{"id":34758,"date":"2023-06-08T17:49:15","date_gmt":"2023-06-08T10:49:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34758"},"modified":"2023-06-08T17:49:15","modified_gmt":"2023-06-08T10:49:15","slug":"ecg-chan-doan-benh-tim-thieu-mau-cuc-bo","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/","title":{"rendered":"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 &#8211; ECG trong vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9"},"content":{"rendered":"<p><strong>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 &#8211; ECG trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc th\u01b0\u1eddng quy v\u00e0 nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c gi\u00fap ch\u1ea9n \u0111o\u00e1n. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng g\u00e2y \u0111au cho b\u1ec7nh nh\u00e2n v\u00e0 gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 theo d\u00f5i t\u00ecnh tr\u1ea1ng tim m\u1ea1ch c\u1ee7a b\u1ec7nh nh\u00e2n. T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c c\u1ea7n ph\u1ea3i \u0111o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 12 chuy\u1ec3n \u0111\u1ea1o.<\/strong><\/p>\n<h2><em>1. \u0110o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00fac ngh\u1ec9 trong <\/em><em>b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9<\/em><\/h2>\n<ul>\n<li>Tr\u00ean 50% b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh c\u00f3 ECG b\u00ecnh th\u01b0\u1eddng. V\u00e0i b\u1ea5t th\u01b0\u1eddng tr\u00ean ECG l\u00e0m t\u0103ng x\u00e1c su\u1ea5t ch\u1ea9n \u0111o\u00e1n \u0111au th\u1eaft ng\u1ef1c \u0111\u00fang: s\u00f3ng Q c\u1ee7a NMCT c\u0169, rung nh\u0129, block ph\u00e2n nh\u00e1nh tr\u00e1i tr\u01b0\u1edbc, block nh\u00e1nh ph\u1ea3i, block nh\u00e1nh tr\u00e1i.<\/li>\n<li>Th\u01b0\u1eddng trong c\u01a1n c\u00f3 nh\u1ecbp xoang nhanh, \u00edt khi c\u00f3 lo\u1ea1n nh\u1ecbp xoang ch\u1eadm. B\u1ea5t th\u01b0\u1eddng ST ch\u00eanh l\u00ean hay ch\u00eanh xu\u1ed1ng g\u1ee3i \u00fd t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. \u1ede b\u1ec7nh nh\u00e2n c\u00f3 ST ch\u00eanh xu\u1ed1ng ho\u1eb7c T \u0111\u1ea3o \u1edf ECG l\u00fac ngh\u1ec9, d\u1ea5u hi\u1ec7u gi\u1ea3 b\u00ecnh th\u01b0\u1eddng l\u00fac \u0111au g\u1ee3i \u00fd b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n<li>S\u1ef1 xu\u1ea5t hi\u1ec7n lo\u1ea1n nh\u1ecbp nhanh, block AV, block ph\u00e2n nh\u00e1nh tr\u00e1i tr\u01b0\u1edbc ho\u1eb7c block nh\u00e1nh trong c\u01a1n \u0111au gi\u00e1 t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh; c\u00e1c ch\u1ee9ng c\u1edb n\u00e0y th\u01b0\u1eddng \u0111\u1ee7 \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p m\u1ea1ch v\u00e0nh cho b\u1ec7nh nh\u00e2n.<\/li>\n<li><em>Tri\u1ec7u ch\u1ee9ng \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/em><em> trong c\u01a1n \u0111au<\/em><em>:<\/em> ECG ghi \u0111\u01b0\u1ee3c trong c\u01a1n \u0111au ng\u1ef1c l\u00e0 c\u00f3 \u00edch nh\u1ea5t qua \u0111\u00f3 cho ph\u00e9p th\u1ea5y c\u00e1c bi\u1ebfn \u0111\u1ed5i x\u1ea3y ra trong c\u01a1n \u0111au \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi: NMCT ST c\u00f3 ch\u00eanh xu\u1ed1ng, NMCT c\u00f3 ST ch\u00eanh l\u00ean, C\u01a1n \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u0111i\u1ec3n h\u00ecnh hay c\u00e1c r\u1ed1i lo\u1ea1n k\u00e8m theo nh\u01b0 r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u1ea5t th\u01b0\u1eddng l\u00e0 ngo\u1ea1i t\u00e2m thu th\u1ea5t<\/li>\n<li><\/li>\n<\/ul>\n<h2>2. Xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh ECG g\u1eafng s\u1ee9c<\/h2>\n<p>Test g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t c\u1eadn l\u00e2m s\u00e0ng quan trong gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u01b0\u1ee3ng gi\u00e1 kh\u1ea3 n\u0103ng t\u1eed vong cho b\u1ec7nh nh\u00e2n. N\u00f3 l\u00e0 c\u1eadn l\u00e2m s\u00e0ng ph\u1ea3i \u0111\u01b0\u1ee3c ngh\u0129 t\u1edbi \u0111\u1ea7u ti\u00ean \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n cho b\u1ec7nh nh\u00e2n. V\u1ea5n \u0111\u1ec1 \u0111\u1eb7t ra khi l\u00e0m test g\u1eafng s\u1ee9c l\u00e0 g\u1eafng s\u1ee9c th\u1ec3 l\u1ef1c hay g\u1eafng s\u1ee9c b\u1eb1ng thu\u1ed1c \u0111\u00e2y? Trong nh\u00f3m g\u1eafng s\u1ee9c th\u1ec3 l\u1ef1c th\u00ec l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111o ECG hay l\u00e0 si\u00eau \u00e2m ho\u1eb7c x\u1ea1 h\u00ecnh tim?<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-34762 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/3390d6b4-657a-431e-8792-9d14a27d0cce-300x300.jpg\" alt=\"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/3390d6b4-657a-431e-8792-9d14a27d0cce-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/3390d6b4-657a-431e-8792-9d14a27d0cce-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/3390d6b4-657a-431e-8792-9d14a27d0cce-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/3390d6b4-657a-431e-8792-9d14a27d0cce.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u0110\u1ea7u ti\u00ean ta h\u00e3y kh\u1ea3o s\u00e1t ph\u01b0\u01a1ng ph\u00e1p g\u1eafng s\u1ee9c b\u1eb1ng th\u1ec3 l\u1ef1c v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111o ECG ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9:<\/p>\n<p><em>Tai sao test g\u1eafng s\u1ee9c c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u01a1c b\u1ec7nh m\u1ea1ch v\u00e0nh man -\u1ef3 nguy\u00ean t\u1eafc c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p g\u1eafng s\u1ee9c n\u00f3i chung:<\/em><\/p>\n<p>Khi \u0111o ECG l\u00fac ngh\u1ec9 b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ee5c b\u1ed9 do r\u1eafng l\u00fac n\u00e0y nhu c\u1ea7u oxy c\u1ee7a c\u01a1 tim v\u1eeba \u0111\u1ee7 ph\u00f9 h\u1ee3p v\u1edbi kh\u1ea3 n\u0103ng cung c\u1ea5p oxy c\u1ee7a m\u1ea1ch v\u00e0nh, tuy nhi\u00ean \u0111\u00e2y \u0111\u00e3 l\u00e0 s\u1ef1 b\u00f9 tr\u1eeb cho t\u00ecnh tr\u1ea1ng thi\u1ec3u n\u0103ng v\u00e0nh c\u00f3 s\u1eb3n. Tr\u1eafc nghi\u1ec7m g\u1eafng s\u1ee9c n\u00f3i chung s\u1ebd l\u00e0m gia t\u0103ng nhu c\u1ea7u oxy cho c\u01a1 tim, l\u00fac n\u00e0y s\u1ef1 c\u00e2n b\u1eb1ng v\u1ec1 cung &#8211; c\u1ea7u b\u1ecb ph\u00e1 v\u1ee1 v\u00e0 s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 tr\u00ean x\u00e9t nghi\u1ec7m g\u1eafng s\u1ee9c.<\/p>\n<ul>\n<li>K\u0129 thu\u1eadt th\u1ef1c hi\u1ec7n:<\/li>\n<li>L\u00e0m nghi\u1ec7m ph\u00e1p tr\u00ean xe \u0111\u1ea1p c\u00f3 g\u1eafn c\u01a1 l\u1ef1c k\u1ebf ho\u1eb7c tr\u00ean th\u1ea3m l\u0103n, cho b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n g\u1eafng s\u1ee9c cho t\u1edbi khi t\u1ea7n s\u1ed1 tim \u0111\u1ea1t t\u1edbi m\u1ed9t m\u1ee9c \u0111\u1ed9 t\u1ea7n s\u1ed1 t\u00f9y theo tu\u1ed5i (t\u1ea7n s\u1ed1 tim t\u1ed1i \u0111a l\u00ed thuy\u1ebft = 220 &#8211; s\u1ed1 tu\u1ed5i b\u1ec7nh nh\u00e2n).<\/li>\n<li>Trong l\u00fac n\u00e0y b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t huy\u1ebft \u00e1p, t\u1ea7n s\u1ed1 tim v\u00e0 \u0111i\u1ec7n tim b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch v\u00e0 m\u1ed9t \u0111i\u1ec1u d\u01b0\u1ee1ng, ph\u1ea3i c\u00f3 s\u1eb5n d\u1ee5ng c\u0169 ph\u00e1 rung v\u00e0 h\u1ed3i s\u1ee9c.<\/li>\n<\/ul>\n<p>\u2756 Khi \u0111ang l\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c th\u00ec khi n\u00e0o th\u00ec ph\u1ea3i ng\u1eebng nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c:<\/p>\n<table width=\"1008\">\n<tbody>\n<tr>\n<td width=\"524\"><strong><em>Ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i (b\u1eaft bu\u1ed9c ng\u1eebng th\u1ef1c hi\u1ec7n)<\/em><\/strong><\/td>\n<td width=\"483\"><strong><em>Ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i<\/em><\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"524\">&#8211;\u00a0\u00a0\u00a0\u00a0 SBP gi\u1ea3m &gt; 10 mmHg so v\u1edbi ban \u0111\u1ea7u k\u00e8m ch\u1ee9ng c\u1edb TMCB c\u01a1 tim, m\u1eb7c d\u00f9 c\u00f4ng g\u1eafng s\u1ee9c t\u0103ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u01a1n \u0111au th\u1eaft ng\u1ef1c v\u1eeba ho\u1eb7c n\u1eb7ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u00f3ng m\u1eb7t, th\u1ea5t \u0111i\u1ec1u, g\u1ea7n ng\u00e1t.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T\u00edm t\u00e1i .<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kh\u00f3 theo d\u00f5i BP v\u00e0 ECG.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh nh\u00e2n mu\u1ed1n ng\u1eebng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 Nh\u1ecbp nhanh th\u1ea5t.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 ST ch\u00ean l\u00ean &gt; 1 mm \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o kh\u00f4ng c\u00f3 s\u00f3ng Q (ngo\u1ea1i tr\u1eeb V1 v\u00e0 aVR).<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 Ho\u00e0n th\u00e0nh \u0111\u01b0\u1ee3c t\u1ea7n s\u1ed1 tim t\u1ed1i \u0111a \u0111\u01b0\u1ee3c d\u1ef1 tr\u00f9<\/p>\n<p>&nbsp;<\/td>\n<td width=\"483\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 SBP gi\u1ea3m &gt; 10 mmHg so v\u1edbi ban \u0111\u1ea7u kh\u00f4ng k\u00e8m ch\u1ee9ng c\u1edb TMCB c\u01a1 tim, m\u1eb7c d\u00f9 c\u00f4ng g\u1eafng s\u1ee9c t\u0103ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 ST ch\u00ean xu\u1ed1ng b\u1eb1ng ngang hay ch\u00fac xu\u1ed1ng &gt; 2 mm.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 L\u1ec7ch nhi\u1ec1u tr\u1ee5c QRS.<\/p>\n<p>&#8211;\u00a0 Ngo\u1ea1i t\u00e2m thu th\u1ea5t \u0111a \u1ed5, ngo\u1ea1i t\u00e2m thu th\u1ea5t nh\u1ecbp ba, nh\u1ecbp nhanh tr\u00ean th\u1ea5t, block tim, lo\u1ea1n nh\u1ecbp ch\u1eadm.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 M\u1ec7t, th\u1edf r\u00edt, h\u1ee5t h\u01a1i, v\u1ecdp b\u1ebb, \u0111au c\u00e1ch h\u1ed3i, \u0111au ng\u1ef1c t\u0103ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T \u0103ng huy\u1ebft \u00e1p n\u1eb7ng (huy\u1ebft \u00e1p t\u00e2m thu &gt; 250 mmHg ho\u1eb7c huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng &gt; 115 mmHg).<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>L\u01b0\u1ee3ng \u0111\u1ecbnh k\u1ebft qu\u1ea3 c\u1ee7a ECG g\u1eafng s\u1ee9c d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng, kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c, \u0111\u00e1p \u1ee9ng huy\u1ebft \u0111\u1ed9ng v\u00e0 bi\u1ebfn \u0111\u1ed5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 -&gt; ch\u1ec9 s\u1ed1 th\u1ea3m l\u0103n.<\/p>\n<p>Ch\u1ec9 s\u1ed1 th\u1ea3m l\u0103n (DTS)<\/p>\n<p>DTS = th\u1eddi gian g\u1eafng s\u1ee9c (ph\u00fat) &#8211; 5 x ST ch\u00eanh (mm) &#8211; 4 x ch\u1ec9 s\u1ed1 \u0111au.<\/p>\n<p>Trong \u0111\u00f3 ch\u1ec9 s\u1ed1 \u0111au = 0 n\u1ebfu kh\u00f4ng \u0111au ng\u1ef1c, = 1 n\u1ebfu \u0111au nh\u01b0ng kh\u00f4ng l\u00e0m ng\u01b0ng v\u1eadn \u0111\u1ed9ng, = 2 n\u1ebfu \u0111au l\u00e0m ng\u01b0ng v\u1eadn \u0111\u1ed9ng.<\/p>\n<p><u>K\u1ebft lu\u00e2n:<\/u><\/p>\n<p>Nguy c\u01a1 cao: DTS &lt; -11.<\/p>\n<p>Nguy c\u01a1 trung b\u00ecnh DTS = -11 -&gt; +4 .<\/p>\n<p>Nguy c\u01a1 \u00a0th\u1ea5p DTS &gt; +4<\/p>\n<ul>\n<li>Ph\u00e2n \u0111\u1ed9 nguy c\u01a1 t\u1eed vong tim m\u1ea1ch nh\u01b0 v\u1eady \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed th\u00edch h\u1ee3p v\u00e0 d\u01b0a ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p m\u1ea1ch v\u00e0nh cho b\u1ec7nh nh\u00e2n.<\/li>\n<li>Trong \u0111\u00f3 th\u00f4ng s\u1ed1 v\u1ec1 bi\u1ebfn \u0111\u1ed5i ECG (nh\u1ea5t l\u00e0 bi\u1ebfn \u0111\u1ed5i c\u1ee7a \u0111o\u1ea1n ST) l\u00e0 quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh m\u1ea1ch v\u00e0nh. Tr\u00ean ECG g\u1eafng s\u1ee9c, c\u00e1c bi\u1ebfn \u0111\u1ed5i c\u1ee7a \u0111o\u1ea1n ST c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n d\u01b0\u01a1ng t\u00ednh:<\/li>\n<li>ST ch\u00eanh xu\u1ed1ng n\u1eb1m ngang hay ch\u00eanh xu\u1ed1ng ch\u00fac xu\u1ed1ng &gt; 1 mm v\u00e0 k\u00e9o d\u00e0i 0.06 &#8211; 0.08 gi\u00e2y sau ph\u1ea7n cu\u1ed1i c\u1ee7a ECG trong l\u00fac g\u1eafng s\u1ee9c hay sau khi g\u1eafng s\u1ee9c.<\/li>\n<li>ST ch\u00eanh l\u00ean ch\u1ec9 c\u00f3 \u00fd ngh\u0129a khi x\u1ea3y ra \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o kh\u00f4ng c\u00f3 s\u00f3ng Q c\u1ee7a NMCT c\u0169 (ST ch\u00eanh l\u00ean bi\u1ec3u th\u1ecb m\u1ed9t t\u00ecnh tr\u1ea1ng co th\u1eaft m\u1ea1ch v\u00e0nh ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh).<\/li>\n<\/ul>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"456\"><strong><em>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i<\/em><\/strong><\/td>\n<td width=\"457\"><strong><em>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i<\/em><\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"456\">&#8211;\u00a0\u00a0\u00a0\u00a0 NMCT c\u1ea5p trong v\u00f2ng 2 ng\u00e0y.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 Lo\u1ea1n nh\u1ecbp c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 r\u1ed1i lo\u1ea1n uy\u1ebft \u0111\u1ed9ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 H\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 n\u1eb7ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0 Suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 Nh\u1ed3i m\u00e1u ph\u1ed5i ho\u1eb7c thuy\u00ean t\u1eafc ph\u1ed5i.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 Vi\u00eam m\u00e0ng ngo\u00e0i tim c\u1ea5p.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/td>\n<td width=\"457\">&#8211;\u00a0\u00a0\u00a0\u00a0 Ngh\u1ebdn th\u00e2n ch\u00ednh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 H\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 m\u1ee9c \u0111\u1ed9 trung b\u00ecnh.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 SBP &gt; 200 mmHg ho\u1eb7c DBP &gt; 110 mmHg.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 Lo\u1ea1n nh\u1ecbp nhanh ho\u1eb7c lo\u1ea1n nh\u1ecbp ch\u1eadm.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh tim l\u00e0m t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Xem th\u00eam:(ch\u00e8n link n\u00e0y sau khi xu\u1ea5t b\u1ea3n)<\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/cac-dau-hieu-nhan-biet-benh-mach-vanh-tren-ecg\/\">C\u00e1c d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft b\u1ec7nh m\u1ea1ch v\u00e0nh tr\u00ean ECG<\/a><\/p>\n<p><a href=\"https:\/\/docs.google.com\/document\/d\/1u8zavoyojKDyFdK7rw7eWFeG2jRMBLRhaBharAX4wwc\/edit?usp=sharing\">B\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9: C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 &#8211; ECG trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc th\u01b0\u1eddng quy v\u00e0 nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c gi\u00fap ch\u1ea9n \u0111o\u00e1n. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng g\u00e2y \u0111au cho b\u1ec7nh nh\u00e2n v\u00e0 gi\u00fap ch\u1ea9n \u0111o\u00e1n [&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>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 - ECG trong vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 - ECG ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc th\u01b0\u1eddng quy v\u00e0 nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c gi\u00fap ch\u1ea9n \u0111o\u00e1n.\" \/>\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\u1ec7n t\u00e2m \u0111\u1ed3 - ECG trong vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9\" \/>\n<meta property=\"og:description\" content=\"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 - ECG ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc th\u01b0\u1eddng quy v\u00e0 nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c gi\u00fap ch\u1ea9n \u0111o\u00e1n.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-06-08T10:49:15+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/3390d6b4-657a-431e-8792-9d14a27d0cce-300x300.jpg\" \/>\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=\"6 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\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/\",\"name\":\"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 - ECG trong vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-06-08T10:49:15+00:00\",\"dateModified\":\"2023-06-08T10:49:15+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 - ECG ch\u1ea9n \u0111o\u00e1n b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc th\u01b0\u1eddng quy v\u00e0 nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c gi\u00fap ch\u1ea9n \u0111o\u00e1n.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/08\/ecg-chan-doan-benh-tim-thieu-mau-cuc-bo\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 &#8211; 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