{"id":49051,"date":"2025-07-30T22:08:43","date_gmt":"2025-07-30T15:08:43","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=49051"},"modified":"2025-07-30T22:11:04","modified_gmt":"2025-07-30T15:11:04","slug":"tac-dung-phu-cua-thuoc-len-he-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2025\/07\/30\/tac-dung-phu-cua-thuoc-len-he-tim-mach\/","title":{"rendered":"T\u00c1C D\u1ee4NG PH\u1ee4 C\u1ee6A THU\u1ed0C L\u00caN H\u1ec6 TIM M\u1ea0CH"},"content":{"rendered":"

T\u00c1C D\u1ee4NG PH\u1ee4 C\u1ee6A THU\u1ed0C L\u00caN H\u1ec6 TIM M\u1ea0CH<\/strong><\/h1>\n

PH\u1ea2N \u1ee8NG THU\u1ed0C C\u00d3 H\u1ea0I<\/h2>\n

Ph\u1ea3n \u1ee9ng thu\u1ed1c c\u00f3 h\u1ea1i (ADR \u2013 Adverse Drug Reaction) l\u00e0 b\u1ea5t k\u1ef3 \u0111\u00e1p \u1ee9ng b\u1ea5t th\u01b0\u1eddng n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi thu\u1ed1c khi s\u1eed d\u1ee5ng \u1edf li\u1ec1u d\u00f9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi m\u1ee5c \u0111\u00edch ph\u00f2ng ng\u1eeba, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh ch\u1ee9c n\u0103ng sinh h\u1ecdc. C\u00e1c ph\u1ea3n \u1ee9ng n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra do t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd d\u1ef1 ki\u1ebfn ho\u1eb7c do c\u00e1c c\u01a1 ch\u1ebf ph\u1ee5 kh\u00f4ng l\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u01b0\u1ee3c.<\/p>\n

    \n
  • ASHP (Hi\u1ec7p h\u1ed9i D\u01b0\u1ee3c s\u0129 H\u1ec7 th\u1ed1ng Y t\u1ebf Hoa K\u1ef3):<\/strong>
    \nADR \u0111\u01b0\u1ee3c hi\u1ec3u l\u00e0 m\u1ed9t \u0111\u00e1p \u1ee9ng qu\u00e1 m\u1ee9c, kh\u00f4ng mong mu\u1ed1n v\u00e0 kh\u00f4ng d\u1ef1 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c, d\u1eabn \u0111\u1ebfn:<\/li>\n<\/ul>\n
      \n
    1. Ng\u01b0ng s\u1eed d\u1ee5ng thu\u1ed1c.<\/li>\n
    2. Thay \u0111\u1ed5i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/li>\n
    3. \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c.<\/li>\n
    4. Nh\u1eadp vi\u1ec7n.<\/li>\n
    5. T\u0103ng th\u1eddi gian n\u1eb1m vi\u1ec7n.<\/li>\n
    6. C\u1ea7n can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3.<\/li>\n
    7. G\u00e2y nguy hi\u1ec3m, m\u1ea5t kh\u1ea3 n\u0103ng ch\u1ee9c n\u0103ng t\u1ea1m th\u1eddi ho\u1eb7c k\u00e9o d\u00e0i, th\u1eadm ch\u00ed t\u1eed vong.<\/li>\n
    8. Bao g\u1ed3m c\u1ea3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng \u0111\u1eb7c d\u1ecb.<\/li>\n<\/ol>\n
        \n
      • WHO (T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi):<\/strong>
        \nADR l\u00e0 b\u1ea5t c\u1ee9 \u0111\u00e1p \u1ee9ng n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi thu\u1ed1c m\u00e0 g\u00e2y ra hi\u1ec7u \u1ee9ng \u0111\u1ed9c h\u1ea1i ho\u1eb7c kh\u00f4ng mong mu\u1ed1n, x\u1ea3y ra \u1edf li\u1ec1u d\u00f9ng th\u00f4ng th\u01b0\u1eddng, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ph\u00f2ng ng\u1eeba, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb hay \u0111i\u1ec1u ch\u1ec9nh ch\u1ee9c n\u0103ng sinh h\u1ecdc.<\/li>\n
      • FDA (C\u1ee5c Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3):<\/strong>
        \nADR \u0111\u01b0\u1ee3c xem l\u00e0 bi\u1ebfn c\u1ed1 c\u00f3 h\u1ea1i nghi\u00eam tr\u1ecdng, trong \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p:<\/li>\n<\/ul>\n
          \n
        1. T\u1eed vong.<\/li>\n
        2. T\u00ecnh tr\u1ea1ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng (nguy c\u01a1 t\u1eed vong th\u1ef1c s\u1ef1).<\/li>\n
        3. Nh\u1eadp vi\u1ec7n l\u1ea7n \u0111\u1ea7u ho\u1eb7c k\u00e9o d\u00e0i.<\/li>\n
        4. T\u00e0n t\u1eadt nghi\u00eam tr\u1ecdng (k\u00e9o d\u00e0i ho\u1eb7c v\u0129nh vi\u1ec5n).<\/li>\n
        5. B\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh.<\/li>\n
        6. C\u1ea7n thi\u1ebft ph\u1ea3i can thi\u1ec7p y t\u1ebf \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n.<\/li>\n<\/ol>\n

          \"1\"<\/p>\n

          \u2013 Xu\u1ea5t \u0111\u1ed9 b\u1ec7nh kh\u00e1 l\u1edbn, g\u00e2y t\u1eed vong trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

          \u2013 ADR th\u01b0\u1eddng che gi\u1ea5u <\/strong>nh\u01b0 nh\u1eefng b\u1ec7nh kh\u00e1c. Trong m\u1ed9t s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ADR c\u00f3 th\u1ec3 li\u00ean quan r\u1ea5t \u0111\u1eb7c hi\u1ec7u v\u1edbi thu\u1ed1c hay h\u00f3a ch\u1ea5t ti\u1ebfp x\u00fac.<\/p>\n

          \"2\"<\/p>\n

          THU\u1ed0C<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
          T\u0103ng huy\u1ebft \u00e1p<\/strong><\/td>\nErythropoietin\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Corticosteroid<\/p>\n

          Cyclosporin\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Carbenoxolone<\/p>\n

          Ergotamine\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Liquorice (glycyrrhizin)<\/p>\n

          D\u00f9ng r\u01b0\u1ee3u qu\u00e1 m\u1ee9c\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Anticholinergic<\/p>\n

          Cocain\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 NSAIDS<\/p>\n

          Oestrogens\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 MAOIs<\/p>\n

          Symphathomimetic<\/td>\n<\/tr>\n

          T\u1ee5t huy\u1ebft \u00e1p<\/strong><\/td>\nNitrates\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Acetylcyctein<\/p>\n

          Ch\u1eb9n \u03b1 giao c\u1ea3m\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Phenyltoin<\/p>\n

          Opioids\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lithium<\/p>\n

          Thu\u1ed1c h\u1ea1 \u00e1p c\u01a1 ch\u1ebf trung \u01b0\u01a1ng<\/p>\n

          Benzodiazepines (\u0111\u1eb7c bi\u1ec7t \u1edf li\u1ec1u cao)<\/p>\n

          L\u1ee3i ti\u1ec3u (\u0111\u1eb7c bi\u1ec7t n\u1ebfu l\u1ee3i ti\u1ec3u quai li\u1ec1u cao)<\/p>\n

          Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n<\/p>\n

          Phosphodiesterase type 5 inhibitor<\/td>\n<\/tr>\n

          Nh\u1ecbp ch\u1eadm<\/strong><\/td>\nTh\u00f4ng th\u01b0\u1eddng<\/td>\n\u00cdt g\u1eb7p<\/td>\n<\/tr>\n
          Ch\u1eb9n \u03b2<\/p>\n

          Verapamil, Diltiazem<\/p>\n

          Digoxin<\/p>\n

          Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp (Amiodarone, Procainamide) Adenosine<\/p>\n

          Opioids (\u0111\u1eb7c bi\u1ec7t khi qu\u00e1 li\u1ec1u)<\/td>\n

          		Lithium (\u0111\u1eb7c bi\u1ec7t khi qu\u00e1 li\u1ec1u)<\/p>\n

          Ch\u1eb9n \u03b1<\/p>\n

          Kh\u00e1ng H2<\/p>\n

          Carbamazepine<\/p>\n

          Ch\u1ed1ng tr\u1ea7m c\u1ea3m SSRI<\/p>\n

          Prostaglandins<\/p>\n

          Thu\u1ed1c h\u1ea1 \u00e1p trung \u01b0\u01a1ng<\/td>\n<\/tr>\n

          Nh\u1ecbp nhanh<\/strong><\/td>\n\u2013\u00a0 Sympathomimetic: Pseudoephedrin HCl \u2013 xiro tr\u1ecb ho<\/p>\n

          \u2013\u00a0 Anticholinergic: Benzatropin, Trihexyphenidyl \u2013 \u0111i\u1ec1u tr\u1ecb Parkinson; TCAs, phenothiazine, thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n, c\u00e1c thu\u1ed1c d\u00e3n PQ kh\u00e1ng muscarinic<\/p>\n

          \u2013\u00a0 Thu\u1ed1c h\u1ea1 HA: CCB DHP gi\u00e3n m\u1ea1ch, (Nifedipine), l\u1ee3i ti\u1ec3u, Minoxidil<\/p>\n

          \u2013\u00a0 Thu\u1ed1c kh\u00e1c: Thyroxine, li\u1ec7u ph\u00e1p thay th\u1ebf nicotine. Theophylline<\/td>\n<\/tr>\n

          Rung nh\u0129<\/strong><\/td>\nCaffein\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TCAs<\/p>\n

          Trazodone\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Fluoxetine<\/p>\n

          Corticosteroids li\u1ec1u cao\u00a0\u00a0\u00a0 \u00a0 \u00a0\u00a0\u00a0\u00a0 Bisphosphonates<\/p>\n

          Donezepil\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Aminophylline ti\u00eam t\u0129nh m\u1ea1ch<\/td>\n<\/tr>\n

          K\u00e9o d\u00e0i QT v\u00e0 xo\u1eafn \u0111\u1ec9nh<\/strong><\/td>\nThu\u1ed1c th\u1ea7n kinh <\/strong><\/p>\n

          Antipsychotics (phenothiazines, haloperidol, atypicals), Li, SSRI, TCA<\/td>\n

          		RL \u0111i\u1ec7n gi\u1ea3i<\/strong><\/p>\n

          hypoCa, hypoK, hypo Mg<\/td>\n<\/tr>\n

          Kh\u00e1ng sinh<\/strong><\/p>\n

          Macrolides, quinolones, azoles, pentamidine, atovaquone, atazanavir<\/td>\n

          		B\u1ea9m sinh (h\u1ed9i ch\u1ee9ng d\u00e0i QT)<\/strong><\/p>\n

          K, Na, Ca, channelophathies<\/td>\n<\/tr>\n

          Thu\u1ed1c kh\u00e1c<\/strong><\/p>\n

          Antiemetics (droperidol, 5-HT3 antagonists), alfuzosin,<\/p>\n

          methadone, ranolazine<\/td>\n

          		C\u00e1c b\u1ec7nh<\/strong><\/p>\n

          CAD, CMP, bradycardia, high- grade AVB, hypothyroidism, hypothermia, BBB<\/td>\n<\/tr>\n

          RLTK t\u1ef1 ch\u1ee7<\/strong><\/p>\n

          XH n\u1ed9i s\u1ecd, \u0111\u1ed9t qu\u1ef5, ph\u1eabu thu\u1eadt b\u00f3c l\u1edbp n\u1ed9i m\u1ea1c \u0110M c\u1ea3nh<\/td>\n

          		Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp<\/strong><\/p>\n

          Nh\u00f3m Ia (procainamides, disopyramide), nh\u00f3m III (amiodarone, sotalol)<\/td>\n<\/tr>\n

          Suy tim sung huy\u1ebft<\/strong><\/td>\nAntacids (n\u1ed3ng \u0111\u1ed9 mu\u1ed1i cao)<\/p>\n

          Ch\u1eb9n \u03b2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 NSAIDS<\/p>\n

          Verapamil\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Corticosteroid<\/p>\n

          Diltiazem\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u1eb9n \u03b1<\/p>\n

          Carbenoxolone<\/p>\n

          Thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m 1 (Flecainide, Propafenone)<\/td>\n<\/tr>\n

          \u0110\u1ed9c c\u01a1 tim<\/strong><\/td>\nBusulfan\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 Etoposide<\/p>\n

          Carmustine\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 Ifosfamide<\/p>\n

          Ciplastin\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mitomycin Cyclophosphamide\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 Mitoxantrone Cytarabine\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Paclitaxel<\/p>\n

          Daunorubicin\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 Trastuzumab<\/p>\n

          Doxorubicin\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vinca alkaloids<\/p>\n

          Epirubicin<\/td>\n<\/tr>\n

          \u0110\u1ed9t qu\u1ef5 v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim<\/strong><\/td>\nC\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc COX2<\/td>\n<\/tr>\n
          T\u0103ng \u00e1p ph\u1ed5i<\/strong><\/td>\nThu\u1ed1c gi\u1ea3m c\u00e2n (fenfluramine, dexfenfluramine)<\/td>\n<\/tr>\n
          Bnh van tim<\/strong><\/td>\nThu\u1ed1c gi\u1ea3m c\u00e2n (fenfluramine, phentermine)<\/p>\n

           <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

          Ngu\u1ed3n tham kh\u1ea3o:<\/strong> B\u00e0i gi\u1ea3ng d\u01b0\u1ee3c l\u00fd \u2013 Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n

          T\u00e1c gi\u1ea3: Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy – Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n","protected":false},"excerpt":{"rendered":"

          T\u00c1C D\u1ee4NG PH\u1ee4 C\u1ee6A THU\u1ed0C L\u00caN H\u1ec6 TIM M\u1ea0CH PH\u1ea2N \u1ee8NG THU\u1ed0C C\u00d3 H\u1ea0I Ph\u1ea3n \u1ee9ng thu\u1ed1c c\u00f3 h\u1ea1i (ADR \u2013 Adverse Drug Reaction) l\u00e0 b\u1ea5t k\u1ef3 \u0111\u00e1p \u1ee9ng b\u1ea5t th\u01b0\u1eddng n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi thu\u1ed1c khi s\u1eed d\u1ee5ng \u1edf li\u1ec1u d\u00f9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi m\u1ee5c \u0111\u00edch ph\u00f2ng ng\u1eeba, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb […]<\/p>\n","protected":false},"author":6,"featured_media":34733,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[32],"tags":[],"yoast_head":"\nT\u00c1C D\u1ee4NG PH\u1ee4 C\u1ee6A THU\u1ed0C L\u00caN H\u1ec6 TIM M\u1ea0CH - Vinmec %<\/title>\n<meta name=\"description\" content=\"Ph\u1ea3n \u1ee9ng thu\u1ed1c c\u00f3 h\u1ea1i (ADR \u2013 Adverse Drug Reaction) l\u00e0 b\u1ea5t k\u1ef3 \u0111\u00e1p \u1ee9ng b\u1ea5t th\u01b0\u1eddng n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi thu\u1ed1c khi s\u1eed d\u1ee5ng \u1edf li\u1ec1u d\u00f9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi m\u1ee5c \u0111\u00edch ph\u00f2ng ng\u1eeba, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh ch\u1ee9c n\u0103ng sinh h\u1ecdc. 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