{"id":35156,"date":"2023-06-16T22:05:25","date_gmt":"2023-06-16T15:05:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35156"},"modified":"2023-06-16T22:31:24","modified_gmt":"2023-06-16T15:31:24","slug":"thuoc-chen-beta-va-cach-hoat-dong-cua-no-trong-dieu-tri-benh-tim-va-huyet-ap-cao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/16\/thuoc-chen-beta-va-cach-hoat-dong-cua-no-trong-dieu-tri-benh-tim-va-huyet-ap-cao\/","title":{"rendered":"Thu\u1ed1c ch\u1eb9n beta v\u00e0 c\u00e1ch ho\u1ea1t \u0111\u1ed9ng c\u1ee7a n\u00f3 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim v\u00e0 huy\u1ebft \u00e1p cao"},"content":{"rendered":"<p><strong>Thu\u1ed1c ch\u1eb9n Beta (Beta-blockers) ng\u00e0y nay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c, m\u1ed9t s\u1ed1 lo\u1ea1i r\u1ed1i \u00a0lo\u1ea1n nh\u1ecbp nhanh v\u00e0 suy tim, c\u0169ng nh\u01b0 trong t\u0103ng huy\u1ebft \u00e1p. Beta-blockers \u0111\u1ed1i kh\u00e1ng v\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a k\u00edch th\u00edch th\u1ea7n kinh giao c\u1ea3m ho\u1eb7c catecholamin trong tu\u1ea7n ho\u00e0n t\u1ea1i c\u00e1c beta-adrenoceptor ph\u00e2n b\u1ed1 r\u1ed9ng kh\u1eafp trong c\u00e1c h\u1ec7 th\u1ed1ng c\u01a1 th\u1ec3. Beta1-receptor chi\u1ebfm \u01b0u th\u1ebf trong tim (v\u00e0 th\u1eadn) trong khi beta2-receptor chi\u1ebfm \u01b0u th\u1ebf trong c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 ph\u1ed5i, m\u1ea1ch m\u00e1u ngo\u1ea1i vi v\u00e0 c\u01a1 b\u1eafp x\u01b0\u01a1ng.<\/strong><\/p>\n<h2><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35157 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/60bdd8fc-4f8e-46df-881c-b84eb61450f5-300x300.jpg\" alt=\"thuoc-chen-beta\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/60bdd8fc-4f8e-46df-881c-b84eb61450f5-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/60bdd8fc-4f8e-46df-881c-b84eb61450f5-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/60bdd8fc-4f8e-46df-881c-b84eb61450f5-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/60bdd8fc-4f8e-46df-881c-b84eb61450f5.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><br \/>\n<strong>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 thu\u1ed1c ch\u1eb9n beta<\/strong><\/h2>\n<p><strong>C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng<\/strong><\/p>\n<ul>\n<li>\u00a0Tim: \u1ee8c ch\u1ebf beta1-receptor t\u1ea1i n\u00fat xoang nh\u0129 gi\u1ea3m nh\u1ecbp tim v\u00e0 ch\u1eb7n beta1-receptor trong c\u01a1 tim gi\u1ea3m s\u1ee9c co c\u1ee7a tim d\u1eabn \u0111\u1ebfn gi\u1ea3m cung l\u01b0\u1ee3ng tim.<\/li>\n<li>Th\u1eadn: \u1ee8c ch\u1ebf beta1-receptor \u1ee9c ch\u1ebf s\u1ef1 gi\u1ea3i ph\u00f3ng renin v\u00e0 gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng renin-angiotensin-aldosteron. D\u1eabn \u0111\u1ebfn gi\u1ea3m huy\u1ebft \u00e1p.<\/li>\n<li>H\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 ngo\u1ea1i vi: Ch\u1eb7n beta-receptor trong th\u00e2n n\u00e3o v\u00e0 beta-receptor tr\u01b0\u1edbc khe giao thoa d\u1eabn \u0111\u1ebfn \u1ee9c ch\u1ebf s\u1ef1 gi\u1ea3i ph\u00f3ng c\u00e1c ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh v\u00e0 gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh giao c\u1ea3m.<\/li>\n<li>T\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a ch\u1eb9n beta v\u1eabn c\u00f2n tranh c\u00e3i. Ng\u01b0\u1eddi ta cho r\u1eb1ng t\u00e1c d\u1ee5ng ch\u1ed1ng t\u0103ng huy\u1ebft \u00e1p c\u1ee7a beta-blockers \u0111\u01b0\u1ee3c cho l\u00e0 do t\u00e1c d\u1ee5ng l\u00ean tim (gi\u1ea3m nh\u1ecbp tim v\u00e0 cung l\u01b0\u1ee3ng tim). Tuy nhi\u00ean, s\u1ef1 gi\u1ea3m \u00e1p huy\u1ebft k\u00e9o d\u00e0i h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 d\u1ea1ng t\u0103ng huy\u1ebft \u00e1p c\u00f3 n\u1ed3ng \u0111\u1ed9 renin cao, cho th\u1ea5y t\u00e1c d\u1ee5ng l\u00ean th\u1eadn c\u1ee7a ch\u1eb9n beta l\u00e0 r\u1ea5t quan tr\u1ecdng.<br \/>\n<strong>Nh\u1eefng beta-blockers c\u00f3 t\u00ednh ch\u1ea5t kh\u00e1c nhau c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh t\u00ednh h\u1eefu \u00edch trong nh\u1eefng ng\u01b0\u1eddi t\u0103ng huy\u1ebft \u00e1p hay b\u1ec7nh tim m\u1ea1ch.<\/strong><\/li>\n<li><strong>T\u00ednh ch\u1ecdn l\u1ecdc (ch\u1ecdn l\u1ecdc beta 1):<\/strong> V\u00ec t\u00e1c d\u1ee5ng mong mu\u1ed1n khi s\u1eed d\u1ee5ng beta-blockers l\u00e0 ch\u1eb9n beta1-receptor tr\u00ean tim, c\u00e1c ch\u1ea5t &#8220;ch\u1ecdn l\u1ecdc&#8221; v\u1edbi \u0111\u1ed9 ch\u1ecdn l\u1ecdc t\u01b0\u01a1ng \u0111\u1ed1i cho receptor n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean.<\/li>\n<li><strong>T\u00ednh ho\u1ea1t h\u00f3a giao c\u1ea3m n\u1ed9i t\u1ea1i (ISA &#8211; intrinsic sympathomimetic activity)<\/strong> l\u00e0 t\u00e1c d\u1ee5ng \u0111\u1ed3ng v\u1eadn 1 ph\u1ea7n tr\u00ean receptor giao c\u1ea3m khi c\u01a1 th\u1ec3 c\u00f3 \u00edt ch\u1ea5t \u0111\u1ed3ng v\u1eadn to\u00e0n ph\u1ea7n (th\u01b0\u1eddng l\u00e0 Noradrenalin, ti\u1ebft \u00edt l\u00fac ng\u1ee7), v\u00e0 tr\u1edf th\u00e0nh \u0111\u1ed1i v\u1eadn khi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n nhi\u1ec1u Noradrenaline (l\u00fac ho\u1ea1t \u0111\u1ed9ng giao c\u1ea3m cao, g\u1eafng s\u1ee9c).<\/li>\n<li><strong>C\u00e1c t\u00ednh ch\u1ea5t kh\u00e1c:<\/strong> M\u1ed9t s\u1ed1 beta-blockers c\u0169ng ch\u1eb7n t\u00e1c d\u1ee5ng \u0111\u01b0\u1ee3c trung gian b\u1edfi c\u00e1c alpha-adrenoceptor ngo\u1ea1i vi (v\u00ed d\u1ee5 carvedilol v\u00e0 labetalol), k\u00edch th\u00edch beta2-adrenoceptor (v\u00ed d\u1ee5 celiprolol) ho\u1eb7c c\u00f3 ho\u1ea1t t\u00ednh gi\u00e3n m\u1ea1ch tr\u1ef1c ti\u1ebfp (v\u00ed d\u1ee5 nebivolol).<\/li>\n<\/ul>\n<p><strong>Th\u1eddi gian b\u00e1n th\u1ea3i<\/strong><br \/>\nC\u00e1c Beta-blockers kh\u00e1c nhau v\u1ec1 th\u1eddi gian b\u00e1n th\u1ea3i qua th\u1eadn ho\u1eb7c gan. C\u00e1c beta-blockers tan trong m\u1ee1, v\u00ed d\u1ee5 nh\u01b0 labetalol, metoprolol, pindolol v\u00e0 propranolol, th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ef1 trao \u0111\u1ed5i ch\u1ea5t t\u1ea1i gan \u0111\u1ec3 thanh l\u1ecdc v\u00e0 th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3, trong khi c\u00e1c beta-blockers tan trong n\u01b0\u1edbc, v\u00ed d\u1ee5 nh\u01b0 atenolol, \u0111\u01b0\u1ee3c th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3 qua th\u1eadn. Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a h\u1ea7u h\u1ebft c\u00e1c beta-blockers t\u01b0\u01a1ng \u0111\u1ed1i ng\u1eafn; nh\u1eefng lo\u1ea1i \u0111\u01b0\u1ee3c th\u1ea3i \u00a0qua th\u1eadn c\u00f3 xu h\u01b0\u1edbng c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i d\u00e0i h\u01a1n.<\/p>\n<h2>2. C\u00e1c v\u1ea5n \u0111\u1ec1 khi s\u1eed d\u1ee5ng ch\u1eb9n beta<\/h2>\n<p><strong>T\u00e1c d\u1ee5ng ph\u1ee5<\/strong><\/p>\n<ul>\n<li>\u00a0Co th\u1eaft ph\u1ebf qu\u1ea3n do ch\u1eb9n beta2-receptor, \u0111\u00f3ng vai tr\u00f2 gi\u00e3n n\u1edf \u1edf ph\u1ebf qu\u1ea3n. Hen suy\u1ec5n l\u00e0 m\u1ed9t ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i \u0111\u1ed1i v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c beta-blockers.<\/li>\n<li>Nh\u1ecbp tim ch\u1eadm v\u00e0 suy gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a c\u01a1 tim. Th\u01b0\u1eddng g\u1eb7p nh\u01b0ng hi\u1ebfm khi c\u00f3 tri\u1ec7u ch\u1ee9ng. C\u1ea7n theo d\u00f5i s\u00e1t nh\u1ecbp tim c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p qu\u00e1 m\u1ee9c.<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p ngo\u1ea1i vi do ch\u1eb7n beta2-receptor, \u0111\u00f3ng vai tr\u00f2 gi\u00e3n n\u1edf trong c\u00e1c m\u1ea1ch m\u00e1u cung c\u1ea5p cho c\u00e1c gi\u01b0\u1eddng c\u01a1 b\u1eafp x\u01b0\u01a1ng, th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng tay v\u00e0 ch\u00e2n l\u1ea1nh, v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00ecnh tr\u1ea1ng h\u1ed9i ch\u1ee9ng Raynaud.<\/li>\n<li>M\u1ec7t m\u1ecfi v\u00e0 m\u1ec7t do ch\u1eb7n beta2-receptor trong c\u01a1 b\u1eafp x\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn t\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u01a1.<\/li>\n<li>Che gi\u1ea5u tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft trong b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng ph\u1ee5 thu\u1ed9c v\u00e0o insulin do gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng th\u1ea7n kinh giao c\u1ea3m.<\/li>\n<\/ul>\n<h2>2. Ph\u00e2n lo\u1ea1i v\u00e0 m\u1ed9t s\u1ed1 ch\u00fa tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1eb9n beta kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, v\u00ed d\u1ee5 nh\u01b0 propranolol, ch\u1eb7n beta1 v\u00e0 beta2-adrenoceptors m\u1ed9t c\u00e1ch \u0111\u1ec1u.<\/p>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1eb9n beta ch\u1ecdn l\u1ecdc, v\u00ed d\u1ee5 nh\u01b0 atenolol, bisoprolol v\u00e0 metoprolol, c\u00f3 \u0111\u1ed9 li\u00ean k\u1ebft v\u1edbi beta1-adrenoceptors cao h\u01a1n v\u00e0 \u00edt g\u00e2y co th\u1eaft \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ho\u1eb7c m\u1ea1ch m\u00e1u ngo\u1ea1i vi, do \u0111\u00f3 \u0111\u01b0\u1ee3c \u01b0u ti\u00ean trong \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh h\u00f4 h\u1ea5p nh\u01b0 hen suy\u1ec5n. Bisoprolol \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o c\u00f3 t\u00ednh ch\u1ecdn l\u1ecdc cho tim m\u1ea1ch cao h\u01a1n so v\u1edbi metoprolol v\u00e0 atenolol.<\/p>\n<p>Thu\u1ed1c ch\u1eb9n beta gi\u00e3n m\u1ea1ch, v\u00ed d\u1ee5 nh\u01b0 carvedilol, gi\u1ea3m s\u1ee9c kh\u00e1ng ngo\u1ea1i vi b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p v\u1edbi alpha-adrenoceptors, g\u00e2y gi\u00e3n m\u1ea1ch m\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u01b0\u1ee3ng m\u00e1u b\u01a1m ra t\u1eeb tim. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c cho l\u00e0 \u01b0u ti\u00ean trong \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh kh\u00e1ng insulin, tuy nhi\u00ean, ch\u1ee9ng c\u1ee9 m\u1ea1nh v\u1ec1 l\u1ee3i \u00edch c\u1ee7a thu\u1ed1c n\u00e0y v\u1eabn c\u00f2n thi\u1ebfu. Ngo\u00e0i kh\u1ea3 n\u0103ng ch\u1eb7n alpha1, carvedilol c\u0169ng k\u1ebft h\u1ee3p kh\u00f4ng \u0111\u1eb7c hi\u1ec7u v\u1edbi beta1 v\u00e0 beta2-adrenoceptors. Celiprolol v\u00e0 pindolol c\u00f3 ho\u1ea1t t\u00ednh c\u1ea3m th\u1ee5 th\u1ea7n kinh n\u1ed9i b\u00e0o (ISA), do \u0111\u00f3 \u0111\u1ed3ng th\u1eddi ch\u1eb7n v\u00e0 k\u00edch th\u00edch beta-adrenoceptors, g\u00e2y ra \u00edt t\u00ecnh tr\u1ea1ng nh\u1ecbp tim ch\u1eadm v\u00e0 co th\u1eaft m\u1ea1ch m\u00e1u ngo\u1ea1i vi. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 mong mu\u1ed1n trong \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i vi nh\u01b0ng \u00edt c\u00f3 l\u1ee3i cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh suy tim ho\u1eb7c \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<p>&nbsp;<\/p>\n<p>Thu\u1ed1c ch\u1eb9n beta hi\u1ec7n t\u1ea1i c\u00f3 3 th\u1ebf h\u1ec7:<\/p>\n<p>Th\u1ebf h\u1ec7 1 bao g\u1ed3m c\u00e1c thu\u1ed1c : propranolol, timolol, nadolol\u2026<\/p>\n<p>Th\u1ebf h\u1ec7 2 bao g\u1ed3m c\u00e1c thu\u1ed1c: \u00a0atenolol, bisoprolol, metoprolol<\/p>\n<p>Th\u1ebf h\u1ec7 3bao g\u1ed3m c\u00e1c thu\u1ed1c: \u00a0carvedilol, labetalol, nebivolol.<\/p>\n<p>Ngo\u00e0i vi\u1ec7c s\u1eed d\u1ee5ng trong t\u0103ng huy\u1ebft \u00e1p, beta-blockers \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nh\u1ecbp tim nhanh tr\u00ean th\u1ea5t, \u0111au th\u1eaft ng\u1ef1c, sau nh\u1ed3i m\u00e1u c\u01a1 tim, suy tim, r\u1ed1i lo\u1ea1n lo \u00e2u, b\u1ec7nh tuy\u1ebfn gi\u00e1p v\u00e0 ch\u1ee9ng \u0111au n\u1eeda \u0111\u1ea7u.<\/p>\n<p>\u1ede t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n suy tim c\u00f3 ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m (HFREF), ch\u1eb9n beta n\u00ean \u0111\u01b0\u1ee3c kh\u1edfi \u0111\u1ed9ng c\u00f9ng v\u1edbi v\u1edbi \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (ACE inhibitor) sau khi \u0111\u00e3 s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ec3 gi\u1ea3m b\u1edbt qu\u00e1 t\u1ea3i d\u1ecbch tr\u00ean b\u1ec7nh nh\u00e2n. Bisoprolol, carvedilol ho\u1eb7c metoprolol succinate th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n suy tim. Th\u1ef1c t\u1ebf, carvedilol th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ea7u ti\u00ean n\u1ebfu suy tim \u0111i k\u00e8m v\u1edbi r\u1ed1i lo\u1ea1n nh\u1ecbp tim, ti\u1ebfp \u0111\u00f3 l\u00e0 bisoprolol ho\u1eb7c metoprolol succinate. B\u1ea5t k\u1ef3 l\u1ef1a ch\u1ecdn n\u00e0o trong ba lo\u1ea1i thu\u1ed1c n\u00e0y c\u0169ng ph\u00f9 h\u1ee3p n\u1ebfu suy tim \u0111i k\u00e8m v\u1edbi b\u1ec7nh m\u1ea1ch v\u00e0nh. B\u1ec7nh nh\u00e2n suy tim c\u00f3 ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n (HF-PEF) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng beta-blocker n\u1ebfu h\u1ecd c\u00f3 c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ed3ng m\u1eafc tr\u00ean tim m\u1ea1ch kh\u00e1c nh\u01b0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim hay t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>T\u0103ng huy\u1ebft \u00e1p<br \/>\n\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p \u0111\u01a1n thu\u1ea7n, beta-blocker th\u01b0\u1eddng l\u00e0 l\u1ef1a ch\u1ecdn th\u1ee9 t\u01b0, v\u00ec ch\u1ea5t \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (ACE), kh\u00e1ng th\u1ee5 th\u1ec3 angiotensin II (ARB), thu\u1ed1c l\u1ee3i ti\u1ec3u ho\u1eb7c ch\u1ea5t \u1ee9c ch\u1ebf k\u00eanh canxi c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n.<\/p>\n<p>Beta-blocker c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 h\u01a1n \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb c\u00f3 t\u0103ng huy\u1ebft \u00e1p so v\u1edbi b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i. . Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y m\u1ed9t lo\u1ea1i beta-blocker n\u00e0o l\u00e0 \u01b0u vi\u1ec7t h\u01a1n lo\u1ea1i kh\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p.<\/p>\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n<p><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/high-blood-pressure\/in-depth\/beta-blockers\/art-20044522\">https:\/\/www.mayoclinic.org\/diseases-conditions\/high-blood-pressure\/in-depth\/beta-blockers\/art-20044522<\/a>.<\/p>\n<p><a href=\"https:\/\/bpac.org.nz\/2017\/docs\/beta-blockers\">https:\/\/bpac.org.nz\/2017\/docs\/beta-blockers<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c ch\u1eb9n Beta (Beta-blockers) ng\u00e0y nay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c, m\u1ed9t s\u1ed1 lo\u1ea1i r\u1ed1i \u00a0lo\u1ea1n nh\u1ecbp nhanh v\u00e0 suy tim, c\u0169ng nh\u01b0 trong t\u0103ng huy\u1ebft \u00e1p. Beta-blockers \u0111\u1ed1i kh\u00e1ng v\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a k\u00edch th\u00edch th\u1ea7n kinh giao c\u1ea3m ho\u1eb7c catecholamin trong tu\u1ea7n ho\u00e0n t\u1ea1i c\u00e1c beta-adrenoceptor ph\u00e2n [&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>Thu\u1ed1c ch\u1eb9n beta v\u00e0 c\u00e1ch ho\u1ea1t \u0111\u1ed9ng c\u1ee7a n\u00f3 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim v\u00e0 huy\u1ebft \u00e1p cao - Vinmec<\/title>\n<meta name=\"description\" content=\"Thu\u1ed1c ch\u1eb9n Beta (Beta-blockers) ng\u00e0y nay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb \u0111au th\u1eaft ng\u1ef1c, m\u1ed9t s\u1ed1 lo\u1ea1i r\u1ed1i\u00a0lo\u1ea1n nh\u1ecbp nhanh v\u00e0 suy tim.\" \/>\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=\"Thu\u1ed1c ch\u1eb9n beta v\u00e0 c\u00e1ch ho\u1ea1t \u0111\u1ed9ng c\u1ee7a n\u00f3 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim v\u00e0 huy\u1ebft \u00e1p cao - 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