{"id":103227,"date":"2021-08-05T00:00:00","date_gmt":"2021-08-05T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/block-nhanh-phai-o-tim\/"},"modified":"2026-05-02T22:25:18","modified_gmt":"2026-05-02T15:25:18","slug":"block-nhanh-phai-o-tim","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tim-mach\/block-nhanh-phai-o-tim\/","title":{"rendered":"Block nh\u00e1nh ph\u1ea3i \u1edf tim: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh"},"content":{"rendered":"<p>Block nh\u00e1nh ph\u1ea3i (RBBB) l\u00e0 s\u1ef1 t\u1eafc ngh\u1ebdn c\u00e1c xung \u0111i\u1ec7n \u0111\u1ebfn t\u00e2m th\u1ea5t ph\u1ea3i c\u1ee7a tim, \u0111\u00e2y l\u00e0 ph\u1ea7n d\u01b0\u1edbi b\u00ean ph\u1ea3i c\u1ee7a tr\u00e1i tim. B\u1ea5t th\u01b0\u1eddng n\u00e0y ph\u00e1t hi\u1ec7n ch\u1ee7 y\u1ebfu qua <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/dien-tim\/\">\u0111i\u1ec7n t\u1ea7m \u0111\u1ed3 (ECG)<\/a>. B\u00e0i vi\u1ebft n\u00e0y c\u1ee7a <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan <\/a>s\u1ebd gi\u00fap b\u1ea1n c\u00f3 th\u00eam m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 b\u1ea5t th\u01b0\u1eddng block nh\u00e1nh ph\u1ea3i.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"block-nhanh-ph\u1ea3i-la-gi\">Block nh\u00e1nh ph\u1ea3i l\u00e0 g\u00ec?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Block nh\u00e1nh ph\u1ea3i (RBB) l\u00e0 m\u1ed9t ph\u00e1t hi\u1ec7n tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 th\u00f4ng qua QRS d\u00e3n r\u1ed9ng v\u00e0 thay \u0111\u1ed5i v\u00e9ct\u01a1 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3. M\u1eb7c d\u00f9 th\u01b0\u1eddng ghi nh\u1eadn \u0111\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e0nh t\u00ednh, tuy nhi\u00ean ph\u00e1t hi\u1ec7n n\u00e0y c\u00f3 th\u1ec3 \u0111\u1ea1i di\u1ec7n cho b\u1ec7nh c\u01a1 tim ti\u1ec1m \u1ea9n v\u00e0 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o t\u1ef7 l\u1ec7 t\u1eed vong \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">V\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu, b\u00f3 His ph\u00e2n chia trong v\u00e1ch li\u00ean th\u1ea5t c\u00e1c nh\u00e1nh b\u00ean ph\u1ea3i v\u00e0 b\u00ean tr\u00e1i. Ban \u0111\u1ea7u, nh\u00e1nh b\u00ean ph\u1ea3i c\u1ee7a b\u00f3 His \u0111i xu\u1ed1ng v\u00e1ch li\u00ean th\u1ea5t g\u1ea7n n\u1ed9i t\u00e2m m\u1ea1c. Sau \u0111\u00f3, n\u00f3 \u0111i xu\u1ed1ng s\u00e2u h\u01a1n v\u00e0o l\u1edbp c\u01a1 ph\u00eda tr\u01b0\u1edbc khi t\u00e1i xu\u1ea5t hi\u1ec7n g\u1ea7n n\u1ed9i t\u00e2m m\u1ea1c m\u1ed9t l\u1ea7n n\u1eefa. Nh\u00e1nh ph\u1ea3i nh\u1eadn h\u1ea7u h\u1ebft l\u01b0\u1ee3ng m\u00e1u cung c\u1ea5p t\u1eeb \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc. N\u00f3 c\u0169ng nh\u1eadn \u0111\u01b0\u1ee3c tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 t\u1eeb \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i ho\u1eb7c tr\u00e1i, t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 chi ph\u1ed1i c\u1ee7a tim.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Block nh\u00e1nh ph\u1ea3i c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 thay \u0111\u1ed5i c\u1ea5u tr\u00fac do c\u01a1 tim b\u1ecb k\u00e9o c\u0103ng ho\u1eb7c thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra do m\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt tim m\u1ea1ch th\u00f4ng th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1eb7t \u1ed1ng th\u00f4ng tim ph\u1ea3i.<\/p>\r\n<figure id=\"attachment_168902\" aria-describedby=\"caption-attachment-168902\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-168902\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/block-nhanh-phai-la-gi.jpg\" alt=\"block nh\u00e1nh ph\u1ea3i\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-168902\" class=\"wp-caption-text\">Block nh\u00e1nh ph\u1ea3i (RBBB) qua \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ECG<\/figcaption><\/figure>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ch\u1ec9 ra block nh\u00e1nh ph\u1ea3i n\u00f3i chung l\u00e0 m\u1ed9t b\u1ec7nh ti\u1ebfn tri\u1ec3n ch\u1eadm c\u1ee7a c\u01a1 tim. T\u1ef7 l\u1ec7 block nh\u00e1nh ph\u1ea3i th\u01b0\u1eddng t\u0103ng theo tu\u1ed5i, l\u00ean \u0111\u1ebfn 11,3% \u1edf \u0111\u1ed9 tu\u1ed5i 80. Kh\u00f4ng ghi nh\u1eadn m\u1ed1i li\u00ean quan \u0111\u00e1ng k\u1ec3 n\u00e0o c\u1ee7a RBBB v\u1edbi b\u1ec7nh tim, thi\u1ebfu m\u00e1u c\u01a1 tim ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Khi nh\u00e1nh b\u00ean ph\u1ea3i b\u1ecb gi\u00e1n \u0111o\u1ea1n, c\u00e1c xung \u0111i\u1ec7n t\u1eeb n\u00fat nh\u0129 th\u1ea5t (AV) d\u1eabn \u0111\u1ebfn b\u00f3 His v\u00e0 xu\u1ed1ng nh\u00e1nh b\u00ean tr\u00e1i. T\u00e2m th\u1ea5t tr\u00e1i kh\u1eed c\u1ef1c tr\u01b0\u1edbc trong khi t\u00e2m th\u1ea5t ph\u1ea3i kh\u1eed mu\u1ed9n h\u01a1n, g\u00e2y ra c\u00e1c ph\u00e1t hi\u1ec7n \u0111\u1eb7c tr\u01b0ng tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-block-nhanh-ph\u1ea3i\">Nguy\u00ean nh\u00e2n block nh\u00e1nh ph\u1ea3i?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Do gi\u1ea3i ph\u1eabu c\u1ee7a nh\u00e1nh ph\u1ea3i, t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng x\u1ea3y ra \u1edf 3 v\u1ecb tr\u00ed kh\u00e1c nhau. B\u00f3 g\u1ea7n b\u00ean ph\u1ea3i g\u1ea7n n\u1ed9i t\u00e2m m\u1ea1c nh\u1ea5t l\u00e0 v\u1ecb tr\u00ed th\u01b0\u1eddng d\u1ec5 b\u1ecb \u1ea3nh h\u01b0\u1edfng nh\u1ea5t. B\u00f3 xa b\u00ean ph\u1ea3i th\u01b0\u1eddng ch\u1ec9 b\u1ecb th\u01b0\u01a1ng khi d\u1ea3i \u0111i\u1ec1u h\u00f2a b\u1ecb c\u1eaft \u0111i trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt. B\u00f3 t\u1eadn c\u00f9ng b\u00ean ph\u1ea3i b\u1ecb t\u1ed5n th\u01b0\u01a1ng trong qu\u00e1 tr\u00ecnh c\u1eaft b\u1ecf n\u00e3o th\u1ea5t ho\u1eb7c c\u1eaft b\u1ecf qua n\u00e3o.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Block nh\u00e1nh ph\u1ea3i th\u01b0\u1eddng do c\u00e1c qu\u00e1 tr\u00ecnh b\u1ec7nh g\u00e2y ra l\u00e0m thay \u0111\u1ed5i c\u1ea5u tr\u00fac c\u01a1 tim c\u1ee7a nh\u00e1nh ph\u1ea3i.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Nhi\u1ec5m tr\u00f9ng nh\u01b0 vi\u00eam c\u01a1 tim ho\u1eb7c <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/nhoi-mau-co-tim\/\" target=\"_blank\" rel=\"noreferrer noopener\" data-type=\"post\" data-id=\"12356\">nh\u1ed3i m\u00e1u c\u01a1 tim<\/a> c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o tr\u1ef1c ti\u1ebfp cho nh\u00e1nh b\u00f3 ph\u1ea3i.<\/li>\r\n<li>T\u0103ng \u00e1p l\u1ef1c n\u00e3o th\u1ea5t ph\u1ea3, c\u1ea5p t\u00ednh do thuy\u00ean t\u1eafc ph\u1ed5i ho\u1eb7c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh \u1edf m\u1ea1ch m\u00e1u n\u00e3o, c\u00f3 th\u1ec3 k\u00e9o c\u0103ng nh\u00e1nh b\u00f3 ph\u1ea3i g\u00e2y ra block nh\u00e1nh.<\/li>\r\n<li>RBBB c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1eb1ng c\u00e1ch g\u00e2y t\u00ea khi \u0111\u1eb7t \u1ed1ng th\u00f4ng tim ph\u1ea3i v\u00e0 b\u1eb1ng c\u00e1ch c\u1eaft \u0111\u1ed1t b\u1eb1ng ethanol \u0111\u1ec3 gi\u1ea3m v\u00e1ch ng\u0103n trong b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i.<\/li>\r\n<li>B\u1ec7nh x\u01a1 h\u00f3a v\u00e0 v\u00f4i h\u00f3a v\u00f4 c\u0103n c\u1ee7a h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh Lenegre ho\u1eb7c b\u1ec7nh Lev, l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n c\u1ee7a block nh\u00e1nh ph\u1ea3i nh\u01b0ng th\u01b0\u1eddng x\u1ea3y ra nh\u1ea5t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i.<\/li>\r\n<li>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh tim ti\u1ec1m \u1ea9n g\u00e2y tho\u00e1i h\u00f3a \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n, c\u00f3 th\u1ec3 x\u1ea3y ra block nh\u00e1nh ph\u1ee5 thu\u1ed9c v\u00e0o nh\u1ecbp tim nhanh. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra khi nh\u1ecbp tim \u0111\u1ea1t \u0111\u1ebfn m\u1ed9t t\u1ed1c \u0111\u1ed9 cao v\u00e0 tr\u1edf n\u00ean kh\u00f4ng t\u00e1ch r\u1eddi kh\u1ecfi t\u1eeb giai \u0111o\u1ea1n tr\u01a1, do \u0111\u00f3 ng\u0103n ch\u1eb7n c\u00e1c k\u00edch th\u00edch \u0111i\u1ec7n ti\u1ebfp theo xu\u1ed1ng nh\u00e1nh b\u00ean ph\u1ea3i.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Th\u01b0\u1eddng g\u1eb7p trong c\u00e1c <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/benh-tim-mach\/\">b\u1ec7nh l\u00fd tim m\u1ea1ch<\/a>:<\/strong><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/benh-mach-vanh\/\">B\u1ec7nh m\u1ea1ch v\u00e0nh<\/a><\/li>\r\n<li><a href=\"https:\/\/www.docosan.com\/blog\/noi-tiet\/dieu-can-biet-ve-tang-huyet-ap\/\">T\u0103ng huy\u1ebft \u00e1p<\/a><\/li>\r\n<li>C\u00e1c b\u1ec7nh l\u00fd g\u00e2y ph\u00ec \u0111\u1ea1i th\u1ea5t Ph\u1ea3i<\/li>\r\n<li>Tim b\u1ea9m sinh g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u00e1ch li\u00ean th\u1ea5t<\/li>\r\n<li>Ghi nh\u1eadn m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch v\u1eabn cs RBBB<\/li>\r\n<\/ul>\r\n<p>\u0110\u1ec3 ki\u1ec3m tra xem b\u1ea1n c\u00f3 m\u1eafc b\u1ec7nh n\u00e0y hay kh\u00f4ng, b\u1ea1n c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m nh\u01b0 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1ef1 thay \u0111\u1ed5i trong ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-c\u1ee7a-block-nhanh-ph\u1ea3i\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a block nh\u00e1nh ph\u1ea3i<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">15% block nh\u00e1nh ph\u1ea3i c\u00f3 \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng do \u0111\u00f3 kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng ghi nh\u1eadn \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng c\u1ee7a block nh\u00e1nh ph\u1ea3i, h\u01a1n n\u1eefa c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u do gi\u1ed1ng v\u1edbi c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch kh\u00e1c. Tuy nhi\u00ean n\u1ebfu b\u1ea1n g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng sau v\u1eabn n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129 ngay:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>H\u1ed3i h\u1ed9p, lo l\u1eafng, c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c ti\u1ebfng tr\u1ed1ng ng\u1ef1c<\/li>\r\n<li>C\u1ea3m gi\u00e1c n\u1eb7ng ng\u1ef1c, \u0111au ng\u1ef1c nh\u01b0 \u0111\u00e8 ngh\u1eb9t<\/li>\r\n<li>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ghi nh\u1eadn kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi k\u00e8m theo<\/li>\r\n<li>Ch\u00f3ng m\u1eb7t, v\u00e3 m\u1ed3 h\u00f4i<\/li>\r\n<li>Cho\u00e1ng, ng\u1ea5t<\/li>\r\n<\/ul>\r\n<figure id=\"attachment_168903\" aria-describedby=\"caption-attachment-168903\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-168903\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/trieu-chung-block-nhanh-phai.jpg\" alt=\"tri\u1ec7u ch\u1ee9ng c\u1ee7a block nh\u00e1nh ph\u1ea3i\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-168903\" class=\"wp-caption-text\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a block nh\u00e1nh ph\u1ea3i<\/figcaption><\/figure>\r\n<h2 id=\"block-nhanh-ph\u1ea3i-hoan-toan\">Block nh\u00e1nh ph\u1ea3i ho\u00e0n to\u00e0n<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n block nh\u00e1nh ph\u1ea3i ho\u00e0n to\u00e0n tr\u00ean ECG:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>QRS &gt;= 0,12s<\/li>\r\n<li>QRS 3 pha \u1edf V1, V2 (tai th\u1ecf) d\u1ea1ng RSr&#8217;, rsR&#8217;<\/li>\r\n<li>S r\u1ed9ng \u1edf V5, V6, aVL, DI.<\/li>\r\n<li>ST ch\u00eanh xu\u1ed1ng v\u00e0 T \u00e2m t\u1eeb V1 \u0111\u1ebfn V3.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u1ede block nh\u00e1nh ph\u1ea3i ho\u00e0n to\u00e0n tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng h\u01a1n, nh\u1ecbp tim ghi nh\u1eadn m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi 40 l\u1ea7n\/ph\u00fat, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ng\u1ea5t x\u1ec9u, cho\u00e1ng v\u00e1ng, th\u1eadm ch\u00ed l\u00e0 ng\u01b0ng tim.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"block-nhanh-ph\u1ea3i-khong-hoan-toan\">Block nh\u00e1nh ph\u1ea3i kh\u00f4ng ho\u00e0n to\u00e0n<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n khi: <strong>QRS &lt;0,12s (0,09-0,11s) tr\u00ean ECG<\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n so v\u1edbi block nh\u00e1nh ph\u1ea3i ho\u00e0n to\u00e0n, tuy nhi\u00ean tri\u1ec7u ch\u1ee9ng kh\u00f4ng r\u00f5 r\u00e0ng c\u00f3 th\u1ec3 l\u00e0m ng\u01b0\u1eddi b\u1ec7nh xem nh\u1eb9, b\u1ecf qua, d\u1eabn t\u1edbi block ho\u00e0n to\u00e0n ho\u1eb7c m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 h\u01a1n.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-block-nhanh-ph\u1ea3i\">\u0110i\u1ec1u tr\u1ecb block nh\u00e1nh ph\u1ea3i<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n g\u00e2y ra block nh\u00e1nh. \u1ede c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng ghi nh\u1eadn tri\u1ec7u ch\u1ee9ng v\u00e0 kh\u00f4ng t\u00ecm ra \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n th\u00ec c\u00e2n nh\u1eafc ch\u01b0a \u0111i\u1ec1u tr\u1ecb.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Thu\u1ed1c: trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 r\u1ed1i lo\u1ea1n nh\u1ecbp, \u0111i\u1ec1u tr\u1ecb thu\u1ed1c t\u00f9y v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh.<\/li>\r\n<li>Can thi\u1ec7p m\u1ea1ch v\u00e0nh n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/li>\r\n<li>\u0110\u1ed1t \u0111i\u1ec7n sinh l\u00fd, \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/li>\r\n<\/ul>\r\n<figure id=\"attachment_168904\" aria-describedby=\"caption-attachment-168904\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-168904\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/dieu-tri-block-nhanh-phai.jpg\" alt=\"\u0111i\u1ec1u tr\u1ecb block nh\u00e1nh ph\u1ea3i nh\u01b0 th\u1ebf n\u00e0o\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-168904\" class=\"wp-caption-text\">\u0110i\u1ec1u tr\u1ecb block nh\u00e1nh ph\u1ea3i ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o vi\u1ec7c theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n c\u01a1 b\u1ea3n v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n c\u1ea5y m\u00e1y t\u1ea1o nh\u1ecbp n\u1ebfu c\u00f3 r\u1ed1i lo\u1ea1n nh\u1ecbp tim nghi\u00eam tr\u1ecdng.<\/figcaption><\/figure>\r\n\r\n\r\n\r\n<p><em><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, <strong><a href=\"https:\/\/www.docosan.com\/\">Docosan<\/a><\/strong> khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\r\n<p><span style=\"font-weight: 400;\">Ngo\u00e0i ra, m\u1eddi b\u1ea1n tham kh\u1ea3o <a href=\"https:\/\/cares.docosan.com\/products\/goi-xet-nghiem-tim-mach\" target=\"_blank\" rel=\"noopener\">G\u00f3i x\u00e9t nghi\u1ec7m tim m\u1ea1ch<\/a> t\u1ea1i \u0111\u00e2y:<\/span><\/p>\r\n<!-- \/wp:post-content --><!-- \/wp:canvas\/collapsibles -->\r\n\r\n<!-- wp:html {\"canvasClassName\":\"cnvs-block-core-html-1681199272600\"} -->\r\n<p><iframe class=\"product-widget\" src=\"https:\/\/www.docosan.com\/blog\/cares-product-widget\/?id=20008\" width=\"100%\" frameborder=\"0\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\r\n<!-- \/wp:html -->","protected":false},"excerpt":{"rendered":"<p>Block nh\u00e1nh ph\u1ea3i (RBBB) l\u00e0 s\u1ef1 t\u1eafc ngh\u1ebdn c\u00e1c xung \u0111i\u1ec7n \u0111\u1ebfn t\u00e2m th\u1ea5t ph\u1ea3i c\u1ee7a tim, \u0111\u00e2y l\u00e0 ph\u1ea7n d\u01b0\u1edbi b\u00ean ph\u1ea3i c\u1ee7a tr\u00e1i tim. B\u1ea5t th\u01b0\u1eddng n\u00e0y ph\u00e1t hi\u1ec7n ch\u1ee7 y\u1ebfu qua \u0111i\u1ec7n t\u1ea7m \u0111\u1ed3 (ECG). B\u00e0i vi\u1ebft n\u00e0y c\u1ee7a Docosan s\u1ebd gi\u00fap b\u1ea1n c\u00f3 th\u00eam m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 b\u1ea5t th\u01b0\u1eddng [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[185],"tags":[],"class_list":["post-103227","post","type-post","status-publish","format-standard","hentry","category-tim-mach"],"acf":[],"featured_image_src":null,"featured_image_src_square":null,"author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103227","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103227"}],"version-history":[{"count":4,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103227\/revisions"}],"predecessor-version":[{"id":178367,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103227\/revisions\/178367"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}