\n<li>Ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/li>\n<\/ul>\n<p>+ VTkh\u00f4ng b\u1ec1n b\u1ec9 (c\u01a1n nh\u1ecbp nhanh k\u00e9o d\u00e0i &lt;30s)<\/p>\n<p>+VT b\u1ec1n b\u1ec9 (c\u01a1n nh\u1ecbp nhanh k\u00e9o d\u00e0i &gt;30s)<\/p>\n<p>+ VT \u0111\u01a1n d\u1ea1ng hay \u0111a d\u1ea1ng<\/p>\n<p>+ VT v\u00f2ng v\u00e0o l\u1ea1i nh\u00e1nh<\/p>\n<p>+ Nh\u1ecbp nhanh th\u1ea5t 2 chi\u1ec1u<\/p>\n<p>+ Xo\u1eafn \u0111\u1ec9nh<\/p>\n<p>+ Cu\u1ed3ng th\u1ea5t<\/p>\n<p>+ Rung th\u1ea5t (ECG dao \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng, &gt;250 nh\u1ecbp\/ph\u00fat v\u00e0 c\u00f3 \u0111i\u1ec7n th\u1ebf bi\u1ebfn \u0111\u1ed5i).<\/p>\n<h2><strong>2. Ch\u1ea9n \u0111o\u00e1n nh\u1ecbp nhanh th\u1ea5t<\/strong><\/h2>\n<p>Theo t\u00e0i li\u1ec7u tham kh\u1ea3o t\u1eeb American Heart Association (AHA), ch\u1ea9n \u0111o\u00e1n nh\u1ecbp nhanh th\u1ea5t bao g\u1ed3m \u0111o nh\u1ecbp tim, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, si\u00eau \u00e2m tim v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i nh\u1ecbp nhanh th\u1ea5t, bao g\u1ed3m nh\u1ecbp xoang nhanh th\u1ea5t, nh\u1ecbp xoang kh\u00f4ng \u0111\u1ec1u v\u00e0 nh\u1ecbp th\u1ea5t. Si\u00eau \u00e2m tim c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u01a1 tim v\u00e0 van tim.<\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/vinmecdr.com\/tiep-can-lam-sang-nhip-nhanh-that\/\">ti\u1ebfp c\u1eadn l\u00e2m s\u00e0ng nh\u1ecbp nhanh th\u1ea5t\u00a0<\/a><\/p>\n<h2><strong>3. \u0110i\u1ec1u tr\u1ecb nh\u1ecbp nhanh th\u1ea5t<\/strong><\/h2>\n<p>Theo t\u00e0i li\u1ec7u tham kh\u1ea3o t\u1eeb Mayo Clinic, \u0111i\u1ec1u tr\u1ecb nh\u1ecbp nhanh th\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m thu\u1ed1c, ph\u1eabu thu\u1eadt v\u00e0 \u0111i\u1ec7n xung tim. Thu\u1ed1c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn nh\u1ea5t cho nh\u1ecbp nhanh th\u1ea5t, bao g\u1ed3m beta-blocker, calcium channel blocker v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c. Ph\u1eabu thu\u1eadt v\u00e0 \u0111i\u1ec7n xung tim th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi thu\u1ed1c kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c b\u1ec7nh l\u00fd n\u1eb7ng. D\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n l\u00e2m s\u00e0ng.<\/p>\n<p><strong>3.1 N\u1ebfu huy\u1ebft \u0111\u1ed9ng h\u1ecdc c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng \u1ed5n \u0111\u1ecbnh<\/strong><\/p>\n<p>&#8211; Th\u1edf \u00f4xy, \u0111\u01b0\u1eddng truy\u1ec1n TM, monitor\u2026<\/p>\n<p>&#8211; Ng\u1eebng ngay digitan n\u1ebfu \u0111ang d\u00f9ng<\/p>\n<p>&#8211; Khi huy\u1ebft \u0111\u1ed9ng h\u1ecdc kh\u00f4ng \u1ed5n \u0111\u1ecbnh, x\u00e9t xem b\u1ec7nh nh\u00e2n c\u00f2n \u0111\u00e1p \u1ee9ng v\u1edbi nh\u1eadn bi\u1ebft huy\u1ebft \u00e1p v\u00e0\/ho\u1eb7c m\u1ea1ch, ng\u01b0\u1eddi ta khuy\u1ebfn c\u00e1o ph\u01b0\u01a1ng ph\u00e1p sau:<br \/>\n\u2022 S\u1ed1c \u0111i\u1ec7n: s\u1ed1c \u0111\u1ed3ng b\u1ed9 100J \u0111\u1ebfn 200J (1 pha) ho\u1eb7c 50J \u0111\u1ebfn 100J (2 pha)\u2022 N\u1ebfu c\u1ea7n thi\u1ebft ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u1eed rung ngay l\u1eadp t\u1ee9c.<br \/>\n\u2022Khi kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi ph\u00e1 rung ngo\u00e0i c\u01a1 th\u1ec3. S\u1eed d\u1ee5ng th\u00eam c\u00e1c thu\u1ed1c an th\u1ea7n ho\u1eb7c gi\u1ea3m \u0111au v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp m\u1ea1nh \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch nh\u01b0 c\u00e1c thu\u1ed1c: barbiturat, benzodiazepin, midazolam, propofol\u2026..<br \/>\n\u2022 Khi b\u1ec7nh nh\u00e2n v\u1eabn kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u00e0 v\u00f4 m\u1ea1ch c\u1ea7n ti\u1ebfn h\u00e0nh \u00a0h\u1ed3i s\u1ee9c tim ph\u1ed5i chu\u1ea9n theo ph\u00e1c \u0111\u1ed3.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u00e1p \u1ee9ng nh\u01b0ng t\u00ecnh tr\u1ea1ng t\u00e1i ph\u00e1t sau chuy\u1ec3n nh\u1ecbp c\u1ea7n ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c t\u00ecm ra c\u0103n nguy\u00ean nh\u01b0: nh\u1ed3i m\u00e1u c\u01a1 tim, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, v\u00e0 nhi\u1ec5m \u0111\u1ed9c thu\u1ed1c v\u00e0 c\u00e1c \u0111\u1ed9c ch\u1ea5t\u2026. .<br \/>\nChuy\u1ec3n nh\u1ecbp v\u00e0 kh\u1eed rung \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh nh\u1eafc l\u1ea1i \u00a0\u1edfkhi b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<br \/>\n&#8211; Khi b\u1ec7nh nh\u00e2n c\u00f3 \u00a0VT t\u00e1i ph\u00e1t ho\u1eb7c VT ch\u01b0a t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng, s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 sau:<br \/>\n\u2022 Amiodarone: an to\u00e0n, dung n\u1eadp t\u1ed1t trong \u0111i\u1ec1u tr\u1ecb VT c\u1ea5p t\u00ednh. Li\u1ec1u t\u1ea3i 150mg (TTM) trong 10 ph\u00fat, li\u1ec1u duy tr\u00ec 1mg\/ph trong 6 gi\u1edd, sau \u0111\u00f3 0.5 mg\/ph\u00fat. (Ph\u00e1c \u0111\u1ed3 b\u1ec7nh vi\u1ec7n nh\u00e2n d\u00e2n 115).<br \/>\n\u2022 Lidocaine: c\u00f3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb nhanh th\u1ea5t t\u00e1i ph\u00e1t ho\u1eb7c b\u1ec1n b\u1ec9. L\u01b0u \u00fd \u0111\u1ed9c t\u00ednh c\u1ee7a lidocaine nh\u01b0 co gi\u1eadt, l\u01a1 m\u01a1 th\u1eadm ch\u00ed l\u00e0 ng\u01b0ng tim ng\u01b0ng th\u1edf.<br \/>\n<strong>3.2 N\u1ebfu huy\u1ebft \u0111\u1ed9ng h\u1ecdc c\u1ee7a b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh<\/strong><\/p>\n<ul>\n<li>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp: Amiodarol, ch\u1eb9n beta giao c\u1ea3m, \u1ee9c ch\u1ebf men chuy\u1ec3n, gi\u1ea3m \u0111au<\/li>\n<li>S\u1ed1c \u0111\u1ed3ng b\u1ed9 chuy\u1ec3n nh\u1ecbp trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc\/ b\u1ec7nh c\u0103n nguy\u00ean nh\u01b0: thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim, suy tim, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, \u0111\u1ed9c ch\u1ea5t\u2026.<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng c\u1ee7a VT c\u00f3 kh\u00f4ng c\u00f3 b\u1ec7nh tim b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac, c\u00e2n nh\u1eafc ch\u1eb9n k\u00eanh canxi ho\u1eb7c ch\u1eb9n beta c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/li>\n<\/ul>\n<p><strong>3.3 Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng (<em><strong>ICD: Implantable Cardioverter Defibrillator).<\/strong><\/em><\/strong><\/p>\n<ul>\n<li>M\u1eddi b\u00e1c s\u0129 chuy\u00ean khoa h\u1ed9i ch\u1ea9n \u0111\u1ec3 ki\u1ec3m tra ICD<\/li>\n<li>Ki\u1ec3m tra l\u1ea1i ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ICDs: Ki\u1ec3m tra c\u00e1c th\u00f4ng s\u1ed1 x\u00e1c \u0111\u1ecbnh tr\u1ecb li\u1ec7u c\u1ee7a thi\u1ebft b\u1ecb ICD c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh cung c\u1ea5p tr\u1ecb li\u1ec7u ph\u00f9 h\u1ee3p h\u01a1n v\u00e0 tr\u00e1nh tr\u1ecb li\u1ec7u kh\u00f4ng ph\u00f9 h\u1ee3p.<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-34602 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/7295a936-4bdf-4a62-877e-7aeaa74c2e0d-300x300.jpg\" alt=\"nh\u1ecbp nhanh th\u1ea5t\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/7295a936-4bdf-4a62-877e-7aeaa74c2e0d-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/7295a936-4bdf-4a62-877e-7aeaa74c2e0d-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/7295a936-4bdf-4a62-877e-7aeaa74c2e0d-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/7295a936-4bdf-4a62-877e-7aeaa74c2e0d.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>4. Bi\u1ebfn ch\u1ee9ng c\u1ee7a nh\u1ecbp nhanh th\u1ea5t<\/h2>\n<p>N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Nh\u01b0 tr\u1ee5y m\u1ea1ch, s\u1ed1c tim, nh\u1ed3i m\u00e1u c\u01a1 tim\u2026<\/p>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a nh\u1ecbp nhanh th\u1ea5t bao g\u1ed3m:<\/p>\n<ul>\n<li>Thi\u1ebfu m\u00e1u c\u01a1 tim: VT c\u00f3 th\u1ec3 g\u00e2y ra thi\u1ebfu m\u00e1u c\u01a1 tim v\u00ec khi tim \u0111\u1eadp qu\u00e1 nhanh, kh\u00f4ng \u0111\u1ee7 th\u1eddi gian cho m\u00e1u \u0111\u01b0\u1ee3c b\u01a1m \u0111\u1ea7y \u0111\u1ee7 v\u00e0o c\u01a1 tim.<\/li>\n<li>R\u1ed1i lo\u1ea1n nh\u1ecbp tim: VT k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra r\u1ed1i lo\u1ea1n nh\u1ecbp tim v\u00e0 l\u00e0m cho tim \u0111\u1eadp kh\u00f4ng \u0111\u1ec1u.<\/li>\n<li>H\u1ed9i ch\u1ee9ng kh\u1ed1i nh\u0129: \u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p c\u1ee7a VT, khi m\u1ed9t kh\u1ed1i m\u00e1u h\u00ecnh th\u00e0nh trong nh\u0129 do t\u0103ng \u00e1p l\u1ef1c trong khoang nh\u0129 do nh\u1ecbp tim qu\u00e1 nhanh.<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p: VT k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra t\u0103ng huy\u1ebft \u00e1p do tim ph\u1ea3i \u0111\u1eadp nhanh h\u01a1n \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3.<\/li>\n<li>\u0110\u1ed9t qu\u1ef5: VT k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, c\u00f3 th\u1ec3 g\u00e2y ra \u0111\u1ed9t qu\u1ef5 do m\u00e1u kh\u00f4ng \u0111\u1ee7 l\u01b0u th\u00f4ng \u0111\u1ebfn n\u00e3o.<\/li>\n<li>Suy tim: VT k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra suy tim do t\u00e1c \u0111\u1ed9ng qu\u00e1 m\u1ea1nh l\u00ean c\u01a1 tim, d\u1eabn \u0111\u1ebfn l\u00e0m y\u1ebfu c\u01a1 tim v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u.<\/li>\n<li>Theo CDC, c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 d\u1eabn \u0111\u1ebfn nguy c\u01a1 m\u1eafc nh\u1ecbp nhanh th\u1ea5t, bao g\u1ed3m tu\u1ed5i, gi\u1edbi t\u00ednh, b\u1ec7nh l\u00fd tim m\u1ea1ch v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c. \u0110\u1ec3 ph\u00f2ng ng\u1eeba nh\u1ecbp nhanh th\u1ea5t, c\u1ea7n tu\u00e2n th\u1ee7 m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh v\u1edbi vi\u1ec7c t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n, gi\u1ea3m stress v\u00e0 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh.<\/li>\n<\/ul>\n<h2><strong>5. K\u1ebft lu\u1eadn<\/strong><\/h2>\n<p>Nh\u1ecbp nhanh th\u1ea5t l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n nh\u1ecbp tim ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch. Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm b\u1ec7nh l\u00fd l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. \u0110i\u1ec1u tr\u1ecb VT c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3. \u0110\u1ec3 ph\u00f2ng ng\u1eeba VT c\u1ea7n tu\u00e2n th\u1ee7 m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 tr\u00e1nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1. Vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc nh\u1ecbp nhanh th\u1ea5t v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u1ecbp nhanh th\u1ea5t (Ventricular Tachycardia \u2013 VT) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n nh\u1ecbp tim ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Ch\u1ea9n \u0111o\u00e1n nhanh th\u1ea5t tr\u00ean ECG khi c\u00f3 &gt;2 ph\u1ee9c b\u1ed9 nh\u1ecbp th\u1ea5t li\u00ean ti\u1ebfp v\u00e0 c\u00f3 t\u1ea7n s\u1ed1 t\u1eeb &gt; 100 \u2013 250 l\u1ea7n\/ph\u00fat, k\u00e8m theo ph\u1ee9c b\u1ed9 QRS r\u1ed9ng &gt;120ms. [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nh\u1ecbp nhanh th\u1ea5t: Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 - Vinmec<\/title>\n<meta name=\"description\" content=\"Nh\u1ecbp nhanh th\u1ea5t (Ventricular Tachycardia \u2013 VT) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n nh\u1ecbp tim ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1edfng th\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=\"Nh\u1ecbp nhanh th\u1ea5t: Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 - 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