{"id":105845,"date":"2023-07-17T00:00:00","date_gmt":"2023-07-17T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/dien-tim\/"},"modified":"2025-07-17T21:47:35","modified_gmt":"2025-07-17T14:47:35","slug":"dien-tim","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tim-mach\/dien-tim\/","title":{"rendered":"\u0110i\u1ec7n tim l\u00e0 g\u00ec? \u0110o \u0111i\u1ec7n tim (\u0111i\u1ec7n t\u00e2m \u0111\u1ed3) \u0111\u1ec3 l\u00e0m g\u00ec?"},"content":{"rendered":"<p><script>\r\n    window.addEventListener(\"load\", function () {\r\n      \/\/ Change right desktop block image\r\n      var adBlockRight = document.getElementById('docosan_blog_ad-3');\r\n      if (adBlockRight) {\r\n        var imgBlockRight = adBlockRight.getElementsByTagName('img');\r\n        var imgLinkRight = \"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/Banner-bottom-mobile.jpg\";\r\n        \r\n        if (imgBlockRight.length > 0) {\r\n          imgBlockRight[0].setAttribute(\"src\", imgLinkRight);\r\n          imgBlockRight[0].setAttribute(\"data-src\", imgLinkRight);\r\n        }\r\n      }\r\n    });\r\n  <\/script><\/p>\r\n\r\n<p class=\"has-gray-200-background-color has-background wp-block-paragraph\"><strong>\u0110o \u0111i\u1ec7n tim l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra th\u01b0\u1eddng d\u00f9ng khi th\u0103m kh\u00e1m v\u1ec1 c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch. \u0110\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1eeb th\u1ebf k\u1ef7 XIX, hi\u1ec7n \u0111o \u0111i\u1ec7n tim v\u1eabn l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ebft qu\u1ea3 quan tr\u1ecdng d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec1u b\u1ec7nh l\u00fd tim m\u1ea1ch cho b\u1ec7nh nh\u00e2n. V\u1eady \u0111i\u1ec7n tim l\u00e0 g\u00ec, c\u00e1ch \u0111o \u0111i\u1ec7n tim nh\u01b0 th\u1ebf n\u00e0o? Ch\u00fang ta h\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\">Docosan<\/a> t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft n\u00e0y<\/strong>.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec7n tim l\u00e0 g\u00ec?<\/strong><\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>\u0110i\u1ec7n tim<\/strong> l\u00e0 h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n \u0111i\u1ec7n th\u1ebf trong c\u01a1 tim t\u1ea1o n\u00ean qu\u00e1 tr\u00ecnh co b\u00f3p l\u1eb7p l\u1ea1i theo chu k\u1ef3 c\u1ee7a tim, g\u1ed3m c\u00e1c pha:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Pha 0: Kh\u1eed c\u1ef1c nhanh<\/li>\r\n\r\n\r\n\r\n<li>Pha 1: T\u00e1i c\u1ef1c 1 ph\u1ea7n<\/li>\r\n\r\n\r\n\r\n<li>Pha 2: B\u00ecnh nguy\u00ean<\/li>\r\n\r\n\r\n\r\n<li>Pha 3: T\u00e1i kh\u1eed c\u1ef1c\u00a0<\/li>\r\n\r\n\r\n\r\n<li>Pha 4: \u1ed4n \u0111\u1ecbnh<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>\u0110o \u0111i\u1ec7n tim<\/strong> l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n kh\u00f4ng x\u00e2m l\u1ea5n gi\u00fap ki\u1ec3m tra nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 nh\u1ecbp tim v\u00e0 ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim.\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) ch\u00ednh l\u00e0 h\u00ecnh \u1ea3nh d\u01b0\u1edbi d\u1ea1ng \u0111\u1ed3 th\u1ecb ghi l\u1ea1i nh\u1eefng thay \u0111\u1ed5i \u0111i\u1ec7n th\u1ebf c\u1ee7a ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim. \u0110\u1ecdc \u0111i\u1ec7n tim s\u1ebd gi\u00fap h\u00ecnh dung \u0111\u01b0\u1ee3c qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 tim.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-81754\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/dien-tim-1.jpg\" alt=\"\u0111i\u1ec7n tim\" \/>\r\n<figcaption class=\"wp-element-caption\">\u0110o \u0111i\u1ec7n tim \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh tim m\u1ea1ch<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Augustus D. Waller v\u00e0o n\u0103m 1887. Sau \u0111\u00f3 \u0111\u01b0\u1ee3c Willem Einthoven c\u1ea3i ti\u1ebfn d\u1ee5ng c\u1ee5 v\u00e0 c\u00f4ng th\u1ee9c ghi \u0111i\u1ec7n v\u00e0o n\u0103m 1895. Nh\u1eefng \u0111\u00f3ng g\u00f3p to l\u1edbn trong h\u01a1n 10 n\u0103m ti\u1ebfp theo c\u1ee7a \u00f4ng \u0111\u00e3 gi\u00fap ho\u00e0n thi\u1ec7n d\u1ea7n k\u0129 thu\u1eadt \u0111o \u0111i\u1ec7n tim v\u00e0 t\u1ea1o n\u00ean d\u1ea5u \u1ea5n y h\u1ecdc to l\u1edbn v\u1ec1 \u0111o \u0111i\u1ec7n tim n\u00f3i ri\u00eang, c\u0169ng nh\u01b0 c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n kh\u00f4ng x\u00e2m l\u1ea5n kh\u00e1c. Cho \u0111\u1ebfn hi\u1ec7n nay, ch\u00fang ta v\u1eabn s\u1eed d\u1ee5ng c\u00e1c thu\u1eadt ng\u1eef v\u00e0 c\u00f4ng th\u1ee9c ghi \u0111i\u1ec7n nh\u01b0 Einthoven ph\u00e1t minh.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">K\u1ec3 t\u1eeb \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ban \u0111\u1ea7u trong l\u1ecbch s\u1eed cho \u0111\u1ebfn m\u1ed9t \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ho\u00e0n ch\u1ec9nh 12 chuy\u1ec3n \u0111\u1ea1o ri\u00eang bi\u1ec7t gi\u00fap ghi l\u1ea1i chuy\u1ec3n \u0111\u1ed9ng \u0111i\u1ec7n th\u1ebf c\u1ee7a t\u1eebng v\u00f9ng c\u01a1 tim, \u0111o \u0111i\u1ec7n tim \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong s\u1ef1 hi\u1ec3u bi\u1ebft c\u1ee7a ch\u00fang ta v\u1ec1 b\u1ec7nh tim. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng c\u00f4ng ngh\u1ec7 \u0111\u1ea7u ti\u00ean b\u1ed5 sung cho c\u00e1c k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng c\u1ee7a b\u00e1c s\u0129 b\u1eb1ng c\u00e1ch cung c\u1ea5p d\u1eef li\u1ec7u kh\u00e1ch quan v\u1ec1 ch\u1ee9c n\u0103ng v\u00e0 c\u1ea5u tr\u00fac c\u1ee7a c\u01a1 th\u1ec3 con ng\u01b0\u1eddi.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\"><strong>\u0110o \u0111i\u1ec7n tim (\u0111i\u1ec7n t\u00e2m \u0111\u1ed3) \u0111\u1ec3 l\u00e0m g\u00ec?<\/strong><\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110o \u0111i\u1ec7n tim c\u00f9ng nh\u1eefng x\u00e9t nghi\u1ec7m kh\u00e1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch. \u0110i\u1ec3n h\u00ecnh nh\u01b0:\u00a0<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh, c\u1ee5 th\u1ec3 nh\u01b0 ph\u00e1t hi\u1ec7n s\u1edbm nh\u1ed3i m\u00e1u c\u01a1 tim: <\/strong>Khi \u0111\u1ed9ng m\u1ea1ch b\u1ecb t\u1eafc ngh\u1ebdn d\u1eabn \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i tr\u00ean c\u01a1 tim nh\u01b0 thi\u1ebfu m\u00e1u, thi\u1ebfu d\u01b0\u1ee1ng kh\u00ed, t\u1ed5n th\u01b0\u01a1ng, co b\u00f3p qu\u00e1 m\u1ee9c, kh\u1ea3 n\u0103ng d\u1eabn truy\u1ec1n \u0111i\u1ec7n c\u1ee7a c\u01a1 s\u1ebd thay \u0111\u1ed5i. S\u1ef1 thay \u0111\u1ed5i \u0111i\u1ec7n th\u1ebf n\u00e0y s\u1ebd ghi nh\u1eadn \u0111\u01b0\u1ee3c tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng gi\u00e1 tr\u1ecb quan tr\u1ecdng nh\u1ea5t c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m kh\u00f4ng x\u00e2m l\u1ea5n n\u00e0y.<\/li>\r\n\r\n\r\n\r\n<li><strong>Ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i nh\u1ecbp tim<\/strong> <strong>b\u1ea5t th\u01b0\u1eddng<\/strong> t\u1ea1i v\u1ecb tr\u00ed ph\u00e1t nh\u1ecbp (n\u00fat xoang, n\u00fat nh\u0129 nh\u1ea5t, c\u01a1 tim) v\u00e0 d\u1eabn truy\u1ec1n m\u1ed9t chi\u1ec1u c\u1ee7a tim s\u1ebd cho th\u1ea5y h\u00ecnh \u1ea3nh nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/li>\r\n\r\n\r\n\r\n<li><strong>Ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n<\/strong> <strong>nh\u1ecbp tim<\/strong> trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb block nh\u0129 th\u1ea5t, rung nh\u0129.<\/li>\r\n\r\n\r\n\r\n<li><strong>Ph\u00e1t hi\u1ec7n s\u1ef1 c\u1ed1 c\u1ee7a m\u00e1y t\u1ea1o nh\u1ecbp tim ho\u1eb7c thi\u1ebft b\u1ecb kh\u1eed rung tim<\/strong>, \u0111\u00e1nh gi\u00e1 ch\u01b0\u01a1ng tr\u00ecnh v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a ch\u00fang, x\u00e1c minh ph\u00e2n t\u00edch r\u1ed1i lo\u1ea1n nh\u1ecbp tim v\u00e0 theo d\u00f5i \u0111\u1ec3 cung c\u1ea5p nh\u1ecbp \u0111i\u1ec7n th\u00edch h\u1ee3p \u1edf b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng m\u00e1y kh\u1eed rung tim v\u00e0 m\u00e1y t\u1ea1o nh\u1ecbp tim.<\/li>\r\n\r\n\r\n\r\n<li><strong>Theo d\u00f5i t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 <\/strong>c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c thu\u1ed1c v\u1ec1 tim m\u1ea1ch, ho\u1eb7c c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean h\u1ec7 tim m\u1ea1ch.<\/li>\r\n\r\n\r\n\r\n<li><strong>\u00a0Ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 thay \u0111\u1ed5i sinh ho\u00e1 v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i <\/strong>v\u00ec \u0111i\u1ec7n tim l\u00e0 do s\u1ef1 di chuy\u1ec3n c\u1ee7a c\u00e1c ion nh\u01b0 natri, calci, kali, v.v&#8230;. Khi c\u00f3 thay \u0111\u1ed5i l\u1edbn trong n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t n\u00e0y, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 kh\u1ea3 n\u0103ng thay \u0111\u1ed5i.<\/li>\r\n\r\n\r\n\r\n<li><strong>Ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 <\/strong><a href=\"https:\/\/vi.wikipedia.org\/w\/index.php?title=Ng%E1%BB%99_%C4%91%E1%BB%99c_thu%E1%BB%91c&amp;action=edit&amp;redlink=1\" target=\"_blank\" rel=\"noopener\"><strong>ng\u1ed9 \u0111\u1ed9c thu\u1ed1c<\/strong><\/a> nh\u01b0 digoxin, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m,&#8230;<\/li>\r\n<\/ul>\r\n<p>B\u1ea1n v\u1eeba t\u00ecm hi\u1ec3u v\u1ec1 nh\u1eefng gi\u00e1 tr\u1ecb quan tr\u1ecdng c\u1ee7a vi\u1ec7c \u0111o \u0111i\u1ec7n tim \u2013 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thi\u1ebft y\u1ebfu gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 theo d\u00f5i c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch nghi\u00eam tr\u1ecdng nh\u01b0 b\u1ec7nh m\u1ea1ch v\u00e0nh, nh\u1ed3i m\u00e1u c\u01a1 tim, hay r\u1ed1i lo\u1ea1n nh\u1ecbp tim. Ch\u1ee7 \u0111\u1ed9ng b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe tim m\u1ea1ch l\u00e0 \u0111i\u1ec1u v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft, nh\u01b0ng ch\u00fang ta c\u0169ng kh\u00f4ng th\u1ec3 b\u1ecf qua g\u00e1nh n\u1eb7ng t\u00e0i ch\u00ednh c\u00f3 th\u1ec3 ph\u00e1t sinh n\u1ebfu r\u1ee7i ro kh\u00f4ng may x\u1ea3y ra.<\/p>\r\n<p>N\u1ebfu b\u1ea1n \u0111ang t\u00ecm ki\u1ebfm gi\u1ea3i ph\u00e1p gi\u00fap ph\u00f2ng ng\u1eeba s\u1edbm v\u00e0 b\u1ea3o v\u1ec7 t\u00e0i ch\u00ednh khi r\u1ee7i ro s\u1ee9c kh\u1ecfe tim m\u1ea1ch x\u1ea3y ra, h\u00e3y \u0111\u1ec3 l\u1ea1i th\u00f4ng tin c\u1ee7a b\u1ea1n v\u00e0o form b\u00ean d\u01b0\u1edbi \u0111\u1ec3 nh\u1eadn t\u01b0 v\u1ea5n mi\u1ec5n ph\u00ed.<\/p>\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f171408-o1\" lang=\"vi\" dir=\"ltr\" data-wpcf7-id=\"171408\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/posts\/105845\/#wpcf7-f171408-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Form li\u00ean h\u1ec7\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"171408\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"vi\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f171408-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form-wrapper\">\n  <div class=\"form-group\">\n    <label>H\u1ecd v\u00e0 t\u00ean\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" aria-invalid=\"false\" placeholder=\"Nh\u1eadp h\u1ecd v\u00e0 t\u00ean\" value=\"\" type=\"text\" name=\"fullname\" \/><\/span>\n    <\/label>\n  <\/div>\n\n  <div class=\"form-group\">\n    <label>S\u1ed1 \u0111i\u1ec7n tho\u1ea1i<span class=\"required\">*<\/span>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-input\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nh\u1eadp s\u1ed1 \u0111i\u1ec7n tho\u1ea1i\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n    <\/label>\n  <\/div>\n\n  <input class=\"wpcf7-form-control wpcf7-hidden\" id=\"page_url\" value=\"\" type=\"hidden\" name=\"url\" \/>\n  \n\n  <div class=\"form-button-group\">\n    \u3000<input class=\"wpcf7-form-control wpcf7-submit has-spinner form-submit\" type=\"submit\" value=\"Nh\u1eadn cu\u1ed9c g\u1ecdi t\u01b0 v\u1ea5n\" \/>\n  <\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\"><strong>Nh\u1eefng ai c\u1ea7n \u0111o \u0111i\u1ec7n tim?<\/strong><\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Khi b\u1ea1n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ea3nh b\u00e1o b\u1ec7nh l\u00fd v\u1ec1 tim m\u1ea1ch, b\u1ec7nh nh\u00ean c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n \u0111o l\u00e2m s\u00e0ng. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng \u0111\u00e1ng ch\u00fa \u00fd nh\u01b0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, ch\u00f3ng m\u1eb7t, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, nh\u1ecbp tim nhanh, nh\u1ecbp tim ch\u1eadm v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng bao g\u1ed3m h\u1ea1 th\u00e2n nhi\u1ec7t, ti\u1ebfng th\u1ed5i, s\u1ed1c, h\u1ea1 huy\u1ebft \u00e1p v\u00e0 t\u0103ng huy\u1ebft \u00e1p.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra khi b\u1ec7nh nh\u00e2n c\u1ea7n ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111o \u0111i\u1ec7n tim trong su\u1ed1t qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n gi\u1ea3i ph\u1eabu. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00fac n\u00e0y l\u00e0 ch\u1ec9 s\u1ed1 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110o \u0111i\u1ec7n tim c\u0169ng l\u00e0 c\u00f4ng c\u1ee5 \u0111\u1ec3 s\u00e0ng l\u1ecdc s\u1ee9c kho\u1ebb khi tham gia ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao \u0111\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh c\u01a1 tim.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">C\u00e1c lo\u1ea1i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00f3 3 lo\u1ea1i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3:\u00a0<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 khi ngh\u1ec9 ng\u01a1i<\/strong> &#8211; \u0111\u01b0\u1ee3c \u0111o khi b\u1ea1n th\u1ea3 l\u1ecfng, t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i<\/li>\r\n\r\n\r\n\r\n<li><strong>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 g\u1eafng s\u1ee9c<\/strong> &#8211; \u0111\u01b0\u1ee3c \u0111o khi b\u1ea1n \u0111ang ho\u1ea1t \u0111\u1ed9ng g\u1eafng s\u1ee9c v\u00ed d\u1ee5 nh\u01b0 khi s\u1eed d\u1ee5ng xe \u0111\u1ea1p hay m\u00e1y ch\u1ea1y b\u1ed9<\/li>\r\n\r\n\r\n\r\n<li><strong>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u01b0u \u0111\u1ed9ng (ECG Holter)<\/strong> &#8211; \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u01b0\u1ee3c ghi l\u1ea1i li\u00ean t\u1ee5c trong kho\u1ea3ng 24 &#8211; 48 gi\u1edd. C\u00e1c thi\u1ebft b\u1ecb \u0111i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i v\u1edbi m\u1ed9t m\u00e1y x\u00e1ch tay nh\u1ecf \u0111eo \u1edf th\u1eaft l\u01b0ng \u0111\u1ec3 ghi l\u1ea1i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 m\u1ed9t c\u00e1ch li\u00ean t\u1ee5c.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-81756\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/dien-tim-3.jpg\" alt=\"\u0111i\u1ec7n tim\" \/>\r\n<figcaption class=\"wp-element-caption\">C\u00f3 3 d\u1ea1ng \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 kh\u00e1c nhau c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh tu\u1ef3 thu\u1ed9c t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tu\u1ef3 thu\u1ed9c v\u00e0o tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh m\u00e0 b\u00e1n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111o \u0111i\u1ec7n tim theo m\u1ed9t trong 3 c\u00e1ch tr\u00ean. V\u00ed d\u1ee5 nh\u01b0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n xu\u1ea5t hi\u1ec7n b\u1ea5t ng\u1edd, ng\u1eabu nhi\u00ean v\u00e0 kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c l\u00fac th\u0103m kh\u00e1m, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1ebd ch\u1ec9 \u0111\u1ecbnh b\u1ea1n th\u1ef1c hi\u1ec7n ECG Holter, ho\u1eb7c n\u1ebfu tri\u1ec7u ch\u1ee9ng ch\u1ec9 xu\u1ea5t hi\u1ec7n khi v\u1eadn \u0111\u1ed9ng qu\u00e1 s\u1ee9c, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 g\u1eafng s\u1ee9c.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Quy tr\u00ecnh \u0111o \u0111i\u1ec7n tim nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">V\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111o \u0111i\u1ec7n tim, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c d\u00e1n m\u1ed9t s\u1ed1 c\u1ea3m bi\u1ebfn nh\u1ecf nh\u01b0 mi\u1ebfng d\u00e1n h\u00ecnh tr\u00f2n v\u00e0o c\u00e1nh tay, ch\u00e2n v\u00e0 ng\u1ef1c. \u0110\u00e2y l\u00e0 c\u00e1c \u0111i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i v\u1edbi m\u00e1y ghi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 gi\u00fap ghi l\u1ea1i c\u00e1c d\u1eabn truy\u1ec1n \u0111i\u1ec7n th\u1ebf.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1edbc khi g\u1eafn c\u00e1c \u0111i\u1ec7n c\u1ef1c, th\u00f4ng th\u01b0\u1eddng b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea7n c\u1edfi b\u1ecf \u00e1o. \u0110\u00f4i khi, b\u00e1c s\u0129 s\u1ebd y\u00eau c\u1ea7u c\u1ea1o l\u00f4ng ng\u1ef1c \u0111\u1ec3 gi\u00fap mi\u1ebfng d\u00e1n \u0111i\u1ec7n c\u1ef1c b\u00e1m d\u00ednh h\u01a1n. Khi \u0111o, c\u1ea7n ph\u1ea3i \u0111\u1eb7t ch\u00ednh x\u00e1c c\u00e1c mi\u1ebfng \u0111i\u1ec7n c\u1ef1c ghi c\u00e1c chuy\u1ec3n \u0111\u1ea1o chi v\u00e0 tr\u01b0\u1edbc tim \u0111\u1ec3 tr\u00e1nh hi\u1ec3u sai v\u1ec1 v\u00e9c t\u01a1. Sau khi c\u00e1c mi\u1ebfng d\u00e1n \u0111\u01b0\u1ee3c \u0111\u1eb7t \u0111\u00fang v\u1ecb tr\u00ed, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 m\u1eb7c l\u1ea1i qu\u1ea7n \u00e1o b\u00ecnh th\u01b0\u1eddng v\u00e0 ch\u1edd v\u00e0i ph\u00fat \u0111\u1ec3 \u0111o k\u1ebft qu\u1ea3.\u00a0<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-81758\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/dien-tim-5.jpg\" alt=\"\u0111i\u1ec7n tim\" \/>\r\n<figcaption class=\"wp-element-caption\">\u0110o \u0111i\u1ec7n tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh v\u00e0 cho ra k\u1ebft qu\u1ea3 nhanh ch\u00f3ng<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110o \u0111i\u1ec7n tim l\u00e0 m\u1ed9t k\u0129 thu\u1eadt ti\u1ebfn h\u00e0nh nhanh ch\u00f3ng, an to\u00e0n v\u00e0 kh\u00f4ng c\u00f3 d\u00f2ng \u0111i\u1ec7n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 v\u00e0 kh\u00f4ng c\u00f3 nguy h\u1ea1i g\u00ec \u0111\u1ebfn b\u1ec7nh nh\u00e2n. Tuy v\u1eady, tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh \u0111o, b\u1ec7nh nh\u00e2n c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 \u0111i\u1ec1u nh\u01b0 sau:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Kh\u00f4ng mang b\u1ea5t k\u1ef3 \u0111\u1ed3 v\u1eadt b\u1eb1ng kim lo\u1ea1i n\u00e0o, nh\u01b0 \u0111\u1ed3 trang s\u1ee9c ho\u1eb7c \u0111\u1ed3ng h\u1ed3<\/li>\r\n\r\n\r\n\r\n<li>\u00a0Nhi\u1ec7t \u0111\u1ed9 trong ph\u00f2ng ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1eef \u1edf m\u1ee9c t\u1ed1i \u01b0u \u0111\u1ec3 tr\u00e1nh b\u1ecb run<\/li>\r\n\r\n\r\n\r\n<li>Khai th\u00e1c ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng thu\u1ed1c hay gel d\u00ednh. Tuy ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c da nh\u1ea1y c\u1ea3m v\u1edbi gel d\u00ednh c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 th\u01b0\u1eddng h\u1ebft ngay sau khi th\u00e1o mi\u1ebfng d\u00e1n \u0111i\u1ec7n c\u1ef1c v\u00e0 trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.\u00a0<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n, s\u1ebd c\u00f3 b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean vi\u00ean y t\u1ebf theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n, v\u00e0 n\u1ebfu nh\u01b0 c\u00f3 b\u1ea5t k\u00ec b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 s\u1ee9c kho\u1ebb c\u1ee7a b\u1ec7nh nh\u00e2n, h\u1ecd s\u1ebd nhanh ch\u00f3ng xem x\u00e9t v\u00e0 ng\u1eebng quy tr\u00ecnh.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">\u0110\u1ecdc k\u1ebft qu\u1ea3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">K\u1ebft qu\u1ea3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129 \u0111\u1ecdc v\u00e0 ph\u00e2n t\u00edch \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110\u1ec3 t\u00ecm hi\u1ec3u s\u01a1 qua v\u1ec1 c\u00e1ch \u0111\u1ecdc k\u1ebft qu\u1ea3 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, ch\u00fang ta h\u00e3y c\u00f9ng l\u00e0m quen v\u1edbi c\u00e1c th\u00f4ng s\u1ed1 xu\u1ea5t hi\u1ec7n tr\u00ean k\u1ebft qu\u1ea3.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Bi\u00ean \u0111\u1ed9 v\u00e0 kho\u1ea3ng th\u1eddi gian<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">T\u1ea5t c\u1ea3 c\u00e1c s\u00f3ng tr\u00ean \u0111\u1ed3 th\u1ecb ECG v\u00e0 kho\u1ea3ng th\u1eddi gian gi\u1eefa ch\u00fang c\u00f3 kho\u1ea3ng th\u1eddi gian d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c, ph\u1ea1m vi bi\u00ean \u0111\u1ed9 (\u0111i\u1ec7n \u00e1p) c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c v\u00e0 h\u00ecnh th\u00e1i \u0111i\u1ec3n h\u00ecnh. B\u1ea5t k\u1ef3 sai l\u1ec7ch n\u00e0o so v\u1edbi d\u1ea5u v\u1ebft b\u00ecnh th\u01b0\u1eddng \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng l\u00e0 b\u1ec7nh l\u00fd v\u00e0 do \u0111\u00f3 c\u00f3 \u00fd ngh\u0129a l\u00e2m s\u00e0ng.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 d\u1ec5 \u0111o bi\u00ean \u0111\u1ed9 v\u00e0 kho\u1ea3ng c\u00e1ch, ECG \u0111\u01b0\u1ee3c in tr\u00ean gi\u1ea5y k\u1ebb \u00f4 vu\u00f4ng \u1edf t\u1ef7 l\u1ec7 ti\u00eau chu\u1ea9n: m\u1ed7i 1 mm (m\u1ed9t \u00f4 nh\u1ecf tr\u00ean gi\u1ea5y ECG 25 mm\/s ti\u00eau chu\u1ea9n) bi\u1ec3u th\u1ecb 40 mili gi\u00e2y th\u1eddi gian tr\u00ean tr\u1ee5c x v\u00e0 0,1 miliv\u00f4n tr\u00ean tr\u1ee5c y.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-81757\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/dien-tim-4.jpg\" alt=\"\u0111i\u1ec7n tim\" \/>\r\n<figcaption class=\"wp-element-caption\">M\u1ecdi b\u1ea5t th\u01b0\u1eddng tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ec1u c\u00f3 th\u1ec3 c\u1ea3nh b\u00e1o nguy c\u01a1 tim m\u1ea1ch<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Nh\u1ecbp tim<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Nh\u1ecbp b\u00ecnh th\u01b0\u1eddng g\u1ecdi l\u00e0 nh\u1ecbp Xoang, \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi xung \u0111\u1ed9ng \u0111i\u1ec7n h\u00ecnh th\u00e0nh trong n\u00fat xoang nh\u0129. Nh\u1ecbp xoang \u0111\u1eb7c tr\u01b0ng b\u1edfi:<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li>S\u00f3ng P \u0111\u1ed3ng d\u1ea1ng tr\u00ean c\u00f9ng m\u1ed9t chuy\u1ec3n \u0111\u1ea1o.<\/li>\r\n\r\n\r\n\r\n<li>S\u00f3ng P (+) \u1edf DII, aVF; P (-) \u1edf aVR<\/li>\r\n\r\n\r\n\r\n<li>M\u1ed7i s\u00f3ng P \u0111i k\u00e8m v\u1edbi m\u1ed9t QRS<\/li>\r\n\r\n\r\n\r\n<li>PR\/PQ h\u1eb1ng \u0111\u1ecbnh v\u00e0 trong gi\u1edbi h\u1ea1n 0,12- 0,20s<\/li>\r\n\r\n\r\n\r\n<li>PP d\u00e0i nh\u1ea5t \u2013 PP ng\u1eafn nh\u1ea5t &lt; 0,16s<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Nh\u1ecbp b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 g\u1ee3i \u00fd \u0111\u1ebfn r\u1ed1i lo\u1ea1n nh\u1ecbp tim b\u1eaft ngu\u1ed3n t\u1eeb t\u00e2m nh\u0129 hay t\u00e2m th\u1ea5t. V\u00ed d\u1ee5, kh\u00f4ng th\u1ec3 th\u1ea5y s\u00f3ng P th\u1ef1c s\u1ef1 trong rung nh\u0129 do ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u00e2m nh\u0129 r\u1ea5t nhanh. Ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 xung \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn t\u00e2m th\u1ea5t l\u00e0m cho nh\u1ecbp \u0111i\u1ec7u kh\u00f4ng \u0111\u1ec1u \u0111\u1eb7n.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>T\u1ea7n s\u1ed1<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 t\u00ednh to\u00e1n t\u1ea7n s\u1ed1 m\u1ed9t c\u00e1ch \u0111\u01a1n gi\u1ea3n, c\u00f3 th\u1ec3 chia 300 cho s\u1ed1 \u00f4 vu\u00f4ng l\u1edbn ho\u1eb7c 1500 cho s\u1ed1 \u00f4 vu\u00f4ng nh\u1ecf gi\u1eefa hai s\u00f3ng R. \u0110\u1ed1i v\u1edbi nh\u1ecbp kh\u00f4ng \u0111\u1ec1u, h\u00e3y \u0111\u1ebfm s\u1ed1 nh\u1ecbp trong d\u1ea3i 10 gi\u00e2y r\u1ed3i nh\u00e2n v\u1edbi 6. Nh\u1ecbp tim b\u00ecnh th\u01b0\u1eddng l\u00e0 60 \u0111\u1ebfn 99 nh\u1ecbp m\u1ed7i ph\u00fat. N\u1ebfu nh\u1ecf h\u01a1n 60, n\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nh\u1ecbp tim ch\u1eadm v\u00e0 n\u1ebfu l\u1edbn h\u01a1n 100\/ph\u00fat, n\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nh\u1ecbp tim nhanh.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Tr\u1ee5c \u0111i\u1ec7n tim\u00a0<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tr\u1ee5c \u0111i\u1ec7n c\u1ee7a tim l\u00e0 h\u01b0\u1edbng trung b\u00ecnh c\u1ee7a \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng \u0111i qua t\u00e2m th\u1ea5t trong qu\u00e1 tr\u00ecnh k\u00edch ho\u1ea1t th\u1ea5t (kh\u1eed c\u1ef1c). Tr\u1ee5c \u0111i\u1ec7n tim \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng QRS, d\u1ef1a v\u00e0o bi\u00ean \u0111\u1ed9 \u0111\u1ea1i s\u1ed1 c\u1ee7a c\u00e1c vect\u01a1 \u0111o \u0111\u01b0\u1ee3c t\u1ea1i c\u00e1c chuy\u1ec3n \u0111\u1ea1o ngo\u1ea1i bi\u00ean<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>S\u00f3ng P\u00a0<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">S\u00f3ng P d\u00f9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem nh\u1ecbp tim c\u00f3 xu\u1ea5t ph\u00e1t t\u1eeb n\u00fat xoang (nh\u1ecbp xoang) hay kh\u00f4ng. S\u00f3ng P h\u00ecnh th\u00e0nh do qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c t\u00e2m nh\u0129 (c\u1ea3 nh\u0129 tr\u00e1i v\u00e0 nh\u0129 ph\u1ea3i), b\u00ecnh th\u01b0\u1eddng bi\u00ean \u0111\u1ed9 c\u1ee7a s\u00f3ng P th\u01b0\u1eddng d\u01b0\u1edbi 2mm (0.2mmV), v\u00e0 th\u1eddi gian c\u1ee7a s\u00f3ng P l\u00e0 t\u1eeb 0.08 \u0111\u1ebfn 0.1 gi\u00e2y, vi\u1ec7c t\u0103ng bi\u00ean \u0111\u1ed9 v\u00e0 k\u00e9o d\u00e0i th\u1eddi gian c\u1ee7a s\u00f3ng g\u1ee3i \u00fd \u0111\u1ebfn m\u1ed9t t\u00ecnh tr\u1ea1ng t\u00e2m nh\u0129 l\u1edbn\u00a0<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Kho\u1ea3ng PR\u00a0<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng PR l\u00e0 th\u1eddi gian t\u1eeb khi b\u1eaft \u0111\u1ea7u kh\u1eed c\u1ef1c t\u00e2m nh\u0129 \u0111\u1ebfn khi b\u1eaft \u0111\u1ea7u kh\u1eed c\u1ef1c t\u00e2m th\u1ea5t v\u00e0 bao g\u1ed3m s\u1ef1 ch\u1eadm tr\u1ec5 t\u1ea1i n\u00fat xoang. B\u00ecnh th\u01b0\u1eddng t\u1eeb 0.12 &#8211; 0.2 gi\u00e2y, vi\u1ec7c k\u00e9o d\u00e0i th\u1ec3 hi\u1ec7n qu\u00e1 tr\u00ecnh ch\u1eadm d\u1eabn truy\u1ec1n (do b\u1ecb block).<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Ph\u1ee9c h\u1ee3p QRS<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ph\u1ee9c h\u1ee3p QRS th\u1ec3 hi\u1ec7n qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c c\u1ee7a t\u00e2m th\u1ea5t, t\u00f9y v\u00e0o chi\u1ec1u kh\u1eed c\u1ef1c v\u00e0 v\u1ecb tr\u00ed \u0111\u1eb7t \u0111i\u1ec7n c\u1ef1c m\u00e0 tr\u00ean gi\u1ea5y ghi s\u1ebd cho th\u1ea5y c\u00e1c ph\u1ee9c b\u1ed9 kh\u00e1c nhau, \u01b0u th\u1ebf s\u00f3ng R hay S, b\u00ecnh th\u01b0\u1eddng QRS k\u00e9o d\u00e0i t\u1eeb 0.06 \u0111\u1ebfn 0.1 gi\u00e2y. \u00a0QRS k\u00e9o d\u00e0i c\u00f3 th\u1ec3 cho th\u1ea5y t\u0103ng kali m\u00e1u ho\u1eb7c block nh\u00e1nh. Ng\u01b0\u1ee3c l\u1ea1i, t\u00e2m th\u1ea5t co s\u1edbm ho\u1eb7c nh\u1ecbp th\u1ea5t c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn QRS r\u1ed9ng.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>S\u00f3ng Q<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">S\u00f3ng Q l\u00e0 s\u00f3ng \u00e2m \u0111\u1ea7u ti\u00ean c\u1ee7a ph\u1ee9c b\u1ed9 QRS, N\u00f3 \u0111\u1ea1i di\u1ec7n cho s\u1ef1 kh\u1eed c\u1ef1c c\u1ee7a v\u00e1ch li\u00ean th\u1ea5t. Bi\u00ean \u0111\u1ed9 c\u1ee7a n\u00f3 kh\u00f4ng l\u1edbn h\u01a1n 0,1 mV, do \u0111\u00f3 s\u1ef1 kh\u1eed c\u1ef1c v\u00e1ch ng\u0103n kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y tr\u00ean ECG. M\u1ed9t s\u00f3ng Q s\u00e2u (bi\u00ean \u0111\u1ed9 \u00e2m l\u1edbn) v\u00e0 k\u00e9o d\u00e0i cho th\u1ea5y m\u1ed9t t\u00ecnh tr\u1ea1ng ho\u1ea1i t\u1eed c\u01a1 tim (Trong nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169).<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>S\u00f3ng R\u00a0<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110\u00e2y l\u00e0 s\u00f3ng cao nh\u1ea5t c\u1ee7a ph\u1ee9c h\u1ee3p QRS, \u0111\u1ea1i di\u1ec7n cho k\u00edch th\u00edch \u0111i\u1ec7n khi n\u00f3 \u0111i xu\u1ed1ng t\u00e2m th\u1ea5t trong qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c. S\u00f3ng R t\u0103ng d\u1ea7n bi\u00ean \u0111\u1ed9, di chuy\u1ec3n t\u1eeb ph\u1ea3i sang tr\u00e1i trong c\u00e1c chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc tim v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u1ebfn tr\u00ecnh s\u00f3ng R. S\u00f3ng R gi\u1ea3m d\u1ea7n bi\u00ean \u0111\u1ed9\u00a0 c\u00f3 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n, bao g\u1ed3m c\u1ea3 nh\u1ed3i m\u00e1u c\u01a1 tim tr\u01b0\u1edbc v\u00e1ch ng\u0103n, ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i, \u0111\u1eb7t d\u00e2y d\u1eabn kh\u00f4ng ch\u00ednh x\u00e1c,..<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>S\u00f3ng T<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">L\u00e0 s\u00f3ng theo sau ph\u1ee9c b\u1ed9 QRS, th\u1ec3 hi\u1ec7n qu\u00e1 tr\u00ecnh t\u00e1i c\u1ef1c mu\u1ed9n c\u1ee7a 2 t\u00e2m th\u1ea5t. C\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u00ecnh th\u00e1i s\u00f3ng T bao g\u1ed3m s\u00f3ng T \u0111\u1ea3o ng\u01b0\u1ee3c, ph\u1eb3ng, hai pha ho\u1eb7c h\u00ecnh l\u1ec1u cao. S\u00f3ng T c\u00f3 gi\u00e1 tr\u1ecb r\u1ea5t l\u1edbn trong vi\u1ec7c nh\u1eadn \u0111\u1ecbnh m\u1ed9t t\u00ecnh tr\u1ea1ng c\u01a1 tim thi\u1ebfu m\u00e1u.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>S\u00f3ng U<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110\u00f3 l\u00e0 m\u1ed9t s\u00f3ng nh\u1ecf \u0111i theo s\u00f3ng T. N\u00f3 \u0111\u1ea1i di\u1ec7n cho s\u1ef1 t\u00e1i c\u1ef1c ch\u1eadm c\u1ee7a c\u00e1c c\u01a1 nh\u00fa ho\u1eb7c s\u1ee3i Purkinje (ch\u01b0a r\u00f5). N\u00f3 th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn h\u1ea1 kali m\u00e1u. B\u00ecnh th\u01b0\u1eddng kh\u00f4ng th\u1ea5y s\u00f3ng U tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, n\u1ebfu c\u00f3 th\u00ec l\u00e0 s\u00f3ng nh\u1ecf sau s\u00f3ng T, s\u00f3ng U \u0111\u1ea3o ng\u01b0\u1ee3c hay nh\u00f4 cao nh\u1ecdn g\u1eb7p trong r\u1ea5t nhi\u1ec1u lo\u1ea1i b\u1ec7nh l\u00fd tim (b\u1ec7nh m\u1ea1ch v\u00e0nh, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh van tim, tim b\u1ea9m sinh, b\u1ec7nh l\u00fd c\u01a1 tim, c\u01b0\u1eddng gi\u00e1p, ng\u1ed9 \u0111\u1ed9c, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i,..<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>\u0110o\u1ea1n ST<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110o\u1ea1n ST l\u00e0 s\u1ef1 k\u1ebft th\u00fac qu\u00e1 tr\u00ecnh kh\u1eed c\u1ef1c t\u00e2m th\u1ea5t v\u00e0 b\u1eaft \u0111\u1ea7u qu\u00e1 tr\u00ecnh t\u00e1i c\u1ef1c t\u00e2m th\u1ea5t. Th\u1eddi l\u01b0\u1ee3ng trung b\u00ecnh c\u1ee7a \u0111o\u1ea1n ST nh\u1ecf h\u01a1n 2 \u0111\u1ebfn 3 \u00f4 vu\u00f4ng nh\u1ecf (80 &#8211; 120 ms).<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110o\u1ea1n ST l\u00e0 m\u1ed9t \u0111\u01b0\u1eddng n\u1eb1m ngang v\u1edbi kho\u1ea3ng PR. \u0110o\u1ea1n ST ch\u00eanh l\u00ean ho\u1eb7c h\u1ea1 xu\u1ed1ng t\u1eeb 1 mm tr\u1edf l\u00ean, \u0111\u01b0\u1ee3c \u0111o t\u1ea1i \u0111i\u1ec3m J, l\u00e0 b\u1ea5t th\u01b0\u1eddng. ST ch\u00eanh l\u00ean n\u1ebfu cao h\u01a1n \u0111\u01b0\u1eddng \u0111\u1eb3ng \u0111i\u1ec7n 1mm \u1edf chuy\u1ec3n \u0111\u1ea1o chi v\u00e0 h\u01a1n 2mm \u1edf chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc ng\u1ef1c. ST ch\u00eanh xu\u1ed1ng khi n\u1eb1m d\u01b0\u1edbi \u0111\u01b0\u1eddng \u0111\u1eb3ng \u0111i\u1ec7n h\u01a1n 0.5mm. \u0110o\u1ea1n ST c\u00f3 \u00fd ngh\u0129a c\u1ef1c k\u1ef3 quan tr\u1ecdng trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Kho\u1ea3ng QT<\/strong><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng QT \u0111\u1ea1i di\u1ec7n l\u00e0 th\u1eddi gian ho\u1ea1t h\u00f3a v\u00e0 h\u1ed3i ph\u1ee5c t\u00e2m th\u1ea5t. Kho\u1ea3ng QT b\u00ecnh th\u01b0\u1eddng nh\u1ecf h\u01a1n 400 \u0111\u1ebfn 440 mili gi\u00e2y (ms) ho\u1eb7c 0,4 \u0111\u1ebfn 0,44 gi\u00e2y. Ph\u1ee5 n\u1eef th\u01b0\u1eddng c\u00f3 kho\u1ea3ng QT d\u00e0i h\u01a1n nam gi\u1edbi. Kho\u1ea3ng QT t\u1ec9 l\u1ec7 ngh\u1ecbch v\u1edbi nh\u1ecbp tim.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng QT k\u00e9o d\u00e0i c\u1ea3nh b\u00e1o nguy c\u01a1 tim m\u1ea1ch s\u1eafp x\u1ea3y ra nh\u01b0 r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t nghi\u00eam tr\u1ecdng, bao g\u1ed3m xo\u1eafn \u0111\u1ec9nh, nh\u1ecbp nhanh th\u1ea5t v\u00e0 rung t\u00e2m th\u1ea5t. M\u1ed9t s\u1ed1 nh\u00f3m thu\u1ed1c c\u00f3 th\u1ec3 k\u00e9o d\u00e0i kho\u1ea3ng QT nh\u01b0:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng<\/li>\r\n\r\n\r\n\r\n<li>M\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp<\/li>\r\n\r\n\r\n\r\n<li>Thu\u1ed1c kh\u00e1ng n\u1ea5m, thu\u1ed1c kh\u00e1ng sinh<\/li>\r\n\r\n\r\n\r\n<li>Thu\u1ed1c kh\u00e1ng histamin<\/li>\r\n\r\n\r\n\r\n<li>Ngo\u00e0i ra c\u00f2n do b\u1ea5t th\u01b0\u1eddng \u0111i\u1ec7n gi\u1ea3i nh\u01b0 h\u1ea1 canxi m\u00e1u v\u00e0 h\u1ea1 magie m\u00e1u, v\u00e0 h\u1ed9i ch\u1ee9ng QT d\u00e0i b\u1ea9m sinh.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng QT ng\u1eafn (d\u01b0\u1edbi 360 mili gi\u00e2y) c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn t\u0103ng canxi m\u00e1u, nhi\u1ec5m toan, t\u0103ng kali m\u00e1u, t\u0103ng th\u00e2n nhi\u1ec7t ho\u1eb7c h\u1ed9i ch\u1ee9ng QT ng\u1eafn.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tr\u00ean \u0111\u00e2y l\u00e0 nh\u1eefng th\u00f4ng s\u1ed1 c\u01a1 b\u1ea3n gi\u00fap b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ecdc hi\u1ec3u s\u01a1 l\u01b0\u1ee3c m\u1ed9t \u0111i\u1ec7n t\u00e2m \u0111\u1ed3.<\/p>\r\n<p><span style=\"font-weight: 400;\">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> c\u00f3 t\u1ea1i Docosan<\/span><\/p>\r\n\r\n\r\n\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\r\n<p>&nbsp;<\/p>\r\n\r\n<h2 class=\"wp-block-heading\">C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/h2>\r\n\r\n\r\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1689329280869\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110o \u0111i\u1ec7n tim \u0111\u1ec3 l\u00e0m g\u00ec?u003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>\u0110o \u0111i\u1ec7n tim \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1ec1 c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689329290206\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eX\u00e1c \u0111\u1ecbnh tr\u1ee5c \u0111i\u1ec7n timu003c\/strongu003e l\u00e0 g\u00ec?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Tr\u1ee5c \u0111i\u1ec7n tim \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng QRS, d\u1ef1a v\u00e0o bi\u00ean \u0111\u1ed9 \u0111\u1ea1i s\u1ed1 c\u1ee7a c\u00e1c vect\u01a1 \u0111o \u0111\u01b0\u1ee3c t\u1ea1i c\u00e1c chuy\u1ec3n \u0111\u1ea1o ngo\u1ea1i bi\u00ean.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689329311901\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eChi ph\u00ed \u0111\u1ed1t \u0111i\u1ec7n timu003c\/strongu003e l\u00e0 bao nhi\u00eau?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Chi ph\u00ed tu\u1ef3 thu\u1ed9c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh, trong kho\u1ea3ng 30-50 tri\u1ec7u \u0111\u1ed3ng.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689329343121\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eK\u1ebft qu\u1ea3 \u0111i\u1ec7n tim b\u1ea5t th\u01b0\u1eddngu003c\/strongu003e l\u00e0 sao?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>K\u1ebft qu\u1ea3 \u0111i\u1ec7n tim \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u1ea3 b\u1edfi b\u00e1c s\u0129 ho\u1eb7c ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n. Th\u00f4ng th\u01b0\u1eddng, n\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng \u1edf b\u1ea5t k\u1ef3 th\u00f4ng s\u1ed1 n\u00e0o th\u00ec k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 b\u1ea5t th\u01b0\u1eddng.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689329351981\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eV\u1ecb tr\u00ed \u0111o \u0111i\u1ec7n tim l\u00e0 g\u00ecu003c\/strongu003e?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>C\u00e1c mi\u1ebfng d\u00e1n \u0111i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c d\u00e1n \u1edf ng\u1ef1c, tay, ch\u00e2n. C\u00e1c chuy\u1ec3n \u0111\u1ea1o chi v\u00e0 tr\u01b0\u1edbc tim n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t ch\u00ednh x\u00e1c \u0111\u1ec3 tr\u00e1nh hi\u1ec3u sai v\u1ec1 v\u00e9c t\u01a1.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689329364156\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110o \u0111i\u1ec7n tim \u0111\u1ec3 l\u00e0m g\u00ec?u003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>\u0110o \u0111i\u1ec7n tim \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1ec1 c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579423839\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eX\u00e1c \u0111\u1ecbnh tr\u1ee5c \u0111i\u1ec7n timu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Tr\u1ee5c \u0111i\u1ec7n tim \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng QRS, d\u1ef1a v\u00e0o bi\u00ean \u0111\u1ed9 \u0111\u1ea1i s\u1ed1 c\u1ee7a c\u00e1c vect\u01a1 \u0111o \u0111\u01b0\u1ee3c t\u1ea1i c\u00e1c chuy\u1ec3n \u0111\u1ea1o ngo\u1ea1i bi\u00ean<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579432334\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eChi ph\u00ed \u0111\u1ed1t \u0111i\u1ec7n timu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Chi ph\u00ed tu\u1ef3 thu\u1ed9c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh, trong kho\u1ea3ng 30 &#8211; 50 tri\u1ec7u. B\u1ec7nh nh\u00e2n n\u00ean tham kh\u1ea3o b\u1ea3ng gi\u00e1 t\u1ea1i m\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n hay ph\u00f2ng kh\u00e1m m\u00e0 b\u1ec7nh nh\u00e2n d\u1ef1 \u0111\u1ecbnh th\u0103m kh\u00e1m \u0111\u1ec3 n\u1eafm \u0111\u01b0\u1ee3c th\u00f4ng tin chi ti\u1ebft.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579466534\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eK\u1ebft qu\u1ea3 \u0111i\u1ec7n tim b\u1ea5t th\u01b0\u1eddngu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>K\u1ebft qu\u1ea3 \u0111i\u1ec7n tim \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u1ea3 b\u1edfi b\u00e1c s\u0129 ho\u1eb7c ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n. Th\u00f4ng th\u01b0\u1eddng, n\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng \u1edf b\u1ea5t k\u1ef3 th\u00f4ng s\u1ed1 n\u00e0o th\u00ec k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 b\u1ea5t th\u01b0\u1eddng.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579476573\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eV\u1ecb tr\u00ed \u0111o \u0111i\u1ec7n tim l\u00e0 g\u00ecu003c\/strongu003e?<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>C\u00e1c mi\u1ebfng d\u00e1n \u0111i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c d\u00e1n \u1edf ng\u1ef1c, tay, ch\u00e2n. C\u00e1c chuy\u1ec3n \u0111\u1ea1o chi v\u00e0 tr\u01b0\u1edbc tim n\u00ean \u0111\u01b0\u1ee3c \u0111\u1eb7t ch\u00ednh x\u00e1c \u0111\u1ec3 tr\u00e1nh hi\u1ec3u sai v\u1ec1 v\u00e9c t\u01a1.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579498560\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110i\u1ec7n tim t\u0103ng kali m\u00e1uu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>\u0110i\u1ec7n tim t\u0103ng kali m\u00e1u c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m sau:u003cbru003e- Kho\u1ea3ng PR t\u0103ng l\u00ean v\u00e0 kho\u1ea3ng QT r\u00fat ng\u1eafnu003cbru003e- S\u00f3ng T cao, \u0111\u1ed1i x\u1ee9ng, \u0111\u1ec9nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y ban \u0111\u1ea7uu003cbru003e- S\u1ef1 k\u00e9o d\u00e0i c\u1ee7a kho\u1ea3ng QRSu003cbru003e- S\u1ef1 bi\u1ebfn m\u1ea5t c\u1ee7a s\u00f3ng P<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579592796\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110i\u1ec7n tim t\u0103ng kali m\u00e1uu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>\u0110i\u1ec7n tim t\u0103ng kali m\u00e1u c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m sau: kho\u1ea3ng PR t\u0103ng l\u00ean v\u00e0 kho\u1ea3ng QT r\u00fat ng\u1eafn. S\u00f3ng T cao, \u0111\u1ed1i x\u1ee9ng, \u0111\u1ec9nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y ban \u0111\u1ea7u,s\u1ef1 k\u00e9o d\u00e0i c\u1ee7a kho\u1ea3ng QRS, s\u1ef1 bi\u1ebfn m\u1ea5t c\u1ee7a s\u00f3ng P.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579637174\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eR\u1ee7i ro khi \u0111\u1ed1t \u0111i\u1ec7n timu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>R\u1ee7i ro v\u1ec1 m\u1eb7t tim m\u1ea1ch g\u00e2y c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1689579660819\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110i\u1ec7n tim b\u1ea5t th\u01b0\u1eddngu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>K\u1ebft qu\u1ea3 \u0111i\u1ec7n tim b\u1ea5t th\u01b0\u1eddng s\u1ebd gi\u00fap b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n nguy c\u01a1 ho\u1eb7c b\u1ec7nh l\u00fd tim m\u1ea1ch b\u1ea1n c\u00f3 th\u1ec3 m\u1eafc ph\u1ea3i. K\u1ebft lu\u1eadn v\u1ec1 \u0111i\u1ec7n tim b\u1ea5t th\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra b\u1edfi b\u00e1c s\u0129, chuy\u00ean gia y t\u1ebf.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Th\u00f4ng qua b\u00e0i vi\u1ebft n\u00e0y, hi v\u1ecdng b\u1ea1n \u0111\u00e3 c\u00f3 th\u1ec3 hi\u1ec3u \u0111\u01b0\u1ee3c s\u01a1 l\u01b0\u1ee3c v\u1ec1 \u0111o \u0111i\u1ec7n tim, \u1ee9ng d\u1ee5ng c\u0169ng nh\u01b0 c\u00e1ch \u0111\u1ecdc k\u1ebft qu\u1ea3 \u0111i\u1ec7n tim.<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/electrocardiogram\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.nhs.uk\/conditions\/electrocardiogram\/<\/a><\/li>\r\n<\/ul>\r\n","protected":false},"excerpt":{"rendered":"<p>\u0110o \u0111i\u1ec7n tim l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra th\u01b0\u1eddng d\u00f9ng khi th\u0103m kh\u00e1m v\u1ec1 c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch. \u0110\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1eeb th\u1ebf k\u1ef7 XIX, hi\u1ec7n \u0111o \u0111i\u1ec7n tim v\u1eabn l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ebft qu\u1ea3 quan tr\u1ecdng d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec1u b\u1ec7nh l\u00fd tim m\u1ea1ch cho b\u1ec7nh nh\u00e2n. V\u1eady [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":109414,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[185],"tags":[18,52,184],"class_list":["post-105845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tim-mach","tag-docosan","tag-doctor-co-san","tag-tim-mach"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/dien-tim-2-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/dien-tim-2-600x533.jpg","author_info":{"display_name":"T\u00e0i N\u1eef Linh H\u1ea3o","author_link":"https:\/\/www.docosan.com\/blog\/author\/hao-tai\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105845","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\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105845"}],"version-history":[{"count":8,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105845\/revisions"}],"predecessor-version":[{"id":171449,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105845\/revisions\/171449"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/109414"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}