Ng\u00e0y nay, ng\u01b0\u1eddi ta \u0111\u00e3 s\u00e1ng ch\u1ebf ra r\u1ea5t nhi\u1ec1u lo\u1ea1i m\u00e1y ghi \u0111i\u1ec7n tim \u0111i\u1ec7n t\u1eed v\u00e0 m\u1ee9c \u0111\u1ed9 ti\u1ec7n l\u1ee3i cao. C\u00e1c m\u00e1y \u0111\u00f3 c\u00f3 b\u1ed9 ph\u1eadn khu\u1ebfch \u0111\u1ea1i b\u1eb1ng thi\u1ebft b\u1ecb vi \u0111i\u1ec7n t\u1eed v\u00e0 ghi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 tr\u1ef1c ti\u1ebfp l\u00ean gi\u1ea5y.\u00a0<\/p>\r\n\r\n\r\n\r\n
Ngo\u00e0i ra c\u00f2n hi\u1ec7n \u0111\u1ea1i h\u01a1n, nh\u1eefng m\u00e1y c\u00f2n c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t hay nhi\u1ec1u k\u00eanh truy\u1ec1n t\u00edn hi\u1ec7u cho ph\u00e9p ghi \u0111\u1ed3ng th\u1eddi \u0111\u01b0\u1ee3c nhi\u1ec1u chuy\u1ec3n \u0111\u1ea1o c\u00f9ng m\u1ed9t l\u00fac v\u00e0 ghi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 li\u00ean t\u1ee5c 24 gi\u1edd tr\u00ean b\u0103ng ghi \u0111i\u1ec7n t\u1eed k\u00edch th\u01b0\u1edbc nh\u1ecf g\u1eafn v\u00e0o ng\u01b0\u1eddi l\u01b0u \u0111\u1ed9ng, g\u1ecdi l\u00e0 thi\u1ebft b\u1ecb Holter ECG 24h.\u00a0<\/p>\r\n\r\n\r\n\r\n Ph\u00e9p ghi \u0111i\u1ec7n tim l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n \u0111\u01a1n gi\u1ea3n, kh\u00f4ng x\u00e2m l\u1ea5n, r\u1ebb ti\u1ec1n m\u00e0 gi\u00fap ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n v\u00e0 b\u1ec7nh m\u1ea1ch v\u00e0nh c\u1ee7a tim.\u00a0<\/p>\r\n\r\n\r\n\r\n Ngo\u00e0i ra \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f2n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u kh\u00e1c li\u00ean quan \u0111\u1ebfn nh\u1eefng r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a – \u0111i\u1ec7n gi\u1ea3i ( t\u0103ng h\u1ea1 kali m\u00e1u ) hay t\u0103ng nh\u1ea1y c\u1ea3m v\u1edbi \u0111\u1ed9i t\u1eed do tim ( H\u1ed9i ch\u1ee9ng QT k\u00e9o d\u00e0i )<\/p>\r\n\r\n\r\n\r\n Nh\u00ecn chung c\u0169ng gi\u1ed1ng nh\u01b0 c\u00e1ch ghi c\u00e1c \u0111\u01b0\u1eddng cong bi\u1ebfn thi\u00ean tu\u1ea7n ho\u00e0n kh\u00e1c: ng\u01b0\u1eddi ta m\u1eafc c\u00e1c chuy\u1ec3n \u0111\u1ea1o v\u00e0o v\u1ecb tr\u00ed ph\u00f9 h\u1ee3p r\u1ed3i cho d\u00f2ng \u0111i\u1ec7n tim ghi nh\u1eadn \u0111\u01b0\u1ee3c t\u00e1c \u0111\u1ed9ng l\u00ean m\u1ed9t b\u00fat ghi l\u00e0m b\u00fat ghi n\u00e0y dao \u0111\u1ed9ng qua l\u1ea1i, l\u00ean xu\u1ed1ng v\u00e0 v\u1ebd l\u00ean m\u1eb7t t\u1edd gi\u1ea5y c\u00f3 s\u1eb5n.<\/p>\r\n\r\n\r\n\r\n M\u1ed9t \u0111\u1ed9ng c\u01a1 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf s\u1eb5n \u0111i\u1ec1u khi\u1ec3n c\u00e2y b\u00fat chuy\u1ec3n \u0111\u1ed9ng \u0111\u1ec1u v\u00e0 li\u00ean t\u1ee5c theo m\u1ed9t v\u1eadn t\u1ed1c quy \u01b0\u1edbc tr\u01b0\u1edbc c\u1ee7a ng\u01b0\u1eddi v\u1eadn h\u00e0nh thi\u1ebft b\u1ecb, nh\u01b0 th\u1ebf ta \u0111\u01b0\u1ee3c m\u1ed9t \u0111\u01b0\u1eddng cong tu\u1ea7n ho\u00e0n g\u1ed3m nhi\u1ec1u \u0111\u01b0\u1eddng s\u00f3ng bi\u1ebfn thi\u00ean theo th\u1eddi gian ch\u00ednh l\u00e0 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/p>\r\n\r\n\r\n\r\n Nh\u01b0 v\u1eady, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 s\u1ebd l\u00e0 m\u1ed9t \u0111\u1ed3 th\u1ecb v\u1edbi tr\u1ee5c ho\u00e0nh l\u00e0 \u0111\u01a1n v\u1ecb th\u1eddi gian v\u00e0 tr\u1ee5c tung l\u00e0 \u0111\u01a1n v\u1ecb \u0111\u1ed9 \u0111i\u1ec7n th\u1ebf c\u1ee7a d\u00f2ng \u0111i\u1ec7n tim. T\u00f9y thu\u1ed9c \u0111i\u1ec7n th\u1ebf n\u00e0y cao hay th\u1ea5p, b\u0103ng ghi tr\u00ean gi\u1ea5y s\u1ebd c\u00f3 l\u00e0n s\u00f3ng c\u00f3 bi\u00ean \u0111\u1ed9 tr\u1ee5c tung cao hay th\u1ea5p.\u00a0<\/p>\r\n\r\n\r\n\r\n D\u00f2ng \u0111i\u1ec7n lan truy\u1ec1n trong tim \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi ba th\u00e0nh ph\u1ea7n l\u00e0 c\u00e1c t\u1ebf b\u00e0o t\u1ea1o nh\u1ecbp tim, m\u00f4 d\u1eabn truy\u1ec1n bi\u1ec7t h\u00f3a v\u00e0 b\u1ea3n th\u00e2n c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim.<\/p>\r\n\r\n\r\n\r\n Tuy nhi\u00ean, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ch\u1ec9 ghi \u0111i\u1ec7n th\u1ebf kh\u1eed c\u1ef1c (k\u00edch th\u00edch) v\u00e0 t\u00e1i c\u1ef1c (h\u1ed3i ph\u1ee5c) ph\u00e1t ra t\u1eeb c\u01a1 nh\u0129 v\u00e0 c\u01a1 th\u1ea5t c\u1ee7a bu\u1ed3ng tim.<\/p>\r\n\r\n\r\n\r\n L\u00e0 qu\u00e1 tr\u00ecnh \u0111\u1ea7u ti\u00ean c\u1ee7a co b\u00f3p c\u01a1 tim. Trong tr\u1ea1ng th\u00e1i ngh\u1ec9, c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim b\u1ecb ph\u00e2n c\u1ef1c do s\u1ef1 t\u00edch \u0111i\u1ec7n tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a ch\u00fang g\u00e2y ra b\u1edfi s\u1ef1 kh\u00e1c bi\u1ec7t n\u1ed3ng \u0111\u1ed9 ion qua m\u00e0ng t\u1ebf b\u00e0o.\u00a0<\/p>\r\n\r\n\r\n\r\n Khi c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim b\u1ecb k\u00edch th\u00edch v\u01b0\u1ee3t qu\u00e1 \u0111i\u1ec7n th\u1ebf ng\u01b0\u1ee1ng, ch\u00fang s\u1ebd nhanh ch\u00f3ng kh\u1eed c\u1ef1c<\/strong> v\u00e0 ph\u1ee5c h\u1ed3i s\u1ef1 ph\u00e2n c\u1ef1c qua m\u00e0ng t\u1ebf b\u00e0o. Qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c n\u00e0y lan truy\u1ec1n theo d\u1ea1ng s\u00f3ng qua t\u00e2m nh\u0129 v\u00e0 t\u00e2m th\u1ea5t l\u00e0m tim co b\u00f3p to\u00e0n b\u1ed9.\u00a0<\/p>\r\n\r\n\r\n\r\n S\u1ef1 tr\u1edf l\u1ea1i tr\u1ea1ng th\u00e1i ngh\u1ec9 ban \u0111\u1ea7u c\u1ee7a c\u00e1c s\u1ee3i c\u01a1 tim khi kh\u00f4ng c\u00f2n b\u1ecb k\u00edch th\u00edch \u0111i\u1ec7n th\u1ebf n\u1eefa, gi\u00fap h\u1ed3i ph\u1ee5c s\u1ef1 ph\u00e2n c\u1ef1c b\u00ecnh th\u01b0\u1eddng c\u1ee7a t\u1ebf b\u00e0o \u0111\u1ec3 s\u1eb5n s\u00e0ng \u0111\u00f3n nh\u1eadn m\u1ed9t k\u00edch th\u00edch m\u1edbi.<\/p>\r\n\r\n\r\n\r\n Thi\u1ebft b\u1ecb \u0111\u00f3n nh\u1eadn s\u00f3ng \u0111i\u1ec7n t\u1eeb tim v\u00e0 gi\u1ea5y b\u0103ng ghi k\u1ebft \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 s\u1ebd g\u1ed3m 12 chuy\u1ec3n \u0111\u1ea1o c\u01a1 b\u1ea3n, chia th\u00e0nh 2 nh\u00f3m l\u1edbn:<\/p>\r\n\r\n\r\n\r\n \u0110\u00f4i khi c\u00f3 th\u1ec3 c\u1ea7n m\u1eafc th\u00eam c\u00e1c chuy\u1ec3n \u0111\u1ea1o \u0111\u1ec3 kh\u1ea3o s\u00e1t ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd: V3R, V4R, V7, V8 v\u00e0 V9.\u00a0<\/p>\r\n\r\n\r\n\r\n M\u1ed7i m\u1ed9t \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, c\u1ea7n kh\u1ea3o s\u00e1t c\u00f3 h\u1ec7 th\u1ed1ng<\/strong> \u0111\u1ea7y \u0111\u1ee7 t\u1eeb tr\u00ean xu\u1ed1ng c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m:<\/p>\r\n\r\n\r\n\r\n \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00e0 k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n hi\u1ec7n \u0111\u1ea1i ph\u1ed5 bi\u1ebfn v\u00e0 kh\u00f4ng x\u00e2m l\u1ea5n g\u00e2y \u0111au cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhanh \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u1ea5p c\u1ee9u v\u00e0 t\u1ea7m so\u00e1t c\u00e1c b\u1ec7nh tim m\u1edbi xu\u1ea5t hi\u1ec7n. Vi\u1ec7c t\u1ea7m so\u00e1t b\u1ec7nh tim m\u1ea1ch c\u1ea7n th\u1ef1c hi\u1ec7n \u0111\u1ecbnh k\u1ef3, th\u01b0\u1eddng xuy\u00ean \u0111\u1eb7c bi\u1ec7t v\u1edbi ng\u01b0\u1eddi t\u1eeb trung ni\u00ean \u0111\u1ebfn cao tu\u1ed5i.<\/p>\r\n Vitamin E l\u00e0 m\u1ed9t ch\u1ea5t ch\u1ed1ng oxy h\u00f3a m\u1ea1nh m\u1ebd, gi\u00fap b\u1ea3o v\u1ec7 tim m\u1ea1ch b\u1eb1ng c\u00e1ch ng\u0103n ng\u1eeba s\u1ef1 oxy h\u00f3a cholesterol x\u1ea5u, b\u1ea3o v\u1ec7 t\u1ebf b\u00e0o n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u, gi\u1ea3m vi\u00eam v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ti\u1ec3u c\u1ea7u. \u0110\u1ec3 b\u1ed5 sung vitamin E, b\u1ea1n c\u00f3 th\u1ec3 \u0103n c\u00e1c lo\u1ea1i h\u1ea1t, d\u1ea7u th\u1ef1c v\u1eadt, tr\u00e1i c\u00e2y v\u00e0 rau xanh ho\u1eb7c t\u1eeb vi\u00ean u\u1ed1ng ENAT<\/a>. Tuy nhi\u00ean, n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 tr\u01b0\u1edbc khi b\u1ed5 sung vitamin E \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\r\n M\u1eddi b\u1ea1n tham kh\u1ea3o G\u00f3i x\u00e9t nghi\u1ec7m tim m\u1ea1ch<\/a> t\u1ea1i Docosan.<\/p>\r\n\r\n\r\n\r\n![\"dien-tam-do\"](\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/1060fig01.gif\")
\r\n\u00dd ngh\u0129a c\u1ee7a \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/h2>\r\n\r\n\r\n\r\n
\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\r\n\r\n\r\n\r\n
Ph\u01b0\u01a1ng ph\u00e1p ghi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3\u00a0<\/h3>\r\n\r\n\r\n\r\n
\u0110i\u1ec7n sinh l\u00fd c\u1ee7a tim<\/h3>\r\n\r\n\r\n\r\n
Kh\u1eed c\u1ef1c\u00a0<\/h4>\r\n\r\n\r\n\r\n
T\u00e1i ph\u00e2n c\u1ef1c<\/h4>\r\n\r\n\r\n\r\n
\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 b\u00ecnh th\u01b0\u1eddng<\/h2>\r\n\r\n\r\n\r\n
\r\n
\r\n
![\"dien-tam-do\"](\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/imager_1631.gif\")
\r\nNh\u1eefng l\u01b0u \u00fd khi th\u1ef1c hi\u1ec7n \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/h2>\r\n\r\n\r\n\r\n
Tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n:<\/h3>\r\n\r\n\r\n\r\n
\r\n
\u00a0Trong l\u00fac th\u1ef1c hi\u1ec7n:<\/h3>\r\n\r\n\r\n\r\n
\r\n
L\u1eddi khuy\u00ean t\u1eeb b\u00e1c s\u0129<\/h2>\r\n\r\n\r\n\r\n