{"id":6064,"date":"2025-12-05T09:03:18","date_gmt":"2025-12-05T02:03:18","guid":{"rendered":"https:\/\/bvnguyentrai.org.vn\/?p=6064"},"modified":"2026-04-09T09:08:00","modified_gmt":"2026-04-09T02:08:00","slug":"khoanh-khac-hoi-tu-tri-thuc-va-thuc-hanh-tai-hoi-nghi-quoc-te-tim-mach-2025-bvnt","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/khoanh-khac-hoi-tu-tri-thuc-va-thuc-hanh-tai-hoi-nghi-quoc-te-tim-mach-2025-bvnt\/","title":{"rendered":"Kho\u1ea3nh kh\u1eafc h\u1ed9i t\u1ee5 tri th\u1ee9c v\u00e0 th\u1ef1c h\u00e0nh t\u1ea1i H\u1ed9i ngh\u1ecb Qu\u1ed1c t\u1ebf Tim m\u1ea1ch 2025, BV Nguy\u1ec5n Tr\u00e3i"},"content":{"rendered":"

Kho\u1ea3nh kh\u1eafc h\u1ed9i t\u1ee5 tri th\u1ee9c v\u00e0 th\u1ef1c h\u00e0nh t\u1ea1i H\u1ed9i ngh\u1ecb Qu\u1ed1c t\u1ebf Tim m\u1ea1ch 2025, BV Nguy\u1ec5n Tr\u00e3i<\/h1>\n

H\u1ed9i ngh\u1ecb Qu\u1ed1c t\u1ebf Tim m\u1ea1ch 2025 mang \u0111\u1ebfn b\u1ee9c tranh to\u00e0n di\u1ec7n khi l\u00fd thuy\u1ebft v\u00e0 th\u1ef1c h\u00e0nh di\u1ec5n ra song song: c\u00e1c b\u00e1o c\u00e1o chuy\u00ean s\u00e2u trong h\u1ed9i tr\u01b0\u1eddng v\u00e0 nh\u1eefng ca can thi\u1ec7p m\u1ea1ch v\u00e0nh kh\u00f3 do chuy\u00ean gia \u00dac – Malaysia th\u1ef1c hi\u1ec7n ngay t\u1ea1i B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i. T\u1eeb m\u00f4 h\u00ecnh nguy c\u01a1 m\u1edbi, CaReMe, \u0111a gene \u0111\u1ebfn AI tim m\u1ea1ch, ch\u01b0\u01a1ng tr\u00ecnh t\u1ea1o n\u00ean g\u00f3c nh\u00ecn \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 ch\u0103m s\u00f3c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh hi\u1ec7n \u0111\u1ea1i.<\/p>\n

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H\u1ed9i ngh\u1ecb Qu\u1ed1c t\u1ebf Tim m\u1ea1ch 2025 v\u1edbi ch\u1ee7 \u0111\u1ec1 \u201cTi\u1ebfn b\u1ed9 y h\u1ecdc trong ch\u0103m s\u00f3c to\u00e0n di\u1ec7n b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh\u201d<\/strong><\/a>\u00a0do B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i t\u1ed5 ch\u1ee9c ng\u00e0y 5\/12 \u0111\u00e3 quy t\u1ee5 \u0111\u00f4ng \u0111\u1ea3o chuy\u00ean gia n\u1ed9i – ngo\u1ea1i khoa, \u0111i\u1ec1u d\u01b0\u1ee1ng, qu\u1ea3n tr\u1ecb b\u1ec7nh vi\u1ec7n c\u00f9ng \u0111\u1ea1i di\u1ec7n c\u00e1c c\u01a1 s\u1edf y t\u1ebf trong v\u00e0 ngo\u00e0i TPHCM. V\u1edbi 14 b\u00e1o c\u00e1o tr\u1ea3i r\u1ed9ng tr\u00ean 3 phi\u00ean chuy\u00ean m\u00f4n v\u00e0 s\u1ef1 tham gia tr\u1ef1c ti\u1ebfp c\u1ee7a chuy\u00ean gia \u00dac, Malaysia trong c\u00e1c ca can thi\u1ec7p m\u1ea1ch v\u00e0nh, ch\u01b0\u01a1ng tr\u00ecnh t\u1ea1o n\u00ean b\u1ee9c tranh to\u00e0n di\u1ec7n, sinh \u0111\u1ed9ng v\u1ec1 ti\u1ebfn b\u1ed9 tim m\u1ea1ch hi\u1ec7n \u0111\u1ea1i.<\/figcaption><\/figure>\n
Ch\u1ee7 t\u1ecda \u0111o\u00e0n phi\u00ean 1 \u201cTi\u1ebfn b\u1ed9 trong d\u1ef1 ph\u00f2ng v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh\u201d quy t\u1ee5 c\u00e1c chuy\u00ean gia tim m\u1ea1ch c\u00f3 kinh nghi\u1ec7m v\u1ec1 d\u1ef1 ph\u00f2ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Phi\u00ean l\u00e0m vi\u1ec7c t\u1eadp trung v\u00e0o nh\u1eefng c\u1eadp nh\u1eadt quan tr\u1ecdng v\u1ec1 m\u00f4 h\u00ecnh nguy c\u01a1, ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc, h\u00ecnh \u1ea3nh h\u1ecdc v\u00e0 c\u00f4ng ngh\u1ec7 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n.<\/figcaption><\/figure>\n

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Trong b\u00e0i b\u00e1o c\u00e1o m\u1edf \u0111\u1ea7u h\u1ed9i ngh\u1ecb, GS.TS.BS Ph\u1ea1m L\u00ea An, Ch\u1ee7 t\u1ecbch H\u1ed9i B\u00e1c s\u0129 Gia \u0111\u00ecnh TPHCM, nh\u1ea5n m\u1ea1nh g\u00e1nh n\u1eb7ng tim – th\u1eadn – chuy\u1ec3n h\u00f3a \u0111ang t\u0103ng nhanh, v\u1edbi h\u01a1n 400.000 ng\u01b0\u1eddi Vi\u1ec7t t\u1eed vong do b\u1ec7nh kh\u00f4ng l\u00e2y nhi\u1ec5m m\u1ed7i n\u0103m. Tr\u01b0\u1edbc b\u1ed1i c\u1ea3nh n\u00e0y, chuy\u00ean gia nh\u1ea5n m\u1ea1nh, ph\u00f2ng ng\u1eeba bi\u1ebfn c\u1ed1 tim m\u1ea1ch ph\u1ea3i b\u1eaft \u0111\u1ea7u t\u1eeb vi\u1ec7c \u0111\u00e1nh gi\u00e1 nguy c\u01a1 to\u00e0n di\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh, b\u1edfi m\u1ecdi khuy\u1ebfn c\u00e1o qu\u1ed1c t\u1ebf \u0111\u1ec1u kh\u1eb3ng \u0111\u1ecbnh: nguy c\u01a1 c\u00e0ng cao, can thi\u1ec7p ph\u1ea3i c\u00e0ng t\u00edch c\u1ef1c v\u00e0 s\u1edbm.<\/figcaption><\/figure>\n

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Trong ph\u1ea7n tr\u00ecnh b\u00e0y c\u1ee7a chuy\u00ean gia \u0111\u1ebfn t\u1eeb \u0110\u00e0i Loan, m\u00f4 h\u00ecnh CaReMe \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u nh\u01b0 m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn to\u00e0n di\u1ec7n gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 ng\u01b0\u1eddi b\u1ec7nh theo c\u1ee5m nguy c\u01a1 tim – th\u1eadn – chuy\u1ec3n h\u00f3a, thay v\u00ec x\u1eed l\u00fd t\u1eebng y\u1ebfu t\u1ed1 r\u1eddi r\u1ea1c. Khi nguy c\u01a1 \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng h\u00f3a r\u00f5 r\u00e0ng, vi\u1ec7c l\u1ef1a ch\u1ecdn chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u tr\u1edf n\u00ean ch\u00ednh x\u00e1c h\u01a1n; trong \u0111\u00f3 Tirzepatide n\u1ed5i b\u1eadt nh\u01b0 m\u1ed9t l\u1ef1a ch\u1ecdn \u01b0u ti\u00ean cho nh\u00f3m nguy c\u01a1 cao, mang l\u1ea1i l\u1ee3i \u00edch b\u1ea3o v\u1ec7 \u0111\u1ed3ng th\u1eddi tim – th\u1eadn – chuy\u1ec3n h\u00f3a.<\/figcaption><\/figure>\n
Trong b\u00e1o c\u00e1o \u201c\u1ee8ng d\u1ee5ng \u0111i\u1ec3m nguy c\u01a1 \u0111a gene trong \u0111\u00e1nh gi\u00e1 nguy c\u01a1 v\u00e0 d\u1ef1 ph\u00f2ng b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh\u201d, TS.BS Nguy\u1ec5n V\u0103n S\u0129 – Ph\u00f3 tr\u01b0\u1edfng Khoa Tim m\u1ea1ch 1 B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i – Gi\u1ea3ng vi\u00ean \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TPHCM nh\u1ea5n m\u1ea1nh r\u1eb1ng Polygenic Risk Score (PRS) \u0111ang m\u1edf ra m\u1ed9t h\u01b0\u1edbng ti\u1ebfp c\u1eadn ch\u00ednh x\u00e1c h\u01a1n trong ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh m\u1ea1ch v\u00e0nh. PRS cung c\u1ea5p gi\u00e1 tr\u1ecb b\u1ed5 sung quan tr\u1ecdng so v\u1edbi c\u00e1c m\u00f4 h\u00ecnh d\u1ef1 b\u00e1o truy\u1ec1n th\u1ed1ng, cho ph\u00e9p t\u00edch h\u1ee3p d\u1eef li\u1ec7u di truy\u1ec1n nh\u1eb1m n\u00e2ng cao \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a c\u00e1c c\u00f4ng c\u1ee5 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb.<\/figcaption><\/figure>\n
Chuy\u00ean gia cho bi\u1ebft th\u00eam, \u0111\u1ec3 PRS ph\u00e1t huy hi\u1ec7u qu\u1ea3 t\u1ed1i \u0111a, c\u1ea7n c\u00f3 th\u00eam nghi\u00ean c\u1ee9u tr\u00ean qu\u1ea7n th\u1ec3 ch\u00e2u \u00c1 – Th\u00e1i B\u00ecnh D\u01b0\u01a1ng nh\u1eb1m \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u1ee9ng d\u1ee5ng th\u1ef1c t\u1ebf v\u00e0 x\u00e2y d\u1ef1ng thang \u0111i\u1ec3m nguy c\u01a1 ph\u00f9 h\u1ee3p v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m di truy\u1ec1n c\u1ee7a d\u00e2n s\u1ed1 trong khu v\u1ef1c.<\/figcaption><\/figure>\n
BS.CK2 Qu\u00e1ch Thanh H\u01b0ng – Gi\u00e1m \u0111\u1ed1c BV Nguy\u1ec5n Tr\u00e3i tr\u00ecnh b\u00e0y b\u00e1o c\u00e1o \u201c\u1ee8ng d\u1ee5ng tr\u00ed tu\u1ec7 nh\u00e2n t\u1ea1o trong qu\u1ea3n l\u00fd b\u1ec7nh tim m\u1ea1ch\u201d, nh\u1ea5n m\u1ea1nh AI \u0111ang tr\u1edf th\u00e0nh c\u00f4ng c\u1ee5 then ch\u1ed1t gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c tim m\u1ea1ch. AI h\u1ed7 tr\u1ee3 ph\u00e2n t\u00edch t\u00edn hi\u1ec7u vi m\u00f4 t\u1eeb ECG, t\u1ea7m so\u00e1t rung nh\u0129, c\u1ea3i thi\u1ec7n \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a si\u00eau \u00e2m tim v\u00e0 CT m\u1ea1ch v\u00e0nh, \u0111\u1ed3ng th\u1eddi m\u1edf r\u1ed9ng \u1ee9ng d\u1ee5ng trong can thi\u1ec7p v\u00e0 ph\u00e2n t\u00edch d\u1eef li\u1ec7u di truy\u1ec1n. B\u00ean c\u1ea1nh l\u00e2m s\u00e0ng, AI c\u00f2n g\u00f3p ph\u1ea7n t\u1ed1i \u01b0u v\u1eadn h\u00e0nh b\u1ec7nh vi\u1ec7n v\u00e0 d\u1ef1 b\u00e1o nhu c\u1ea7u ch\u0103m s\u00f3c, h\u01b0\u1edbng \u0111\u1ebfn m\u00f4 h\u00ecnh y h\u1ecdc ch\u00ednh x\u00e1c v\u00e0 ch\u0103m s\u00f3c li\u00ean t\u1ee5c.<\/figcaption><\/figure>\n
\u1ede g\u00f3c \u0111\u1ed9 tri\u1ec3n khai, chuy\u00ean gia cho bi\u1ebft, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i \u0111\u00e3 x\u00e2y d\u1ef1ng m\u00f4 h\u00ecnh AI c\u1ea3nh b\u00e1o nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p t\u1eeb 6.226 h\u1ed3 s\u01a1 b\u1ec7nh nh\u00e2n, \u0111\u1ea1t Recall 97%, Precision 77% v\u00e0 AUC 0,99, hi\u1ec7n ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u v\u00e0 \u0111\u00e3 \u0111\u0103ng k\u00fd \u0111\u1ec1 t\u00e0i khoa h\u1ecdc t\u1ea1i S\u1edf KH&CN TPHCM. Song song, h\u1ec7 th\u1ed1ng AI t\u1ea7m so\u00e1t rung nh\u0129 d\u1ef1a tr\u00ean thi\u1ebft b\u1ecb \u0111eo th\u00f4ng minh v\u00e0 g\u1ea7n 400.000 \u0111o\u1ea1n ghi ECG cho th\u1ea5y \u0111\u1ed9 nh\u1ea1y 100% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 88%, \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eed \u201cTh\u00e0nh t\u1ef1u Y khoa Vi\u1ec7t Nam 2024\u201d, kh\u1eb3ng \u0111\u1ecbnh gi\u00e1 tr\u1ecb \u1ee9ng d\u1ee5ng AI trong t\u1ea7m so\u00e1t b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/figcaption><\/figure>\n
T\u1eeb nh\u1eefng k\u1ebft qu\u1ea3 tri\u1ec3n khai th\u1ef1c t\u1ebf t\u1ea1i B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i v\u00e0 c\u00e1c b\u1ec7nh vi\u1ec7n v\u1ec7 tinh, v\u1edbi h\u01a1n 500 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t rung nh\u0129 v\u1edbi t\u1ec9 l\u1ec7 ph\u00e1t hi\u1ec7n kho\u1ea3ng 10%, c\u00e1c chuy\u00ean gia nh\u1eadn \u0111\u1ecbnh AI kh\u00f4ng ch\u1ec9 ph\u00f9 h\u1ee3p m\u00e0 c\u00f2n \u0111\u1eb7c bi\u1ec7t c\u1ea7n thi\u1ebft t\u1ea1i tuy\u1ebfn y t\u1ebf c\u01a1 s\u1edf – n\u01a1i thi\u1ebfu nh\u00e2n l\u1ef1c, h\u1ea1n ch\u1ebf thi\u1ebft b\u1ecb nh\u01b0ng l\u1ea1i g\u00e1nh ch\u1ecbu \u00e1p l\u1ef1c b\u1ec7nh t\u1eadt l\u1edbn.<\/figcaption><\/figure>\n
Hi\u1ec7u qu\u1ea3 n\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n r\u00f5 t\u1ea1i \u0111\u1eb7c khu C\u00f4n \u0110\u1ea3o trong ch\u01b0\u01a1ng tr\u00ecnh h\u1ed7 tr\u1ee3 y t\u1ebf bi\u1ec3n \u0111\u1ea3o c\u1ee7a S\u1edf Y t\u1ebf TPHCM: 40 ng\u01b0\u1eddi d\u00e2n \u0111\u01b0\u1ee3c g\u1eafn thi\u1ebft b\u1ecb theo d\u00f5i \u0111\u00e3 ph\u00e1t hi\u1ec7n 1 tr\u01b0\u1eddng h\u1ee3p rung nh\u0129, 2 tr\u01b0\u1eddng h\u1ee3p nhanh th\u1ea5t v\u00e0 2 tr\u01b0\u1eddng h\u1ee3p m\u1eafc h\u1ed9i ch\u1ee9ng suy n\u00fat xoang – nh\u1eefng b\u1ea5t th\u01b0\u1eddng nh\u1ecbp tim quan tr\u1ecdng c\u1ea7n can thi\u1ec7p k\u1ecbp th\u1eddi.<\/figcaption><\/figure>\n
Ti\u1ebfp n\u1ed1i n\u1ed9i dung n\u00e0y, BS.CK1 Nguy\u1ec5n Thanh Nh\u00e2n – Khoa Tim m\u1ea1ch 2, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i mang \u0111\u1ebfn g\u00f3c nh\u00ecn th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng khi tr\u00ecnh b\u00e0y v\u1ec1 c\u00e1c ca b\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua Holter ECG t\u1ea1i C\u00f4n \u0110\u1ea3o, nh\u1ea5n m\u1ea1nh vai tr\u00f2 c\u1ee7a theo d\u00f5i nh\u1ecbp tim li\u00ean t\u1ee5c trong ph\u00e1t hi\u1ec7n s\u1edbm r\u1ed1i lo\u1ea1n nh\u1ecbp nguy hi\u1ec3m trong c\u1ed9ng \u0111\u1ed3ng v\u00f9ng xa.<\/figcaption><\/figure>\n
Trong b\u00e1o c\u00e1o v\u1ec1 d\u1ef1 ph\u00f2ng tim m\u1ea1ch s\u1edbm \u1edf nh\u00f3m nguy c\u01a1 cao, TS.BS Nguy\u1ec5n V\u0103n S\u0129 ti\u1ebfp t\u1ee5c nh\u1ea5n m\u1ea1nh r\u1eb1ng can thi\u1ec7p s\u1edbm gi\u00fap c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t c\u00e1c k\u1ebft c\u1ee5c tim – th\u1eadn – chuy\u1ec3n h\u00f3a. SGLT2i mang l\u1ea1i l\u1ee3i \u00edch v\u01b0\u1ee3t m\u1ee5c ti\u00eau ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, gi\u1ea3m suy tim, ti\u1ebfn tri\u1ec3n th\u1eadn v\u00e0 t\u1eed vong tim m\u1ea1ch, v\u00ec v\u1eady \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng s\u1edbm \u1edf b\u1ec7nh nh\u00e2n nguy c\u01a1 cao. B\u00e1c s\u0129 c\u0169ng l\u01b0u \u00fd vaccine zona RZV v\u1edbi hi\u1ec7u l\u1ef1c b\u1ec1n v\u1eefng, gi\u00fap gi\u1ea3m zona v\u00e0 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch \u1edf ng\u01b0\u1eddi \u226550 tu\u1ed5i cho th\u1ea5y chi\u1ebfn l\u01b0\u1ee3c k\u1ebft h\u1ee3p thu\u1ed1c c\u00f3 l\u1ee3i \u0111a c\u01a1 quan v\u00e0 ti\u00eam ch\u1ee7ng ch\u1ee7 \u0111\u1ed9ng l\u00e0 h\u01b0\u1edbng d\u1ef1 ph\u00f2ng t\u1ed1i \u01b0u nh\u1ea5t hi\u1ec7n nay.<\/figcaption><\/figure>\n
Ch\u1ee7 t\u1ecda \u0111o\u00e0n phi\u00ean 2 l\u00e0 c\u00e1c chuy\u00ean gia nhi\u1ec1u n\u0103m kinh nghi\u1ec7m trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i – ngo\u1ea1i khoa m\u1ea1ch v\u00e0nh. Phi\u00ean l\u00e0m vi\u1ec7c t\u1eadp trung v\u00e0o nh\u1eefng ti\u1ebfn b\u1ed9 trong can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, \u1ee9ng d\u1ee5ng h\u00ecnh \u1ea3nh n\u1ed9i m\u1ea1ch v\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c t\u1ed1i \u01b0u h\u00f3a \u0111i\u1ec1u tr\u1ecb sau \u0111\u1eb7t stent.<\/figcaption><\/figure>\n
Trong b\u00e1o c\u00e1o v\u1ec1 chi\u1ebfn l\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh BS Nguy\u1ec5n Xu\u00e2n Vinh (BV \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TPHCM) nh\u1ea5n m\u1ea1nh vai tr\u00f2 then ch\u1ed1t c\u1ee7a h\u00ecnh \u1ea3nh n\u1ed9i m\u1ea1ch IVUS\/OCT trong th\u1ef1c h\u00e0nh hi\u1ec7n \u0111\u1ea1i. C\u00e1c k\u1ef9 thu\u1eadt n\u00e0y gi\u00fap \u0111\u00e1nh gi\u00e1 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng, ph\u00e1t hi\u1ec7n m\u1ea3ng x\u01a1 v\u1eefa kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng nh\u1eb1m gi\u1ea3m bi\u1ebfn c\u1ed1 tim m\u1ea1ch – m\u1ed9t xu h\u01b0\u1edbng ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh trong tim m\u1ea1ch can thi\u1ec7p hi\u1ec7n nay.<\/figcaption><\/figure>\n

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B\u00e1o c\u00e1o c\u1ee7a BS.CK2 Tr\u1ea7n Ng\u1ecdc Tu\u1ea5n – Ph\u00f3 Tr\u01b0\u1edfng khoa Tim m\u1ea1ch 1, BV Nguy\u1ec5n Tr\u00e3i l\u00e0m r\u00f5 nh\u1eefng c\u00e2n nh\u1eafc trong vi\u1ec7c can thi\u1ec7p sang th\u01b0\u01a1ng t\u1eafc m\u1ea1n \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CTO). CTO chi\u1ebfm 15-30% c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh m\u1ea1ch v\u00e0nh, v\u1edbi l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb g\u1ed3m n\u1ed9i khoa, can thi\u1ec7p m\u1ea1ch v\u00e0nh qua da (PCI), ho\u1eb7c ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CABG). Nh\u1edd k\u1ef9 thu\u1eadt PCI trong CTO ng\u00e0y c\u00e0ng ho\u00e0n thi\u1ec7n, t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao h\u01a1n, bi\u1ebfn ch\u1ee9ng th\u1ea5p h\u01a1n – can thi\u1ec7p tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn \u0111\u00e1ng l\u01b0u \u00fd \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p, gi\u00fap gi\u1ea3m \u0111au ng\u1ef1c v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng khi \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c \u0111a chuy\u00ean khoa.<\/figcaption><\/figure>\n
Trong b\u00e1o c\u00e1o v\u1ec1 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa sau can thi\u1ec7p m\u1ea1ch v\u00e0nh, BS.CK2 L\u00ea Hi\u1ec1n C\u1ea9m Thu – Tr\u01b0\u1edfng khoa Tim m\u1ea1ch 3 B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i cho bi\u1ebft 1,55% b\u1ec7nh nh\u00e2n t\u1eed vong trong 30 ng\u00e0y sau can thi\u1ec7p m\u1ea1ch v\u00e0nh qua da (PCI) v\u00e0 h\u01a1n 34% ca t\u1eed vong x\u1ea3y ra sau khi xu\u1ea5t vi\u1ec7n, trong \u0111\u00f3 m\u1ed9t ph\u1ea7n ba di\u1ec5n ra trong l\u1ea7n nh\u1eadp vi\u1ec7n tr\u1edf l\u1ea1i. Nh\u1eefng s\u1ed1 li\u1ec7u n\u00e0y cho th\u1ea5y can thi\u1ec7p m\u1ea1ch v\u00e0nh ch\u1ec9 l\u00e0 b\u01b0\u1edbc kh\u1edfi \u0111\u1ea7u, v\u00e0 k\u1ebft c\u1ee5c l\u00e2u d\u00e0i ph\u1ee5 thu\u1ed9c r\u1ea5t l\u1edbn v\u00e0o chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa sau can thi\u1ec7p.<\/figcaption><\/figure>\n
Ch\u00ednh v\u00ec v\u1eady, chuy\u00ean gia nh\u1ea5n m\u1ea1nh 6 tr\u1ecdng t\u00e2m trong qu\u1ea3n l\u00fd sau PCI: li\u1ec7u ph\u00e1p ch\u1ed1ng huy\u1ebft kh\u1ed1i c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a; DAPT 12 th\u00e1ng v\u1eabn l\u00e0 n\u1ec1n t\u1ea3ng \u1edf h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p, \u0111i\u1ec1u ch\u1ec9nh theo nguy c\u01a1 ch\u1ea3y m\u00e1u – huy\u1ebft kh\u1ed1i; ki\u1ec3m so\u00e1t LDL-C t\u00edch c\u1ef1c d\u01b0\u1edbi 55 mg\/dL b\u1eb1ng statin li\u1ec1u cao ho\u1eb7c ph\u1ed1i h\u1ee3p Ezetimibe\/PCSK9 khi c\u1ea7n; \u0111i\u1ec1u tr\u1ecb ch\u1ee7 \u0111\u1ed9ng c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 t\u0103ng huy\u1ebft \u00e1p; ch\u00fa tr\u1ecdng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch v\u00e0 ti\u00eam ch\u1ee7ng Influenza; \u0111\u1ed3ng th\u1eddi t\u0103ng c\u01b0\u1eddng tu\u00e2n th\u1ee7 thu\u1ed1c th\u00f4ng qua \u0111\u00e1nh gi\u00e1 y\u1ebfu t\u1ed1 x\u00e3 h\u1ed9i v\u00e0 gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc xu\u1ea5t vi\u1ec7n. \u0110\u00e2y l\u00e0 nh\u1eefng th\u00e0nh t\u1ed1 then ch\u1ed1t gi\u00fap gi\u1ea3m t\u1eed vong v\u00e0 c\u1ea3i thi\u1ec7n k\u1ebft c\u1ee5c d\u00e0i h\u1ea1n sau can thi\u1ec7p.<\/figcaption><\/figure>\n

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Trong b\u00e1o c\u00e1o v\u1ec1 vai tr\u00f2 d\u01b0\u1ee3c l\u00e2m s\u00e0ng trong ch\u0103m s\u00f3c tim m\u1ea1ch, PGS.TS Nguy\u1ec5n Nh\u01b0 H\u1ed3 – Ph\u00f3 Tr\u01b0\u1edfng khoa D\u01b0\u1ee3c BV Nguy\u1ec5n Tr\u00e3i, Gi\u1ea3ng vi\u00ean cao c\u1ea5p \u0110H Y D\u01b0\u1ee3c TPHCM nh\u1ea5n m\u1ea1nh r\u1eb1ng d\u01b0\u1ee3c s\u0129 l\u00e2m s\u00e0ng gi\u1eef v\u1ecb tr\u00ed then ch\u1ed1t trong t\u1ed1i \u01b0u h\u00f3a v\u00e0 c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb thu\u1ed1c. C\u00e1c can thi\u1ec7p d\u01b0\u1ee3c l\u00e2m s\u00e0ng gi\u00fap t\u0103ng an to\u00e0n, c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3, n\u00e2ng cao tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m sai s\u00f3t – bi\u1ebfn c\u1ed1 tim m\u1ea1ch, \u0111\u1ed3ng th\u1eddi g\u00f3p ph\u1ea7n n\u00e2ng cao chi ph\u00ed-hi\u1ec7u qu\u1ea3. \u0110\u00e2y l\u00e0 m\u1eaft x\u00edch quan tr\u1ecdng trong m\u00f4 h\u00ecnh ph\u1ed1i h\u1ee3p li\u00ean ng\u00e0nh h\u01b0\u1edbng t\u1edbi qu\u1ea3n l\u00fd b\u1ec7nh tim m\u1ea1ch to\u00e0n di\u1ec7n v\u00e0 b\u1ec1n v\u1eefng.<\/figcaption><\/figure>\n

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B\u00e1o c\u00e1o v\u1ec1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch sau nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p do TS.VLTL Nguy\u1ec5n Ng\u1ecdc Minh – Gi\u1ea3ng vi\u00ean B\u1ed9 m\u00f4n Ph\u1ee5c h\u00f4i ch\u1ee9c n\u0103ng \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TPHCM tr\u00ecnh b\u00e0y n\u00eau ghi nh\u1eadn r\u1eb1ng t\u01b0 v\u1ea5n v\u00e0 h\u01b0\u1edbng d\u1eabn ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c ch\u00fa tr\u1ecdng \u0111\u1ea7y \u0111\u1ee7. C\u00e1c b\u00e0i t\u1eadp Aerobic v\u00e0 t\u1eadp \u0111\u1ec1 kh\u00e1ng \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u nh\u01b0 nh\u1eefng th\u00e0nh ph\u1ea7n quan tr\u1ecdng trong ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch.<\/figcaption><\/figure>\n

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Song song v\u1edbi ch\u01b0\u01a1ng tr\u00ecnh h\u1ed9i ngh\u1ecb c\u1eadp nh\u1eadt l\u00fd thuy\u1ebft, c\u00e1c chuy\u00ean gia qu\u1ed1c t\u1ebf t\u1eeb Malaysia v\u00e0 \u00dac th\u1ef1c h\u00e0nh can thi\u1ec7p m\u1ea1ch v\u00e0nh t\u1ea1i ph\u00f2ng Tim m\u1ea1ch Can thi\u1ec7p B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i. Nh\u1eefng ca b\u1ec7nh \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ec1u thu\u1ed9c nh\u00f3m kh\u00f3, gi\u00fap \u0111\u1ed9i ng\u0169 ti\u1ebfp c\u1eadn k\u1ef9 thu\u1eadt n\u00e2ng cao v\u00e0 kinh nghi\u1ec7m x\u1eed tr\u00ed chuy\u00ean s\u00e2u.<\/figcaption><\/figure>\n

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B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i g\u1eedi th\u01b0 c\u1ea3m \u01a1n \u0111\u1ebfn c\u00e1c ch\u1ee7 t\u1ecda v\u00e0 b\u00e1o c\u00e1o vi\u00ean, ghi nh\u1eadn s\u1ef1 \u0111\u00f3ng g\u00f3p chuy\u00ean m\u00f4n qu\u00fd b\u00e1u \u0111\u00e3 g\u00f3p ph\u1ea7n l\u00e0m n\u00ean chi\u1ec1u s\u00e2u h\u1ecdc thu\u1eadt v\u00e0 gi\u00e1 tr\u1ecb th\u1ef1c ti\u1ec5n cho h\u1ed9i ngh\u1ecb.<\/figcaption><\/figure>\n
Nh\u00e0 t\u00e0i tr\u1ee3 nh\u1eadn th\u01b0 c\u1ea3m \u01a1n t\u1eeb B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i, thay cho l\u1eddi ghi nh\u1eadn s\u1ef1 chung tay trong ho\u1ea1t \u0111\u1ed9ng khoa h\u1ecdc c\u1ee7a h\u1ed9i ngh\u1ecb.<\/figcaption><\/figure>\n<\/div>\n

Ngu\u1ed3n: https:\/\/alobacsi.com\/khoanh-khac-hoi-tu-tri-thuc-va-thuc-hanh-tai-hoi-nghi-quoc-te-tim-mach-2025-bv-nguyen-trai.html<\/a><\/em><\/p>","protected":false},"excerpt":{"rendered":"

Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. Ng\u01b0\u1eddi lu\u00f4n nh\u1eafc nh\u1edf \u201cL\u01b0\u01a1ng y ph\u1ea3i ki\u00eam t\u1eeb m\u1eabu\u201d. 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