{"id":34654,"date":"2023-06-08T17:51:49","date_gmt":"2023-06-08T10:51:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34654"},"modified":"2023-06-08T17:51:49","modified_gmt":"2023-06-08T10:51:49","slug":"nhip-nhanh-that-tren-ecg","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/nhip-nhanh-that-tren-ecg\/","title":{"rendered":"Nh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG: C\u00e1ch ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3"},"content":{"rendered":"
Nh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG (Ventricular Tachycardia \u2013 VT)\u00a0 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 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) khi c\u00f3 >2 ph\u1ee9c b\u1ed9 nh\u1ecbp th\u1ea5t li\u00ean ti\u1ebfp v\u00e0 c\u00f3 t\u1ea7n s\u1ed1 t\u1eeb > 100 \u2013 250 l\u1ea7n\/ph\u00fat, k\u00e8m theo ph\u1ee9c b\u1ed9 QRS r\u1ed9ng >120ms. Bi\u1ebfn ch\u1ee9ng n\u1eb7ng c\u00f3 th\u1ec3 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, ng\u1ea5t, v\u00e0 \u0111\u1ed9t t\u1eed do tim Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nh\u1ecbp nhanh th\u1ea5t th\u01b0\u1eddng d\u1ef1a v\u00e0o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi nh\u1ecbp nhanh k\u1ecbch ph\u00e1t tr\u00ean th\u1ea5t. B\u00e0i vi\u1ebft sau \u0111\u00e2y s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 nh\u1eefng d\u1ea5u hi\u1ec7u ch\u1ea9n \u0111o\u00e1n c\u00e1c d\u1ea1ng nh\u1ecbp nhanh th\u1ea5t tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 c\u00e1c c\u00e1ch \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.\u00a0<\/strong><\/div>\n

1. Ph\u00e2n lo\u1ea1i nh\u1ecbp nhanh th\u1ea5t d\u1ef1a tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/h2>\n
<\/div>\n
Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p l\u00e0 do b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u1ec7nh c\u01a1 tm, do thu\u1ed1c v\u00e0 \u0111\u1ed9c ch\u1ea5t\u2026 C\u01a1 ch\u1ebf c\u1ee7a n\u00f3 l\u00e0 do v\u00f2ng v\u00e0o l\u1ea1i t\u1ea1i t\u00e2m th\u1ea5t \u1edf h\u1ec7 th\u1ed1ng purkinje ho\u1eb7c s\u1ef1 v\u00f2ng v\u00e0o l\u1ea1i gi\u1eefa 2 nh\u00e1nh t\u1ea1i b\u00f3 His.<\/div>\n
\"Nh\u1ecbp<\/div>\n
Ph\u00e2n lo\u1ea1i<\/strong><\/div>\n
+ Nh\u1ecbp nhanh th\u1ea5t kh\u00f4ng b\u1ec1n b\u1ec9 (c\u01a1n nh\u1ecbp nhanh k\u00e9o d\u00e0i <30s)<\/div>\n
+ Nh\u1ecbp nhanh th\u1ea5t b\u1ec1n b\u1ec9 (c\u01a1n nh\u1ecbp nhanh k\u00e9o d\u00e0i >30s)<\/div>\n
+ Nh\u1ecbp nhanh th\u1ea5t \u0111\u01a1n d\u1ea1ng hay \u0111a d\u1ea1ng<\/div>\n
+ Nh\u1ecbp nhanh th\u1ea5t v\u00f2ng v\u00e0o l\u1ea1i nh\u00e1nh<\/div>\n
+ Nh\u1ecbp nhanh th\u1ea5t 2 chi\u1ec1u<\/div>\n
+ Xo\u1eafn \u0111\u1ec9nh<\/div>\n
+ Cu\u1ed3ng th\u1ea5t<\/div>\n
+ Rung th\u1ea5t<\/div>\n

2. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a nh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG<\/h2>\n
<\/div>\n
\u0110i\u1ec7n t\u00e2m \u0111\u1ed3\u00a0<\/strong><\/div>\n
– T\u1ea7n s\u1ed1 t\u1eeb 120 \u2013 250 l\u1ea7n\/ph\u00fat.<\/div>\n
– Ph\u1ee9c b\u1ed9 QRS\u00a0 r\u1ed9ng >0,12 gi\u00e2y, QRS bi\u1ebfn d\u1ea1ng v\u00e0 thay \u0111\u1ed5i th\u1ee9 ph\u00e1t \u0111o\u1ea1n ST-T, ph\u1ee9c b\u1ed9 QRS t\u01b0\u01a1ng \u0111\u1ed1i \u0111\u1ec1u.<\/div>\n
– S\u00f3ng P c\u00f3 t\u1ea7n s\u1ed1 ch\u1eadm h\u01a1n ph\u1ee9c b\u1ed9 QRS (60 – 100 l\u1ea7n\/ph\u00fat) c\u00f3 d\u1ea5u hi\u1ec7u ph\u00e2n ly nh\u0129 th\u1ea5t, \u0111\u00e2y l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n nh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG.<\/div>\n
– QRS c\u00f9ng d\u01b0\u01a1ng ho\u1eb7c c\u00f9ng \u00e2m \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc ng\u1ef1c. N\u1ebfu l\u00e0 c\u00f9ng \u00e2m th\u00ec g\u1ea7n nh\u01b0 ch\u1eafc ch\u1eafn \u0111\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a nh\u1ecbp nhanh th\u1ea5t.<\/div>\n
– NTT\/T ngo\u00e0i c\u01a1n tim nhanh (n\u1ebfu c\u00f3) m\u00e0 h\u00ecnh d\u1ea1ng gi\u1ed1ng QRS trong c\u01a1n th\u00ec ch\u1eafc ch\u1eafn l\u00e0 nh\u1ecbp nhanh th\u1ea5t<\/div>\n
– Th\u1eddi gian c\u1ee7a nh\u1ecbp nhanh th\u1ea5t k\u00e9o d\u00e0i >30 gi\u00e2y g\u1ecdi l\u00e0 nh\u1ecbp nhanh th\u1ea5t b\u1ec1n b\u1ec9, n\u1ebfu th\u1eddi gian \u0111\u00f3\u00a0 \u2264 30 gi\u00e2y g\u1ecdi l\u00e0 nh\u1ecbp nhanh th\u1ea5t kh\u00f4ng b\u1ec1n b\u1ec9.<\/div>\n
– Nh\u1ecbp nhanh th\u1ea5t \u0111\u01a1n d\u1ea1ng: t\u1ea5t c\u1ea3 c\u00e1c ph\u1ee9c b\u1ed9 QRS trong c\u01a1n nhanh th\u1ea5t \u0111\u1ec1u gi\u1ed1ng nhau v\u1ec1 h\u00ecnh d\u1ea1ng v\u00e0 bi\u00ean \u0111\u1ed9.<\/div>\n
– Nh\u1ecbp nhanh th\u1ea5t \u0111a d\u1ea1ng:<\/div>\n
+ Nh\u1ecbp nhanh th\u1ea5t Xo\u1eafn \u0111\u1ec9nh: t\u1ea7n s\u1ed1 tim th\u01b0\u1eddng t\u1eeb 200 – 250 l\u1ea7n\/ph\u00fat , ph\u1ee9c b\u1ed9 QRS gi\u00e3n r\u1ed9ng, thay \u0111\u1ed5i nhi\u1ec1u v\u1ec1 h\u00ecnh d\u1ea1ng, bi\u00ean \u0111\u1ed9, -> ph\u1ee9c b\u00f4\u0323 QRS co\u0301 da\u0323ng nh\u01b0 xoay xung quanh m\u1ed9t tru\u0323c c\u00f4\u0301 \u0111i\u0323nh. Xo\u1eafn \u0111\u1ec9nh c\u00f3 th\u1ec3 t\u1ef1 h\u1ebft ho\u1eb7c\u00a0 ti\u00ea\u0301n tri\u00ea\u0309n rung th\u00e2\u0301t..<\/div>\n
M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 QRS d\u00e3n r\u1ed9ng v\u00e0 nh\u1ecbp tim nhanh nh\u01b0ng kh\u00f4ng ph\u1ea3i nh\u1ecbp nhanh th\u1ea5t:<\/div>\n
– Block nh\u00e1nh<\/div>\n
– Tim nhanh trong h\u1ed9i ch\u1ee9c k\u00edch th\u00edch s\u1edbm (H\/C W.P.W) c\u00f3 s\u1ef1 d\u1eabn truy\u1ec1n theo chi\u1ec1u ng\u01b0\u1ee3c.<\/div>\n
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Rung th\u1ea5t: Ca\u0301c so\u0301ng l\u0103n t\u0103n v\u01a1\u0301i t\u00e2\u0300n s\u00f4\u0301 r\u00e2\u0301t nhanh, kh\u00f4ng \u0111\u00f4\u0300ng \u0111\u1ec1u: Kh\u00f4ng c\u00f3 s\u00f3ng P,\u00a0 T\u1ea7n s\u1ed1 rung > 300 l\u1ea7n\/ph\u00fat, kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c c\u00e1c ph\u1ee9c b\u1ed9 QRS. \u0110\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p r\u1ea5t nghi\u00eam tr\u1ecdng c\u1ea7n h\u1ed3i sinh tim ph\u1ed5i ngay l\u1eadp t\u1ee9c.<\/div>\n
Ti\u00eau chu\u1ea9n Brugada trong ch\u1ea9n \u0111o\u00e1n nhanh th\u1ea5t:<\/strong><\/div>\n
\u2013\u00a0 \u00a0 \u00a0 \u00a0 \u00a0B\u01b0\u1edbc 1: c\u1ea7n lo\u1ea1i tr\u1eeb nh\u1ecbp nhanh xoang k\u00e8m theo block nh\u00e1nh (th\u01b0\u1eddng c\u00f3 s\u00f3ng P \u0111i tr\u01b0\u1edbc m\u1ed7i ph\u1ee9c b\u1ed9 QRS). \uf0e0 lo\u1ea1i tr\u1eeb nh\u1ecbp xoang<\/div>\n
\u2013\u00a0 \u00a0 \u00a0 \u00a0 \u00a0B\u01b0\u1edbc 2: Ti\u1ebfp theo nh\u00ecn v\u00e0o c\u00e1c \u0111\u1ea1o tr\u00ecnh \u1edf tr\u01b0\u1edbc ng\u1ef1c t\u1eeb\u00a0 V1-V6 xem c\u00f3 d\u1ea1ng RS ho\u1eb7c qR, Rs, QS hay kh\u00f4ng->\u00a0 \u00a0c\u00f3 th\u1ec3 h\u01b0\u1edbng t\u1edbi kh\u1ea3 n\u0103ng l\u00e0 nh\u1ecbp nhanh th\u1ea5t.<\/div>\n
\u2013\u00a0 \u00a0 \u00a0 \u00a0 \u00a0B\u01b0\u1edbc 3: N\u1ebfu c\u00f3 RS, \u0111o kho\u1ea3ng c\u00e1ch t\u1eeb kh\u1edfi \u0111\u1ea7u s\u00f3ng R \u0111\u1ebfn \u0111\u00e1y s\u00f3ng S ( kho\u1ea3ng RS ). N\u1ebfu c\u00f3 kho\u1ea3ng c\u00e1ch R-S \u1edf chuy\u1ec3n \u0111\u1ea1o b\u1ea5t k\u1ef3 > 100ms, Ch\u1ea9n \u0111o\u00e1n\u00a0 VT.<\/div>\n
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3. \u0110i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3<\/h2>\n
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, ch\u1eb9n k\u00eanh canxi 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.<\/div>\n
3.1 N\u1ebfu huy\u1ebft \u0111\u1ed9ng h\u1ecdc kh\u00f4ng \u1ed5n \u0111\u1ecbnh<\/strong><\/div>\n
– Th\u1edf \u00f4xy, \u0111\u01b0\u1eddng truy\u1ec1n TM, monitor\u2026<\/div>\n
– Ng\u1eebng ngay digital n\u1ebfu \u0111ang d\u00f9ng<\/div>\n
– 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:<\/div>\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.<\/div>\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..<\/div>\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\u00a0 h\u1ed3i s\u1ee9c tim ph\u1ed5i chu\u1ea9n theo ph\u00e1c \u0111\u1ed3.<\/div>\n
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. .<\/div>\n
Chuy\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.<\/div>\n
– Khi b\u1ec7nh nh\u00e2n c\u00f3\u00a0 VT 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:<\/div>\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).<\/div>\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.<\/strong><\/div>\n
3.2 N\u1ebfu huy\u1ebft \u0111\u1ed9ng h\u1ecdc c\u1ee7a b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh<\/strong><\/div>\n
– 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<\/div>\n
– S\u1ed1c \u0111\u1ed3ng b\u1ed9 chuy\u1ec3n nh\u1ecbp trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft<\/div>\n
– \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.<\/div>\n
– 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\u00a0 ch\u1eb9n k\u00eanh canxi ho\u1eb7c ch\u1eb9n beta c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/div>\n
3.2 Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 m\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng (ICD: Implantable Cardioverter Defibrillator).\u00a0<\/strong><\/div>\n
– M\u1eddi b\u00e1c s\u0129 chuy\u00ean khoa h\u1ed9i ch\u1ea9n \u0111\u1ec3 ki\u1ec3m tra ICD<\/div>\n
– 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.<\/div>\n
C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c:<\/div>\n
+ T\u1ea1o nh\u1ecbp v\u01b0\u1ee3t t\u1ea7n s\u1ed1: th\u01b0\u1eddng \u00e1p d\u1ee5ng v\u1edbi tim nhanh do c\u01a1 ch\u1ebf v\u00e0o l\u1ea1i<\/div>\n
+ Tri\u1ec7t \u0111\u1ed1t b\u1eb1ng s\u00f3ng n\u0103ng l\u01b0\u1ee3ng cao t\u1ea7n l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p tri\u1ec7t \u0111\u1ec3 c\u00f3 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao.<\/div>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o: Ph\u00e1c \u0111\u1ed3 b\u1ec7nh vi\u00ean nh\u00e2n d\u00e2n 115<\/div>\n
Tags: #Tim m\u1ea1ch, #Nh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG, #Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1ecbp nhanh th\u1ea5t, #Ti\u00eau chu\u1ea9n Brugada<\/strong><\/div>\n
Xem th\u00eam:<\/div>\n

Ti\u1ebfp c\u1eadn l\u00e2m s\u00e0ng nh\u1ecbp nhanh th\u1ea5t<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Nh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG (Ventricular Tachycardia \u2013 VT)\u00a0 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 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) khi c\u00f3 >2 ph\u1ee9c b\u1ed9 nh\u1ecbp th\u1ea5t li\u00ean ti\u1ebfp v\u00e0 c\u00f3 t\u1ea7n s\u1ed1 t\u1eeb > 100 \u2013 250 l\u1ea7n\/ph\u00fat, k\u00e8m theo […]<\/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":"\nNh\u1ecbp nhanh th\u1ea5t tr\u00ean ECG: C\u00e1ch ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 -<\/title>\n<meta name=\"description\" content=\"Nh\u1ecbp nhanh th\u1ea5t (Ventricular Tachycardia \u2013 VT) tr\u00ean ECG 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, 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