{"id":3369,"date":"2024-03-12T22:42:17","date_gmt":"2024-03-12T15:42:17","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=3369"},"modified":"2024-09-13T23:09:39","modified_gmt":"2024-09-13T16:09:39","slug":"%f0%9f%8c%bb%f0%9d%90%8bu%f0%9d%90%94-do-%f0%9d%90%87%f0%9d%9f%90%f0%9d%90%85%f0%9d%90%8f%f0%9d%90%84%f0%9d%90%85-%f0%9d%90%95a-%f0%9d%90%87%f0%9d%90%85%f0%9d%90%80-%f0%9d%90%8f%f0%9d%90%84","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/%f0%9f%8c%bb%f0%9d%90%8bu%f0%9d%90%94-do-%f0%9d%90%87%f0%9d%9f%90%f0%9d%90%85%f0%9d%90%8f%f0%9d%90%84%f0%9d%90%85-%f0%9d%90%95a-%f0%9d%90%87%f0%9d%90%85%f0%9d%90%80-%f0%9d%90%8f%f0%9d%90%84\/","title":{"rendered":"\ud83c\udf3b\ud835\udc0b\u01af\ud835\udc14 \u0110\u1ed2 \ud835\udc07\ud835\udfd0\ud835\udc05\ud835\udc0f\ud835\udc04\ud835\udc05 \ud835\udc15\u00c0 \ud835\udc07\ud835\udc05\ud835\udc00-\ud835\udc0f\ud835\udc04\ud835\udc05\ud835\udc05 \ud835\udc13\ud835\udc11\ud835\udc0e\ud835\udc0d\ud835\udc06 \ud835\udc02\ud835\udc07\u1ea8\ud835\udc0d \u0110\ud835\udc0e\u00c1\ud835\udc0d \ud835\udc12\ud835\udc14\ud835\udc18 \ud835\udc13\ud835\udc08\ud835\udc0c \ud835\udc0f\ud835\udc07\u00c2\ud835\udc0d \ud835\udc12\ud835\udc14\u1ea4\ud835\udc13 \ud835\udc13\u1ed0\ud835\udc0d\ud835\udc06 \ud835\udc0c\u00c1\ud835\udc14 \ud835\udc01\u1ea2\ud835\udc0e \ud835\udc13\u1ed2\ud835\udc0d\ud83c\udf3b"},"content":{"rendered":"
\"\u270d\ufe0f\"<\/span>L\u01afU \u0110\u1ed2 H2FPEF<\/div>\n
\"\ud83c\udf35\"<\/span>Nh\u01b0 ch\u00fang ta \u0111\u00e3 bi\u1ebft ch\u1ea9n \u0111o\u00e1n HFpEF c\u00f3 th\u1ec3 kh\u00f3 kh\u0103n do si\u00eau \u00e2m tim kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng tim v\u00e0 n\u1ed3ng \u0111\u1ed9 NT-proBNP c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng nh\u1ea5t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u00e9o ph\u00ec. S\u1ef1 thi\u1ebfu h\u1ee5t c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c HFpEF, do v\u1eady s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng t\u00ednh \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 h\u1eefu \u00edch \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh HFpEF khi nghi ng\u1edd. C\u1ea3 hai thang \u0111i\u1ec3m H2FPEF v\u00e0 HFA-PEFF \u0111\u1ec1u s\u1eed d\u1ee5ng t\u00ednh \u0111i\u1ec3m gi\u00fap x\u00e1c \u0111\u1ecbnh kh\u1ea3 n\u0103ng HFpEF l\u00e0 nguy\u00ean nh\u00e2n kh\u00f3 th\u1edf \u1edf b\u1ec7nh nh\u00e2n.<\/div>\n
6 th\u00e0nh ph\u1ea7n c\u1ee7a thang \u0111i\u1ec3m H2FPEF bao g\u1ed3m c\u00e1c th\u00f4ng tin c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 d\u1ec5 d\u00e0ng nh\u01b0: C\u00e2n n\u1eb7ng (ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 BMI > 30 kg\/m2), T\u0103ng huy\u1ebft \u00e1p (d\u00f9ng 2 lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p tr\u1edf l\u00ean), Rung nh\u0129, T\u0103ng \u00e1p ph\u1ed5i (\u01b0\u1edbc t\u00ednh \u00e1p l\u1ef1c t\u00e2m thu \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i >35 mm Hg tr\u00ean si\u00eau \u00e2m tim Doppler), L\u1edbn tu\u1ed5i (tu\u1ed5i > 60), \u00c1p l\u1ef1c \u0111\u1ed5 \u0111\u1ea7y (E\/e’ > 9 tr\u00ean si\u00eau \u00e2m tim Doppler). \u0110i\u1ec3m s\u1ed1 t\u1eeb 6 tr\u1edf l\u00ean g\u1ee3i \u00fd nhi\u1ec1u \u0111\u1ebfn HFpEF.<\/div>\n
\"\ud83d\udc49\"<\/span>C\u00f3 4 b\u01b0\u1edbc:<\/div>\n
B\u01b0\u1edbc 1: \u0110\u00e1nh gi\u00e1 tr\u01b0\u1edbc x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 m\u1eafc suy tim d\u1ef1a tr\u00ean \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ti\u00eau chu\u1ea9n bao g\u1ed3m peptide b\u00e0i ni\u1ec7u, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 si\u00eau \u00e2m tim.<\/div>\n
B\u01b0\u1edbc 2: \u0110i\u1ec3m si\u00eau \u00e2m tim v\u00e0 peptide b\u00e0i ni\u1ec7u v\u1edbi c\u00e1c \u0111i\u1ec3m \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c th\u00f4ng s\u1ed1 si\u00eau \u00e2m tim v\u00e0 n\u1ed3ng \u0111\u1ed9 peptide b\u00e0i ni\u1ec7u.<\/div>\n
B\u01b0\u1edbc 3: Ki\u1ec3m tra ch\u1ee9c n\u0103ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ch\u1eafc ch\u1eafn, bao g\u1ed3m ki\u1ec3m tra g\u1eafng s\u1ee9c t\u00e2m tr\u01b0\u01a1ng v\u1edbi si\u00eau \u00e2m tim g\u1eafng s\u1ee9c, sau \u0111\u00f3 l\u00e0 \u0111o huy\u1ebft \u0111\u1ed9ng x\u00e2m l\u1ea5n n\u1ebfu c\u1ea7n thi\u1ebft.<\/div>\n
B\u01b0\u1edbc 4: Bao g\u1ed3m x\u00e9t nghi\u1ec7m \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n tim m\u1ea1ch kh\u00e1c g\u00e2y kh\u00f3 th\u1edf v\u00e0\/ho\u1eb7c ph\u00f9 nh\u01b0 b\u1ec7nh c\u01a1 tim th\u00e2m nhi\u1ec5m\/h\u1ea1n ch\u1ebf, b\u1ec7nh van tim ho\u1eb7c b\u1ec7nh m\u00e0ng ngo\u00e0i tim.<\/div>\n
\"\u270d\ufe0f\"<\/span>L\u01afU \u0110\u1ed2 HFA-PEFF<\/div>\n
\"\ud83c\udf35\"<\/span>L\u01b0u \u0111\u1ed3 HFA-PEFF bao g\u1ed3m n\u1ed3ng \u0111\u1ed9 peptide b\u00e0i ni\u1ec7u natri do v\u1eady \u0111i\u1ec1u quan tr\u1ecdng c\u1ea7n l\u01b0u \u00fd gi\u1edbi h\u1ea1n c\u1ee7a ng\u01b0\u1ee1ng n\u00e0y. N\u1ed3ng \u0111\u1ed9 peptide l\u1ee3i ni\u1ec7u Natri th\u1ea5p h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n HFpEF so v\u1edbi suy tim c\u00f3 ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m v\u00e0 k\u00e8m theo b\u00e9o ph\u00ec. Nh\u1eefng b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec c\u00f3 n\u1ed3ng \u0111\u1ed9 peptide b\u00e0i ni\u1ec7u Na th\u1ea5p h\u01a1n c\u00f3 \u00fd ngh\u0129a so v\u1edbi kh\u00f4ng b\u00e9o ph\u00ec trong HFpEF. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u00e1 tr\u1ecb d\u01b0\u1edbi ng\u01b0\u1ee1ng ch\u1ea9n \u0111o\u00e1n suy tim. Hi\u1ec7p h\u1ed9i suy tim c\u1ee7a H\u1ed9i tim m\u1ea1ch Ch\u00e2u \u00c2u (ESC) \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t r\u1eb1ng n\u00ean s\u1eed d\u1ee5ng m\u1ee9c gi\u1ea3m 50% gi\u00e1 tr\u1ecb ng\u01b0\u1ee1ng peptide b\u00e0i ni\u1ec7u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n suy tim \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec, m\u1eb7c d\u00f9 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o l\u01b0u \u0111\u1ed3 HFA-PEFF.<\/div>\n
M\u1ed9t h\u1ea1n ch\u1ebf c\u1ee7a l\u01b0u \u0111\u1ed3 HFA-PEFF l\u00e0 t\u00ednh th\u1ef1c t\u1ebf c\u1ee7a b\u01b0\u1edbc F1 \u0111\u00f3 l\u00e0 Ki\u1ec3m tra g\u1eafng s\u1ee9c t\u00e2m tr\u01b0\u01a1ng v\u00e0 \u0111o huy\u1ebft \u0111\u1ed9ng x\u00e2m l\u1ea5n th\u01b0\u1eddng kh\u00f4ng kh\u1ea3 thi trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng th\u01b0\u1eddng quy.<\/div>\n
\u0110i\u1ec3m chung trong c\u00e1c l\u01b0u \u0111\u1ed3 n\u00e0y l\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 b\u1ed1i c\u1ea3nh l\u00e2m s\u00e0ng khi xem x\u00e9t ch\u1ea9n \u0111o\u00e1n HFpEF v\u00e0 c\u1ea3 hai thang \u0111i\u1ec3m H2FPEF v\u00e0 HFA-PEFF \u0111\u1ec1u c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 b\u00e1c s\u0129 l\u00e2m s\u00e0ng ch\u1ea9n \u0111o\u00e1n HFpEF. C\u1ea7n l\u01b0u \u00fd r\u1eb1ng \u0111i\u1ec3m H2FPEF th\u1ea5p trong b\u1ed1i c\u1ea3nh l\u00e2m s\u00e0ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy tim th\u00ec c\u0169ng kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb ch\u1ea9n \u0111o\u00e1n HFpEF.<\/div>\n
\"Kh\u00f4ng<\/a>\"Kh\u00f4ng<\/a><\/div>\n
Ngu\u1ed3n n\u1ed9i dung v\u00e0 \u1ea3nh: Th\u1ea7y Nguy\u1ec5n V\u0103n Long – B\u1ed9 M\u00f4n N\u1ed9i – TNU.<\/strong><\/div>\n","protected":false},"excerpt":{"rendered":"

L\u01afU \u0110\u1ed2 H2FPEF Nh\u01b0 ch\u00fang ta \u0111\u00e3 bi\u1ebft ch\u1ea9n \u0111o\u00e1n HFpEF c\u00f3 th\u1ec3 kh\u00f3 kh\u0103n do si\u00eau \u00e2m tim kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng tim v\u00e0 n\u1ed3ng \u0111\u1ed9 NT-proBNP c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng nh\u1ea5t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u00e9o ph\u00ec. S\u1ef1 thi\u1ebfu h\u1ee5t c\u00e1c x\u00e9t …<\/p>\n","protected":false},"author":32,"featured_media":3370,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[138],"tags":[],"class_list":["post-3369","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3369","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=3369"}],"version-history":[{"count":6,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3369\/revisions"}],"predecessor-version":[{"id":4399,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3369\/revisions\/4399"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3370"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3369"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}