{"id":103384,"date":"2021-08-10T00:00:00","date_gmt":"2021-08-10T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/dien-tam-do-nhoi-mau-co-tim\/"},"modified":"2026-05-02T22:25:46","modified_gmt":"2026-05-02T15:25:46","slug":"dien-tam-do-nhoi-mau-co-tim","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tim-mach\/dien-tam-do-nhoi-mau-co-tim\/","title":{"rendered":"C\u00e1ch \u0111\u1ecdc \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u1ed3i m\u00e1u c\u01a1 tim"},"content":{"rendered":"<p>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 nh\u1eefng \u0111\u1eb7c t\u00ednh gi\u00fap b\u00e1c s\u0129 nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng v\u00e0 c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n. Kho\u1ea3ng 40 \u0111\u1ebfn 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 qua bi\u1ebfn \u0111\u1ed5i \u0111i\u1ec3n h\u00ecnh. <a href=\"https:\/\/www.docosan.com\/\">Docosan<\/a> xin ph\u00e9p l\u00fd gi\u1ea3i c\u00e1c d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft c\u1ee7a m\u1ed9t \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u1ed3i m\u00e1u c\u01a1 tim trong b\u00e0i vi\u1ebft sau.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">H\u01a1n 90% c\u00e1c tr\u01b0\u1eddng h\u1ee3p <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/nhoi-mau-co-tim\/\" target=\"_blank\" rel=\"noreferrer noopener\">nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p<\/a> l\u00e0 do huy\u1ebft kh\u1ed1i g\u00e2y t\u1eafc ngh\u1ebdn l\u00f2ng m\u1ea1ch v\u00e0nh, m\u00e0 c\u01a1 ch\u1ebf l\u00e0 do v\u1ee1 m\u1ea3ng x\u01a1 v\u1eefa tr\u00ean th\u00e0nh m\u1ea1ch.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 l\u00e0 co th\u1eaft m\u1ea1ch v\u00e0nh, b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 li\u00ean quan \u0111\u1ebfn l\u1ed7 xu\u1ea5t ph\u00e1t m\u1ea1ch v\u00e0nh, ch\u1ea5n th\u01b0\u01a1ng tim n\u1eb7ng, b\u1ec7nh m\u00f4 li\u00ean k\u1ebft \u2026<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim b\u1ea9m sinh do d\u1ecb d\u1ea1ng h\u1ec7 th\u1ed1ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh th\u00ec t\u01b0\u01a1ng \u0111\u1ed1i hi\u1ebfm g\u1eb7p.<\/p>\r\n<figure id=\"attachment_168918\" aria-describedby=\"caption-attachment-168918\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-168918\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/dien-tam-do-khong-co-kha-nang-xac-dinh-nguyen-nhan-nhoi-mau-co-tim.jpg\" alt=\"\u0111i\u1ec7n t\u00e2m \u0111\u1ed3 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-168918\" class=\"wp-caption-text\">\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim.<\/figcaption><\/figure>\r\n<p>N\u1ebfu b\u1ea1n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ng\u1ef1c d\u1eef d\u1ed9i, kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng, ho\u1eb7c c\u1ea3m gi\u00e1c n\u1eb7ng ng\u1ef1c, b\u1ea1n n\u00ean \u0111\u1ebfn ngay b\u1ec7nh vi\u1ec7n ho\u1eb7c ph\u00f2ng kh\u00e1m tim m\u1ea1ch \u0111\u1ec3 ki\u1ec3m tra s\u1ee9c kho\u1ebb.\u00a0<\/p>\r\n<!-- \/wp:post-content -->\r\n\r\n<!-- wp:image {\"id\":20665,\"sizeSlug\":\"full\",\"linkDestination\":\"none\",\"canvasClassName\":\"cnvs-block-core-image-1626974505720\"} \/-->\r\n\r\n<!-- wp:heading {\"canvasClassName\":\"cnvs-block-core-heading-1626974176262\"} -->\r\n<h2>\u0110i\u1ec7n sinh l\u00fd b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim\u00a0<\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165514\"} -->\r\n<p>M\u00f4 t\u1ea3 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/dau-hieu-nhoi-mau-co-tim-de-dieu-tri-hieu-qua\/\">nh\u1ed3i m\u00e1u c\u01a1 tim<\/a> tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 li\u00ean quan \u0111\u1ebfn c\u00e1c thay \u0111\u1ed5i \u0111i\u1ec7n sinh l\u00fd l\u00e0 do t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim.\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading {\"level\":3,\"canvasClassName\":\"cnvs-block-core-heading-1626974179593\"} -->\r\n<h3>Giai \u0111o\u1ea1n c\u1ea5p<\/h3>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1628617050385\"} -->\r\n<ul>\r\n<li>T\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0nh do huy\u1ebft kh\u1ed1i g\u00e2y ra thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, v\u1edbi m\u1ed9t v\u00f9ng trung thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 m\u1ee9c \u0111\u1ed9 n\u1eb7ng ho\u1eb7c v\u00f9ng t\u1ed5n th\u01b0\u01a1ng.<\/li>\r\n<li>Tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 ghi nh\u1eadn t\u1ed5n th\u01b0\u01a1ng xuy\u00ean th\u00e0nh, t\u1ea1o ra m\u1ed9t s\u00f3ng d\u01b0\u01a1ng \u0111\u01a1n d\u1ea1ng &#8211; ST ch\u00eanh l\u00ean d\u1ea1ng v\u00f2m, do s\u00f3ng R, \u0111o\u1ea1n ST v\u00e0 s\u00f3ng T h\u00f2a l\u1eabn v\u00e0o nhau.<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:heading {\"level\":3,\"canvasClassName\":\"cnvs-block-core-heading-1626974185431\"} -->\r\n<h3>Giai \u0111o\u1ea1n b\u00e1n c\u1ea5p<\/h3>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1628617041958\"} -->\r\n<ul>\r\n<li>Ho\u1ea1i t\u1eed xu\u1ea5t hi\u1ec7n \u1edf v\u00f9ng trung t\u00e2m t\u1ea1o n\u00ean s\u00f3ng Q \u0111i\u1ec3n h\u00ecnh tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/li>\r\n<li>V\u00f9ng ho\u1ea1i t\u1eed \u0111\u01b0\u1ee3c bao quanh b\u1edfi v\u00f9ng c\u01a1 tim t\u1ed5n th\u01b0\u01a1ng (ST ch\u00eanh l\u00ean) v\u00e0 v\u00f9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 (s\u00f3ng T \u00e2m).<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:heading {\"level\":3,\"canvasClassName\":\"cnvs-block-core-heading-1626974191661\"} -->\r\n<h3>Giai \u0111o\u1ea1n m\u1ea1n t\u00ednh<\/h3>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1628617058558\"} -->\r\n<ul>\r\n<li>V\u00f9ng t\u1ed5n th\u01b0\u01a1ng gi\u1eef vai tr\u00f2 quan tr\u1ecdng trong ti\u1ebfn tri\u1ec3n c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\r\n<li>Kh\u1ea3 n\u0103ng th\u1ee9 nh\u1ea5t (\u00edt g\u1eb7p h\u01a1n): to\u00e0n b\u1ed9 v\u00f9ng t\u1ed5n th\u01b0\u01a1ng ti\u1ebfn tri\u1ec3n th\u00e0nh ho\u1ea1i t\u1eed, v\u00ec v\u1eady l\u00e0m t\u0103ng k\u00edch th\u01b0\u1edbc \u1ed5 nh\u1ed3i m\u00e1u. T\u1ea1o ra s\u00f3ng Q r\u1ed9ng ho\u1eb7c s\u00f3ng QS tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/li>\r\n<li>Kh\u1ea3 n\u0103ng th\u1ee9 hai (th\u01b0\u1eddng g\u1eb7p h\u01a1n): v\u00f9ng t\u1ed5n th\u01b0\u01a1ng h\u1ed3i ph\u1ee5c m\u1ed9t ph\u1ea7n, v\u00ec v\u1eady gi\u1edbi h\u1ea1n \u0111\u01b0\u1ee3c k\u00edch th\u01b0\u1edbc c\u1ee7a \u1ed5 nh\u1ed3i m\u00e1u, ch\u1ec9 th\u1ea5y s\u00f3ng Q r\u1ed9ng h\u01a1n.\u00a0<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:heading {\"level\":3,\"canvasClassName\":\"cnvs-block-core-heading-1626974201519\"} -->\r\n<h3>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n s\u00f3ng Q b\u1ec7nh l\u00fd<\/h3>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:heading {\"level\":4,\"canvasClassName\":\"cnvs-block-core-heading-1626974214691\"} -->\r\n<h4>Kinh \u0111i\u1ec3n<\/h4>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165619\"} -->\r\n<ul>\r\n<li>Q r\u1ed9ng <strong>\u2265<\/strong> 0,04 gi\u00e2y<\/li>\r\n<li>Q c\u00f3 bi\u00ean \u0111\u1ed9 <strong>\u2265<\/strong> 1 ph\u1ea7n t\u01b0 s\u00f3ng R c\u00f9ng chuy\u1ec3n \u0111\u1ea1o\u00a0<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:heading {\"level\":4,\"canvasClassName\":\"cnvs-block-core-heading-1626974220840\"} -->\r\n<h4>Theo H\u1ed9i Tim m\u1ea1ch ch\u00e2u \u00c2u v\u00e0 Tim m\u1ea1ch Hoa k\u1ef3\u00a0<\/h4>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165631\"} -->\r\n<ul>\r\n<li>Xu\u1ea5t hi\u1ec7n s\u00f3ng Q b\u1ea5t k\u1ef3 t\u1eeb V1 \u0111\u1ebfn V3\u00a0<\/li>\r\n<li>Q \u2265 0,03 gi\u00e2y \u1edf D I, D II, aVL, aVF, V4, V5 v\u00e0 V6\u00a0<\/li>\r\n<\/ul>\r\n<figure id=\"attachment_168919\" aria-describedby=\"caption-attachment-168919\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-168919\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hinh-anh-song-q-hoai-tu-trong-nhoi-mau-co-tim.jpg\" alt=\"H\u00ecnh \u1ea3nh s\u00f3ng Q ho\u1ea1i t\u1eed trong nh\u1ed3i m\u00e1u c\u01a1 tim\" width=\"800\" height=\"600\" \/><figcaption id=\"caption-attachment-168919\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh s\u00f3ng Q ho\u1ea1i t\u1eed trong nh\u1ed3i m\u00e1u c\u01a1 tim<\/figcaption><\/figure>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:image {\"id\":20667,\"width\":701,\"height\":458,\"sizeSlug\":\"full\",\"linkDestination\":\"none\",\"canvasClassName\":\"cnvs-block-core-image-1626974655866\"} \/-->\r\n\r\n<!-- wp:heading {\"canvasClassName\":\"cnvs-block-core-heading-1626974229489\"} -->\r\n<h2>C\u00e1ch \u0111\u1ecdc \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u1ed3i m\u00e1u c\u01a1 tim<\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:heading {\"level\":3,\"canvasClassName\":\"cnvs-block-core-heading-1626974233943\"} -->\r\n<h3>Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p kh\u00f4ng ST ch\u00eanh l\u00ean &#8211; NSTEMI:<\/h3>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165665\"} -->\r\n<ul>\r\n<li>ST ch\u00eanh xu\u1ed1ng (\u2265 0,05 mV),\u00a0<\/li>\r\n<li>ST ch\u00eanh l\u00ean tho\u00e1ng qua\u00a0<\/li>\r\n<li>V\u00e0 hay ho\u1eb7c s\u00f3ng T chuy\u1ec3n \u00e2m.\u00a0<\/li>\r\n<li>\u0110\u00f4i khi, tr\u00ean b\u1ec7nh nh\u00e2n v\u1ed1n \u0111\u00e3 t\u1eebng b\u1ecb b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u1edbi s\u00f3ng T \u00e2m s\u1eb5n, m\u1ed9t \u0111\u1ee3t m\u1edbi c\u1ee7a thi\u1ebfu m\u00e1u c\u01a1 tim c\u1ea5p s\u1ebd bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 b\u00ecnh th\u01b0\u1eddng h\u00f3a s\u00f3ng T (T d\u01b0\u01a1ng tr\u1edf l\u1ea1i).\u00a0<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1628617089371\"} -->\r\n<p><strong>L\u01b0u \u00fd:<\/strong> S\u1ef1 thay \u0111\u1ed5i s\u00f3ng T c\u00f3 \u0111\u1ed9 nh\u1ea1y cao v\u1edbi thi\u1ebfu m\u00e1u c\u01a1 tim nh\u01b0ng \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u th\u1ea5p tr\u1eeb khi s\u00f3ng T chuy\u1ec3n \u00e2m s\u00e2u (\u2265 0,2mV) v\u00e0 m\u1edbi xu\u1ea5t hi\u1ec7n.\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading {\"level\":3,\"canvasClassName\":\"cnvs-block-core-heading-1626974241154\"} -->\r\n<h3>Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 ST ch\u00eanh l\u00ean &#8211; STEMI:<\/h3>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165676\"} -->\r\n<p>ST ch\u00eanh l\u00ean m\u1edbi t\u1ea1i 2 \u0111i\u1ec3m chuy\u1ec3n \u0111\u1ea1o li\u00ean ti\u1ebfp: \u2265 0,1mV \u1edf nh\u1eefng chuy\u1ec3n \u0111\u1ea1o kh\u00e1c nh\u01b0ng s\u1ebd tr\u1eeb V2, V3.<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading {\"level\":4,\"canvasClassName\":\"cnvs-block-core-heading-1626974248846\"} -->\r\n<h4>\u1ede V2- V3<\/h4>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165687\"} -->\r\n<ul>\r\n<li>\u2265 0,15mV \u1edf n\u1eef ;<\/li>\r\n<li>\u2265 0,2mV \u1edf nam \u226540 tu\u1ed5i,<\/li>\r\n<li>\u22650,25mV \u1edf nam &lt;40 tu\u1ed5i.\u00a0<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165699\"} -->\r\n<p>ST m\u1edbi ch\u00eanh xu\u1ed1ng d\u1ea1ng ch\u00eanh ngang hay ch\u1ebfch xu\u1ed1ng \u2265 0,05mV trong 2 chuy\u1ec3n \u0111\u1ea1o li\u00ean ti\u1ebfp v\u00e0\/ho\u1eb7c T chuy\u1ec3n \u00e2m \u2265 0,1mV trong 2 chuy\u1ec3n \u0111\u1ea1o li\u00ean ti\u1ebfp c\u00f3 s\u00f3ng R chi\u1ebfm \u01b0u th\u1ebf hay t\u1ef7 l\u1ec7 s\u00f3ng R\/S &gt; 1.\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading {\"level\":4,\"canvasClassName\":\"cnvs-block-core-heading-1626974255117\"} -->\r\n<h4>\u1ede V7-V9<\/h4>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165714\"} -->\r\n<ul>\r\n<li>ST \u2191 \u2265 0,05mV<\/li>\r\n<li>ST \u2191 \u2265 0,1mV (nam &lt;40t)<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:heading {\"level\":4,\"canvasClassName\":\"cnvs-block-core-heading-1626974261527\"} -->\r\n<h4>V3R-V4R\u00a0<\/h4>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165724\"} -->\r\n<ul>\r\n<li>ST \u2191 \u2265 0,05mV<\/li>\r\n<li>ST \u2191 \u2265 0,1mV (nam &lt; 30t)<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1628618582957\"} -->\r\n<p><strong>\u0110\u1ed9ng h\u1ecdc \u0111i\u1ec3n h\u00ecnh c\u1ee7a ST v\u00e0 T trong nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 ST ch\u00eanh l\u00ean<\/strong>:<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165735\"} -->\r\n<p>Bi\u1ec3u hi\u1ec7n s\u1edbm nh\u1ea5t l\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n s\u00f3ng T d\u01b0\u01a1ng cao nh\u1ecdn tr\u00ean \u00edt nh\u1ea5t 2 chuy\u1ec3n \u0111\u1ea1o li\u00ean ti\u1ebfp. K\u1ebf \u0111\u1ebfn l\u00e0 ST ch\u00eanh l\u00ean d\u1ea1ng v\u00f2m.\u00a0S\u00f3ng R cao v\u00e0 r\u1ed9ng th\u01b0\u1eddng th\u1ea5y \u1edf nh\u1eefng chuy\u1ec3n \u0111\u1ea1o c\u00f3 ST ch\u00eanh l\u00ean v\u00e0 T cao nh\u1ecdn trong giai \u0111o\u1ea1n t\u1ed1i c\u1ea5p. K\u1ebf \u0111\u1ebfn l\u00e0 s\u00f3ng Q xu\u1ea5t hi\u1ec7n.Theo th\u1eddi gian, ST s\u1ebd d\u1ea7n tr\u1edf v\u1ec1 \u0111\u1eb3ng \u0111i\u1ec7n; s\u00f3ng R c\u1ee5t d\u1ea7n; s\u00f3ng Q ng\u00e0y c\u00e0ng s\u00e2u th\u00eam; v\u00e0 s\u00f3ng T chuy\u1ec3n \u00e2m.\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165761\"} -->\r\n<p>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p NMCT c\u1ea5p ST ch\u00eanh l\u00ean c\u00f3 th\u1ec3 kh\u00f4ng xu\u1ea5t hi\u1ec7n s\u00f3ng Q. Ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 li\u00ean h\u1ec7 gi\u1eefa vi\u1ec7c xu\u1ea5t hi\u1ec7n s\u00f3ng Q v\u00e0 ho\u1ea1i t\u1eed xuy\u00ean th\u00e0nh.\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165769\"} -->\r\n<p>\u1ede c\u00e1c chuy\u1ec3n \u0111\u1ea1o \u0111\u1ed1i di\u1ec7n v\u00f9ng nh\u1ed3i m\u00e1u th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n h\u00ecnh \u1ea3nh \u0111\u1ed1i x\u1ee9ng.\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165776\"} -->\r\n<p>Ngo\u00e0i ra, c\u00f3 2 tr\u01b0\u1eddng h\u1ee3p HCMVC c\u0169ng \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o NMCT c\u1ea5p ST ch\u00eanh l\u00ean l\u00e0 m\u1edbi xu\u1ea5t hi\u1ec7n bl\u1ed1c nh\u00e1nh tr\u00e1i v\u00e0 NMCT c\u1ea5p th\u00e0nh sau (R cao, ST ch\u00eanh xu\u1ed1ng \u1edf V1-V3).\u00a0<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:heading {\"canvasClassName\":\"cnvs-block-core-heading-1626974276961\"} -->\r\n<h2>\u0110\u1ecbnh khu nh\u1ed3i m\u00e1u c\u01a1 tim<\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165791\"} -->\r\n<p>S\u1ebd d\u1ef1a v\u00e0o ST ch\u00eanh l\u00ean, s\u00f3ng T d\u01b0\u01a1ng hay s\u00f3ng Q xu\u1ea5t hi\u1ec7n \u1edf chuy\u1ec3n \u0111\u1ea1o n\u00e0o sau \u0111\u00e2y:<\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1626974165804\"} -->\r\n<ul>\r\n<li>V1-V3: tr\u01b0\u1edbc v\u00e1ch<\/li>\r\n<li>V1-V6, c\u00f3 th\u1ec3 k\u00e8m DI, aVL: tr\u01b0\u1edbc r\u1ed9ng<\/li>\r\n<li>V4-V6: tr\u01b0\u1edbc b\u00ean, m\u1ecfm<\/li>\r\n<li>V7-V9: th\u00e0nh sau<\/li>\r\n<li>DII, DIII, aVF: th\u00e0nh d\u01b0\u1edbi<\/li>\r\n<li>V3R, V4R: th\u1ea5t ph\u1ea3i<\/li>\r\n<\/ul>\r\n<!-- \/wp:list -->\r\n\r\n<!-- wp:heading {\"canvasClassName\":\"cnvs-block-core-heading-1626974281804\"} -->\r\n<h2>K\u1ebft lu\u1eadn<\/h2>\r\n<!-- \/wp:heading -->\r\n\r\n<!-- wp:paragraph {\"canvasClassName\":\"cnvs-block-core-paragraph-1626974165822\"} -->\r\n<p>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00e0 x\u00e9t nghi\u1ec7m quan tr\u1ecdng, c\u1ea7n l\u00e0m ngay trong v\u00f2ng 10 ph\u00fat k\u1ec3 t\u1eeb khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n, so s\u00e1nh v\u1edbi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u0169 v\u00e0 n\u00ean \u0111o nhi\u1ec1u l\u1ea7n \u0111\u1ec3 theo d\u00f5i di\u1ec5n ti\u1ebfn. \u0110\u1ec3 nh\u1eadn bi\u1ebft \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a m\u1ed9t \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u1ed3i m\u00e1u c\u01a1 tim, c\u1ea7n ch\u1ee7 \u00fd c\u00e1c d\u1ea5u hi\u1ec7u \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec3 c\u1eadp. N\u1ebfu \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ea7u ti\u00ean kh\u00f4ng g\u1ee3i \u00fd ch\u1ea9n \u0111o\u00e1n, n\u00ean \u0111o l\u1ea1i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 sau m\u1ed7i 15-30 ph\u00fat trong v\u00f2ng 1 gi\u1edd \u0111\u1ea7u hay g\u1eafn monitoring theo d\u00f5i b\u1ec7nh nh\u00e2n.<\/p>\r\n<p><em><strong>Ngu\u1ed3n tham kh\u1ea3o:<\/strong><\/em><\/p>\r\n<!-- \/wp:paragraph -->\r\n\r\n<!-- wp:canvas\/collapsibles {\"canvasClassName\":\"cnvs-block-collapsibles-1628617882071\",\"canvasLocation\":\"root\",\"count\":1} -->\r\n\r\n<!-- wp:canvas\/collapsible {\"canvasClassName\":\"cnvs-block-collapsible-1628617882124\",\"canvasLocation\":\"default\",\"title\":\"T\u01b0 li\u1ec7u tham kh\u1ea3o\"} -->\r\n\r\n<!-- wp:list {\"canvasClassName\":\"cnvs-block-core-list-1628617948641\"} -->\r\n<ul>\r\n<li><span style=\"font-size: revert; color: var(--cs-color-primary); font-family: var(--cs-font-base-family), sans-serif; font-style: var(--cs-font-base-style); font-weight: var(--cs-font-base-weight); letter-spacing: var(--cs-font-base-letter-spacing);\">M. Gertsch. The ECG manual: An Evidence-Based Approach. Springer- Verlag London Limited, 2009.<\/span><\/li>\r\n<li>B\u00e0i gi\u1ea3ng H\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p, BS CKII ThS L\u00ea T\u1ef1 Ph\u01b0\u01a1ng Th\u00fay.<\/li>\r\n<\/ul>\r\n<p>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>.<\/p>\r\n<!-- \/wp:list --><!-- \/wp:canvas\/collapsible --><!-- \/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\"><\/iframe><\/p>\r\n<!-- \/wp:html -->","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 nh\u1eefng \u0111\u1eb7c t\u00ednh gi\u00fap b\u00e1c s\u0129 nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng v\u00e0 c\u1ea5p c\u1ee9u b\u1ec7nh nh\u00e2n. Kho\u1ea3ng 40 \u0111\u1ebfn 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 qua bi\u1ebfn \u0111\u1ed5i [&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":[689,690],"class_list":["post-103384","post","type-post","status-publish","format-standard","hentry","category-tim-mach","tag-cach-doc-dien-tam-do-nhoi-mau-co-tim","tag-dien-tam-do-nhoi-mau-co-tim"],"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\/103384","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=103384"}],"version-history":[{"count":4,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103384\/revisions"}],"predecessor-version":[{"id":178368,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103384\/revisions\/178368"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103384"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103384"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}