{"id":62256,"date":"2026-03-02T09:24:31","date_gmt":"2026-03-02T02:24:31","guid":{"rendered":"https:\/\/hbbgroup.net\/cay-may-tao-nhip-tim-khong-day-the-he-moi-cho-cu-ong\/"},"modified":"2026-03-02T09:24:31","modified_gmt":"2026-03-02T02:24:31","slug":"cay-may-tao-nhip-tim-khong-day-the-he-moi-cho-cu-ong","status":"publish","type":"post","link":"https:\/\/hbbgroup.net\/vi\/cay-may-tao-nhip-tim-khong-day-the-he-moi-cho-cu-ong\/","title":{"rendered":"C\u1ea5y m\u00e1y t\u1ea1o nh\u1ecbp tim kh\u00f4ng d\u00e2y th\u1ebf h\u1ec7 m\u1edbi cho c\u1ee5 \u00f4ng"},"content":{"rendered":"

TP HCM<\/span>\u00d4ng Nh\u1eadt, 71 tu\u1ed5i, \u0111\u01b0\u1ee3c c\u1ea5y m\u00e1y t\u1ea1o nh\u1ecbp kh\u00f4ng d\u00e2y ch\u1ec9 b\u1eb1ng vi\u00ean thu\u1ed1c con nh\u1ed9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb lo\u1ea1n nh\u1ecbp tim.<\/p>\n

N\u1eeda th\u00e1ng nay \u00f4ng Nh\u1eadt ch\u00f3ng m\u1eb7t, cho\u00e1ng v\u00e1ng, nh\u1ea5t l\u00e0 khi thay \u0111\u1ed5i t\u01b0 th\u1ebf, th\u01b0\u1eddng xuy\u00ean m\u1ea5t ng\u1ee7. B\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh g\u1eafn Holter 48h (m\u00e1y theo d\u00f5i nh\u1ecbp tim trong 48 gi\u1edd), k\u1ebft qu\u1ea3 ghi nh\u1eadn c\u00f3 l\u00fac nh\u1ecbp tim b\u1ec7nh nh\u00e2n t\u1ee5t c\u00f2n 30 l\u1ea7n\/ph\u00fat, ng\u01b0ng \u0111\u1eadp 1-2 gi\u00e2y, ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n nh\u1ecbp ch\u1eadm. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ed1i lo\u1ea1n nh\u1ecbp tim ph\u1ed5 bi\u1ebfn, x\u1ea3y ra khi tim \u0111\u1eadp d\u01b0\u1edbi 60 l\u1ea7n\/ph\u00fat l\u00fac ngh\u1ec9 ng\u01a1i.<\/p>\n

GS.TS.BS V\u00f5 Th\u00e0nh Nh\u00e2n, Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p, B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u1ee7a \u00f4ng Nh\u1eadt r\u1ea5t nghi\u00eam tr\u1ecdng, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn hoa m\u1eaft, ch\u00f3ng m\u1eb7t, nguy c\u01a1 ng\u00e3 cao… Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ng\u1ea5t x\u1ec9u do thi\u1ebfu m\u00e1u l\u00ean n\u00e3o, th\u1eadm ch\u00ed ng\u1eebng tim, \u0111\u1ed9t t\u1eed.<\/p>\n

6h s\u00e1ng, ph\u00f2ng th\u00f4ng tim can thi\u1ec7p (DSA) c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 s\u00e1ng \u0111\u00e8n, \u00eak\u00edp b\u00e1c s\u0129 chu\u1ea9n b\u1ecb \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp kh\u00f4ng d\u00e2y th\u1ebf h\u1ec7 m\u1edbi Micra AV2 cho \u00f4ng Nh\u1eadt. Gi\u00e1o s\u01b0 Nh\u00e2n ki\u1ec3m tra h\u1ec7 th\u1ed1ng ch\u1ee5p m\u1ea1ch s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n, si\u00eau \u00e2m k\u1ef9 thu\u1eadt s\u1ed1, \u1ed1ng th\u00f4ng – nh\u1eefng c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 \u00eak\u00edp trong qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt.<\/p>\n

\u00d4ng Nh\u1eadt \u0111\u01b0\u1ee3c g\u00e2y t\u00ea, t\u1ec9nh t\u00e1o trong su\u1ed1t qu\u00e1 tr\u00ecnh can thi\u1ec7p. B\u00e1c s\u0129 r\u1ea1ch \u0111\u01b0\u1eddng nh\u1ecf (d\u01b0\u1edbi 1 cm) \u1edf \u0111\u00f9i \u0111\u1ec3 lu\u1ed3n \u1ed1ng th\u00f4ng \u0111\u1ebfn t\u00e2m th\u1ea5t ph\u1ea3i. K\u1ef9 thu\u1eadt n\u00e0y kh\u00f4ng ph\u1ea3i r\u1ea1ch da \u0111\u1ec3 l\u00e0m t\u00fai \u0111\u1eb7t m\u00e1y d\u01b0\u1edbi da hay d\u01b0\u1edbi c\u01a1, gi\u00fap tr\u00e1nh \u0111\u01b0\u1ee3c nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, t\u1ee5 m\u00e1u, tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i, s\u1eb9o x\u1ea5u… nh\u01b0 khi \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp<\/a> c\u00f3 d\u00e2y.<\/p>\n

Trong 24 gi\u1edd \u0111\u1ea7u, \u00f4ng \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 sinh t\u1ed3n nh\u01b0 m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf, SpO\u2082, nhi\u1ec7t \u0111\u1ed9. B\u00e1c s\u0129 \u0111o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, ch\u1ee5p X-quang \u0111\u1ec3 ki\u1ec3m tra v\u1ecb tr\u00ed m\u00e1y.<\/p>\n

<\/p>\n
\"Gi\u00e1o <\/picture><\/div>
\n

Gi\u00e1o s\u01b0 Nh\u00e2n (ngo\u00e0i c\u00f9ng b\u00ean tr\u00e1i) c\u00f9ng \u00eak\u00edp \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp cho b\u1ec7nh nh\u00e2n trong 30 ph\u00fat. \u1ea2nh: B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh<\/em><\/p>\n<\/figcaption><\/figure>\n

\u0110\u1ed1i v\u1edbi m\u00e1y t\u1ea1o nh\u1ecbp c\u00f3 d\u00e2y, b\u1ec7nh nh\u00e2n c\u1ea7n tr\u00e1nh v\u1eadn \u0111\u1ed9ng m\u1ea1nh c\u00e1nh tay b\u00ean \u0111\u1eb7t m\u00e1y \u00edt nh\u1ea5t v\u00e0i tu\u1ea7n sau th\u1ee7 thu\u1eadt \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ch\u1ea3y m\u00e1u t\u00fai m\u00e1y t\u1ea1o nh\u1ecbp. Trong khi \u0111\u00f3, nh\u1edd \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp kh\u00f4ng d\u00e2y, \u00f4ng Nh\u1eadt c\u00f3 th\u1ec3 sinh ho\u1ea1t, th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u00e1 nh\u00e2n ngay sau can thi\u1ec7p. \u00d4ng \u0103n u\u1ed1ng ngon mi\u1ec7ng, ng\u1ee7 th\u1eb3ng gi\u1ea5c, nh\u1ecbp tim \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau ba ng\u00e0y.<\/p>\n

Gi\u00e1o s\u01b0 Nh\u00e2n cho bi\u1ebft m\u00e1y t\u1ea1o nh\u1ecbp kh\u00f4ng d\u00e2y th\u1ebf h\u1ec7 c\u0169 (Micra AV) c\u00f3 tu\u1ed5i th\u1ecd trung b\u00ecnh 10-12 n\u0103m, trong khi Micra AV2 c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng t\u1ed1t \u0111\u1ebfn 16 n\u0103m. M\u00e1y c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ed3ng b\u1ed9 nh\u0129 th\u1ea5t t\u1ef1 \u0111\u1ed9ng m\u1ed9t c\u00e1ch th\u00f4ng minh, ch\u00ednh x\u00e1c, k\u00edch th\u01b0\u1edbc nh\u1ecf g\u1ecdn ch\u1ec9 b\u1eb1ng vi\u00ean thu\u1ed1c con nh\u1ed9ng, n\u1eb7ng kho\u1ea3ng 2 g.<\/p>\n

Sau can thi\u1ec7p m\u1ed9t ng\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, song c\u1ea7n tr\u00e1nh v\u1eadn \u0111\u1ed9ng m\u1ea1nh ho\u1eb7c ch\u01a1i c\u00e1c m\u00f4n th\u1ec3 thao \u0111\u1ed1i kh\u00e1ng. Duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, gi\u00e0u rau xanh, tr\u00e1i c\u00e2y, c\u00e1c lo\u1ea1i h\u1ea1t v\u00e0 c\u00e1 gi\u00fap b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe tim m\u1ea1ch v\u00e0 nhanh h\u1ed3i ph\u1ee5c. L\u01b0u \u00fd, b\u1ec7nh nh\u00e2n n\u00ean u\u1ed1ng thu\u1ed1c \u0111\u00fang li\u1ec1u theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 duy tr\u00ec \u1ed5n \u0111\u1ecbnh nh\u1ecbp tim, ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng. Ng\u01b0\u1eddi b\u1ec7nh t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 theo h\u1eb9n nh\u1eb1m theo d\u00f5i ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00e1y v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch ti\u1ec1m \u1ea9n.<\/p>\n

Thu H\u00e0<\/strong><\/p>\n

*T\u00ean b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c thay \u0111\u1ed5i<\/em><\/p>\n

<\/span><\/p>\n

\u0110\u1ed9c gi\u1ea3 g\u1eedi c\u00e2u h\u1ecfi v\u1ec1 tim m\u1ea1ch t\u1ea1i \u0111\u00e2y<\/a> \u0111\u1ec3 b\u00e1c s\u0129 gi\u1ea3i \u0111\u00e1p<\/p>","protected":false},"excerpt":{"rendered":"

TP HCM\u00d4ng Nh\u1eadt, 71 tu\u1ed5i, \u0111\u01b0\u1ee3c c\u1ea5y m\u00e1y t\u1ea1o nh\u1ecbp kh\u00f4ng d\u00e2y ch\u1ec9 b\u1eb1ng vi\u00ean thu\u1ed1c con nh\u1ed9ng \u0111\u1ec3 \u0111i\u1ec1u […]<\/p>","protected":false},"author":5,"featured_media":62257,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[94],"tags":[],"class_list":["post-62256","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-trong-nuoc"],"acf":[],"_links":{"self":[{"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/posts\/62256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/comments?post=62256"}],"version-history":[{"count":0,"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/posts\/62256\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/media\/62257"}],"wp:attachment":[{"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/media?parent=62256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/categories?post=62256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hbbgroup.net\/vi\/wp-json\/wp\/v2\/tags?post=62256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}