{"id":3559,"date":"2024-09-13T23:36:41","date_gmt":"2024-09-13T16:36:41","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=3559"},"modified":"2024-09-14T22:29:50","modified_gmt":"2024-09-14T15:29:50","slug":"%f0%9d%90%84%f0%9d%90%82%f0%9d%90%86-%f0%9d%90%93a%f0%9d%90%88-%f0%9d%90%82u%f0%9d%90%82-%f0%9d%90%92o%f0%9d%90%8c-%f0%9d%90%82o-%f0%9d%90%8ba%f0%9d%90%8d%f0%9d%90%87-%f0%9d%90%93i%f0%9d%90%8d","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/%f0%9d%90%84%f0%9d%90%82%f0%9d%90%86-%f0%9d%90%93a%f0%9d%90%88-%f0%9d%90%82u%f0%9d%90%82-%f0%9d%90%92o%f0%9d%90%8c-%f0%9d%90%82o-%f0%9d%90%8ba%f0%9d%90%8d%f0%9d%90%87-%f0%9d%90%93i%f0%9d%90%8d\/","title":{"rendered":"\ud835\udc04\ud835\udc02\ud835\udc06 \ud835\udc13\u00c1\ud835\udc08 \ud835\udc02\u1ef0\ud835\udc02 \ud835\udc12\u1eda\ud835\udc0c \ud835\udc02\u00d3 \ud835\udc0b\u00c0\ud835\udc0d\ud835\udc07 \ud835\udc13\u00cd\ud835\udc0d\ud835\udc07 \ud835\udc0d\ud835\udc07\u01af \ud835\udc01\u1ea0\ud835\udc0d \ud835\udc0d\ud835\udc06\ud835\udc07\u0128?"},"content":{"rendered":"
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\"\ud83c\udf3b\"<\/span>\ud835\udc04\ud835\udc02\ud835\udc06 \ud835\udc13\u00c1\ud835\udc08 \ud835\udc02\u1ef0\ud835\udc02 \ud835\udc12\u1eda\ud835\udc0c \ud835\udc02\u00d3 \ud835\udc0b\u00c0\ud835\udc0d\ud835\udc07 \ud835\udc13\u00cd\ud835\udc0d\ud835\udc07 \ud835\udc0d\ud835\udc07\u01af \ud835\udc01\u1ea0\ud835\udc0d \ud835\udc0d\ud835\udc06\ud835\udc07\u0128?\"\ud83c\udf3b\"<\/span><\/div>\n
\"\ud83e\uddd0\"<\/span>\"\ud83e\uddd0\"<\/span> T\u00e1i c\u1ef1c s\u1edbm l\u00e0 l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh tr\u00ean ECG v\u00e0 ti\u00eau chu\u1ea9n ECG nh\u01b0 th\u1ebf n\u00e0o? \"\ud83e\uddd0\"<\/span><\/div>\n
\"\ud83d\udc49\"<\/span>\ud835\ude71\u00e0\ud835\ude92 \ud835\ude9f\ud835\ude92\u1ebf\ud835\ude9d \ud835\ude97\u00e0\ud835\udea2 \ud835\ude96\u00ec\ud835\ude97\ud835\ude91 \ud835\ude9c\u1ebd \ud835\ude95\u00e0\ud835\ude96 \ud835\ude9b\u00f5 \ud835\ude9d\ud835\ude91\u00f4\ud835\ude97\ud835\ude90 \ud835\ude9d\ud835\ude92\ud835\ude97 \ud835\ude9f\u00f4 \ud835\ude8c\u00f9\ud835\ude97\ud835\ude90 \ud835\ude8b\u1ed5 \u00ed\ud835\ude8c\ud835\ude91 \ud835\ude97\u00e0\ud835\udea2 \ud835\ude97\ud835\ude91\u00e9!<\/div>\n
\"\ud83d\udca5\"<\/span>T\u00e1i c\u1ef1c s\u1edbm (Early repolarization \u2013 ER) tr\u00ean ECG l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 n\u0103m 1936 v\u00e0 \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 ECG l\u00e0nh t\u00ednh h\u01a1n n\u1eeda th\u1ebf k\u1ef7. Tuy nhi\u00ean, \u0111\u1ebfn n\u0103m 2008 t\u00e1c gi\u1ea3 Ha\u00efssaguerre v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ch\u1ee9ng minh m\u1ed1i li\u00ean quan gi\u1eefa t\u00e1i c\u1ef1c s\u1edbm v\u00e0 gia t\u0103ng nguy c\u01a1 Rung th\u1ea5t v\u00f4 c\u0103n.<\/div>\n
\"\u270d\ufe0f\"<\/span>\u0110\u1ecbnh ngh\u0129a tr\u01b0\u1edbc \u0111\u00e2y c\u1ee7a t\u00e1i c\u1ef1c s\u1edbm d\u1ef1a v\u00e0o \u0111o\u1ea1n ST ch\u00eanh l\u00f5m >= 1 mm c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 \u0111i k\u00e8m v\u1edbi s\u00f3ng J (J wave – s\u00f3ng sau QRS d\u01b0\u1eddng nh\u01b0 l\u00e0 s\u00f3ng delta mu\u1ed9n ho\u1eb7c s\u00f3ng R th\u1ee9 ph\u00e1t nh\u1ecf) \u1edf >= 2 chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc b\u00ean (h\u00ecnh A; B). \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 n\u00e0y x\u1ea3y ra \u1edf 1 \u2013 2% trong d\u00e2n s\u1ed1 chung, th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tr\u1ebb (t\u00e1i c\u1ef1c s\u1edbm l\u00e0nh t\u00ednh). => C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi Nh\u1ed3i m\u00e1u c\u01a1 tim ST ch\u00eanh l\u00ean ho\u1eb7c vi\u00eam m\u00e0ng ngo\u00e0i tim.<\/div>\n
\"\u270d\ufe0f\"<\/span>T\u00e1c gi\u1ea3 Ha\u00efssaguerre v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u1ecbnh ngh\u0129a m\u1edbi t\u00e1i c\u1ef1c s\u1edbm l\u00e0 s\u00f3ng J ( J \u2013 wave) v\u00f9ng d\u01b0\u1edbi b\u00ean c\u00f3 kh\u1ea5c ho\u1eb7c tr\u01b0\u1ee3t xu\u1ed1ng cu\u1ed1i c\u1ee7a ph\u1ee9c b\u1ed9 QRS (H\u00ecnh 1C v\u00e0 D). N\u00f3 ph\u1ed5 bi\u1ebfn h\u01a1n t\u00e1i c\u1ef1c s\u1edbm l\u00e0nh t\u00ednh c\u1ed5 \u0111i\u1ec3n tr\u01b0\u1edbc \u0111\u00e2y v\u1edbi t\u1ec9 l\u1ec7 \u01b0\u1edbc t\u00ednh dao \u0111\u1ed9ng t\u1eeb 3 \u2013 13% trong d\u00e2n s\u1ed1 chung.<\/div>\n
\"\ud83c\udf35\"<\/span>\"\u2618\ufe0f\"<\/span>S\u00f3ng J th\u1ea5y trong \u0111\u1ecbnh ngh\u0129a t\u00e1i c\u1ef1c s\u1edbm n\u00e0y gi\u1ed1ng v\u1edbi s\u00f3ng Osborn \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 1953 nh\u01b0 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t trong qu\u00e1 tr\u00ecnh h\u1ea1 th\u00e2n nhi\u1ec7t th\u1ef1c nghi\u1ec7m. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u sau n\u00e0y trong d\u00e2n s\u1ed1 chung \u0111\u00e3 ch\u1ee9ng minh m\u1ed1i li\u00ean quan gi\u1eefa s\u00f3ng J v\u00f9ng d\u01b0\u1edbi b\u00ean l\u00e0m t\u0103ng nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t \u00e1c t\u00ednh.<\/div>\n
\ud835\udcd3\ud835\udcfb \ud835\udcdd\ud835\udcf0\ud835\udcfe\ud835\udd02\u1ec5\ud835\udcf7 \ud835\udcdb\ud835\udcf8\ud835\udcf7\ud835\udcf0, \ud835\udce3\ud835\udcdd\ud835\udce4 H\u1ecdc \u0111i\u1ec7n tim online c\u00f9ng Ths. BS Long<\/div>\n
TLTK: Ha\u00efssaguerre, M., Derval, N., Sacher, F., Jesel, L., Deisenhofer, I., de Roy, L., … & Cl\u00e9menty, J. (2008). Sudden cardiac arrest associated with early repolarization. New England Journal of Medicine, 358(19), 2016-2023.<\/div>\n
Ngu\u1ed3n b\u00e0i vi\u1ebft v\u00e0 \u1ea3nh: Th\u1ea7y Nguy\u1ec5n V\u0103n Long – B\u1ed9 M\u00f4n N\u1ed9i – TNU<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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\ud835\udc04\ud835\udc02\ud835\udc06 \ud835\udc13\u00c1\ud835\udc08 \ud835\udc02\u1ef0\ud835\udc02 \ud835\udc12\u1eda\ud835\udc0c \ud835\udc02\u00d3 \ud835\udc0b\u00c0\ud835\udc0d\ud835\udc07 \ud835\udc13\u00cd\ud835\udc0d\ud835\udc07 \ud835\udc0d\ud835\udc07\u01af \ud835\udc01\u1ea0\ud835\udc0d \ud835\udc0d\ud835\udc06\ud835\udc07\u0128? T\u00e1i c\u1ef1c s\u1edbm l\u00e0 l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh tr\u00ean ECG v\u00e0 ti\u00eau chu\u1ea9n ECG nh\u01b0 th\u1ebf n\u00e0o? \ud835\ude71\u00e0\ud835\ude92 \ud835\ude9f\ud835\ude92\u1ebf\ud835\ude9d \ud835\ude97\u00e0\ud835\udea2 \ud835\ude96\u00ec\ud835\ude97\ud835\ude91 \ud835\ude9c\u1ebd \ud835\ude95\u00e0\ud835\ude96 \ud835\ude9b\u00f5 \ud835\ude9d\ud835\ude91\u00f4\ud835\ude97\ud835\ude90 \ud835\ude9d\ud835\ude92\ud835\ude97 \ud835\ude9f\u00f4 \ud835\ude8c\u00f9\ud835\ude97\ud835\ude90 \ud835\ude8b\u1ed5 \u00ed\ud835\ude8c\ud835\ude91 \ud835\ude97\u00e0\ud835\udea2 \ud835\ude97\ud835\ude91\u00e9! T\u00e1i c\u1ef1c s\u1edbm (Early repolarization \u2013 ER) tr\u00ean ECG l\u1ea7n \u0111\u1ea7u ti\u00ean …<\/p>\n","protected":false},"author":32,"featured_media":3451,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[138],"tags":[],"class_list":["post-3559","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\/3559","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=3559"}],"version-history":[{"count":2,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3559\/revisions"}],"predecessor-version":[{"id":4548,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3559\/revisions\/4548"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3451"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}