{"id":7368,"date":"2024-08-08T15:12:47","date_gmt":"2024-08-08T07:12:47","guid":{"rendered":"https:\/\/cardiothinklab.com\/management-of-cvd-in-patients-with-diabetes\/"},"modified":"2025-01-09T11:57:20","modified_gmt":"2025-01-09T03:57:20","slug":"management-of-cvd-in-patients-with-diabetes","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/vi\/management-of-cvd-in-patients-with-diabetes\/","title":{"rendered":"Qu\u1ea3n l\u00fd b\u1ec7nh tim m\u1ea1ch (CVD) \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"\r\n
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Truy c\u1eadp trang Ng\u00e0y Tim m\u1ea1ch Th\u1ebf gi\u1edbi
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\u0110\u1ed3ng thu\u1eadn c\u1ee7a ADA n\u0103m 2022 v\u00e0 khuy\u1ebfn c\u00e1o c\u1ee7a ESC n\u0103m 2023 g\u1ea7n \u0111\u00e2y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\r\n\r\n\r\n\r\n

Ng\u01b0\u1eddi ta \u0111\u00e3 nh\u1eadn th\u1ea5y r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch nh\u01b0 b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean v\u00e0 \u0111\u1ed9t qu\u1ef5 cao h\u01a1n.<\/p>\r\n\r\n\r\n\r\n

\u0110i\u1ec1u m\u00e0 c\u00e1c b\u00e1c s\u0129 \u00edt bi\u1ebft \u0111\u1ebfn l\u00e0 suy tim c\u0169ng l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, v\u1edbi t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh l\u00ean t\u1edbi 22% \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Suy tim kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 \u0111\u00fang m\u1ee9c v\u00e0 \u0111i\u1ec1u \u0111\u00f3 khi\u1ebfn vi\u1ec7c s\u00e0ng l\u1ecdc, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh tr\u1edf n\u1eb7ng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u h\u00f3a. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh suy tim t\u0103ng g\u1ea5p \u0111\u00f4i \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng so v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng m\u1eafc b\u1ec7nh. <\/p>\r\n\r\n\r\n\r\n

Do \u0111\u00f3, c\u00e1c khuy\u1ebfn c\u00e1o \u0111\u1ed3ng thu\u1eadn g\u1ea7n \u0111\u00e2y c\u1ee7a ADA v\u00e0 ESC cung c\u1ea5p h\u01b0\u1edbng d\u1eabn c\u1ea7n thi\u1ebft v\u1ec1 vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c khuy\u1ebfn c\u00e1o n\u00e0y bao g\u1ed3m \u0111\u00e1nh gi\u00e1 v\u00e0 gi\u1ea3mnguy c\u01a1 tim m\u1ea1ch, v\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean khuy\u1ebfn c\u00e1o v\u1ec1 x\u00e9t nghi\u1ec7m suy tim cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u00e1c khuy\u1ebfn c\u00e1o n\u00e0y, ch\u00fa tr\u1ecdng h\u01a1n \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng n\u00e0y.<\/p>\r\n\r\n\r\n\r\n

M\u1ed9t trong nh\u1eefng khuy\u1ebfn c\u00e1o \u0111\u00f3 l\u00e0 k\u1ebft h\u1ee3p c\u00e1c tr\u1ecb s\u1ed1 ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc, ch\u1eb3ng h\u1ea1n nh\u01b0 peptid l\u1ee3i ni\u1ec7u v\u00e0 troponin tim \u0111\u1ed9 nh\u1ea1y cao, \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 nh\u1eb1m s\u1edbm \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba tr\u01b0\u1edbc khi c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim.<\/p>\r\n\r\n\r\n\r\n

T\u00f4i tin r\u1eb1ng vi\u1ec7c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1eefng h\u01b0\u1edbng d\u1eabn n\u00e0y c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n gi\u1ea3m thi\u1ec3u nguy c\u01a1 tim m\u1ea1ch v\u00e0 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tu\u00fdp 2.<\/p>\r\n\r\n\r\n\r\n

C\u00e1c khuy\u1ebfn c\u00e1o trong h\u01b0\u1edbng d\u1eabn ESC n\u0103m 2023 v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc \u0111\u1ec3 s\u00e0ng l\u1ecdc b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 nghi ng\u1edd m\u1eafc suy tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng v\u00e0o th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng t\u1ea1i khu v\u1ef1c APAC nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\r\n\r\n\r\n\r\n

Vi\u1ec7c bi\u00ean d\u1ecbch c\u00e1c khuy\u1ebfn c\u00e1o trong h\u01b0\u1edbng d\u1eabn n\u0103m 2023 c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc \u0111\u1ec3 s\u00e0ng l\u1ecdc b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 nghi ng\u1edd suy tim c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c, nh\u01b0ng ch\u00fang ta c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn 3 h\u01b0\u1edbng.<\/p>\r\n\r\n\r\n\r\n

Th\u1ee9 nh\u1ea5t, c\u1ea7n nh\u1eafc nh\u1edf c\u00e1c b\u00e1c s\u0129 r\u1eb1ng suy tim l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u1edbn trong qu\u1ea7n th\u1ec3 d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u00e0y. N\u00f3i c\u00e1ch kh\u00e1c, ch\u00fang ta c\u1ea7n n\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 bi\u1ebfn ch\u1ee9ng n\u00e0y. Suy tim c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh tim m\u1ea1ch \u1edf nhi\u1ec1u ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. V\u00ec v\u1eady, vi\u1ec7c s\u00e0ng l\u1ecdc v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft. <\/p>\r\n\r\n\r\n\r\n

Th\u1ee9 hai, khuy\u1ebfn c\u00e1o v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc \u0111\u1ec3 s\u00e0ng l\u1ecdc b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 ph\u1ea3i \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o cho c\u00e1c b\u00e1c s\u0129 n\u1ed9i ti\u1ebft, b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 b\u00e1c s\u0129 ch\u0103m s\u00f3c ban \u0111\u1ea7u v\u00ec h\u1ecd ch\u0103m s\u00f3c h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f4ng tri\u1ec7u ch\u1ee9ng. \u0110i\u1ec1u n\u00e0y r\u1ea5t quan tr\u1ecdng v\u00ec h\u01b0\u1edbng d\u1eabn cung c\u1ea5p ch\u1ec9 d\u1eabn r\u00f5 r\u00e0ng, d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng cho b\u00e1c s\u0129 v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn t\u1ed1t nh\u1ea5t \u0111\u1ec3 s\u00e0ng l\u1ecdc v\u00e0 ch\u1ea9n \u0111o\u00e1n suy tim, bao g\u1ed3m c\u1ea3 giai \u0111o\u1ea1n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Th\u1ee9 ba, h\u1ec7 th\u1ed1ng y t\u1ebf n\u00ean cung c\u1ea5p x\u00e9t nghi\u1ec7m ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc nh\u01b0 NT-proBNP d\u1ec5 d\u00e0ng cho c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u1ec3 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n s\u00e0ng l\u1ecdc ch\u1ee7 \u0111\u1ed9ng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc n\u00e0y c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n suy tim \u1edf giai \u0111o\u1ea1n s\u1edbm h\u01a1n trong qu\u00e1 tr\u00ecnh di\u1ec5n bi\u1ebfn c\u1ee7a b\u1ec7nh \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng ho\u1eb7c b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c s\u1edbm h\u01a1n.<\/p>\r\n\r\n\r\n\r\n

Theo kinh nghi\u1ec7m l\u00e2m s\u00e0ng c\u1ee7a qu\u00fd v\u1ecb, h\u1ed3 s\u01a1 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 n\u00e0o ph\u00f9 h\u1ee3p nh\u1ea5t \u0111\u1ec3 s\u00e0ng l\u1ecdc b\u1eb1ng x\u00e9t nghi\u1ec7m NT-proBNP? N\u00ean s\u00e0ng l\u1ecdc bao l\u00e2u m\u1ed9t l\u1ea7n?<\/h4>\r\n\r\n\r\n\r\n

Theo kinh nghi\u1ec7m c\u1ee7a t\u00f4i, t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 n\u00ean \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc b\u1eb1ng x\u00e9t nghi\u1ec7m NT-proBNP trong l\u1ea7n kh\u00e1m \u0111\u1ea7u ti\u00ean ho\u1eb7c t\u01b0 v\u1ea5n. Ch\u00fang ta kh\u00f4ng n\u00ean ph\u1ecfng \u0111o\u00e1n xem ai n\u00ean \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc m\u00e0 thay v\u00e0o \u0111\u00f3 h\u00e3y b\u1ed5 sung x\u00e9t nghi\u1ec7m n\u00e0y v\u00e0o x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n.<\/p>\r\n\r\n\r\n\r\n

N\u1ebfu n\u1ed3ng \u0111\u1ed9 t\u0103ng cao, c\u1ea7n \u0111\u00e1nh gi\u00e1 th\u00eam b\u1eb1ng ch\u1ee5p X-quang ng\u1ef1c v\u00e0 si\u00eau \u00e2m tim. N\u1ebfu n\u1ed3ng \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng, t\u00f4i khuy\u00ean qu\u00fd v\u1ecb n\u00ean l\u1eb7p l\u1ea1i x\u00e9t nghi\u1ec7m h\u00e0ng n\u0103m theo h\u01b0\u1edbng d\u1eabn c\u1ee7a ADA. \u0110i\u1ec1u n\u00e0y r\u1ea5t quan tr\u1ecdng v\u00ec nguy c\u01a1 tim m\u1ea1ch lu\u00f4n bi\u1ebfn \u0111\u1ed5i v\u00e0 vi\u1ec7c theo d\u00f5i NT-proBNP \u0111\u1ecbnh k\u1ef3 s\u1ebd mang l\u1ea1i l\u1ee3i \u00edch. <\/p>\r\n\r\n\r\n\r\n

Th\u1ef1c h\u00e0nh hi\u1ec7n nay c\u1ee7a c\u00e1c b\u00e1c s\u0129 n\u1ed9i ti\u1ebft trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\r\n\r\n\r\n\r\n

Tr\u01b0\u1edbc khi h\u01b0\u1edbng d\u1eabn c\u1ee7a ADA \u0111\u01b0\u1ee3c ban h\u00e0nh, c\u00e1c b\u00e1c s\u0129 n\u1ed9i ti\u1ebft d\u1ef1a v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 th\u00f4ng th\u01b0\u1eddng nh\u01b0 tu\u1ed5i, ti\u1ec1n s\u1eed gia \u0111\u00ecnh, ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3, huy\u1ebft \u00e1p, hemoglobin glycat h\u00f3a, lipid v\u00e0 albumin ni\u1ec7u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tim m\u1ea1ch. H\u1ea1n ch\u1ebf ho\u1eb7c nh\u01b0\u1ee3c \u0111i\u1ec3m l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0y kh\u00f4ng \u0111\u1eb7c hi\u1ec7u cho tim v\u00e0 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng d\u1ef1 b\u00e1o suy tim cao. <\/p>\r\n\r\n\r\n\r\n

Ngo\u00e0i c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tim m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tim m\u1ea1ch cho b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tu\u00fdp 2. Tuy nhi\u00ean, m\u1eb7c d\u00f9 thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 nguy c\u01a1 n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch, nh\u1eefng vi\u1ec7c \u00e1p d\u1ee5ng v\u00e0o th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng n\u00f3i chung v\u1eabn ch\u01b0a hi\u1ec7u qu\u1ea3 \u1edf nhi\u1ec1u khu v\u1ef1c v\u00e0 l\u1ee3i \u00edch l\u00e2m s\u00e0ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh. V\u00ec v\u1eady, c\u00e1c b\u00e1c s\u0129 n\u1ed9i ti\u1ebft c\u1ea7n c\u00f3 m\u1ed9t c\u00f4ng c\u1ee5 t\u1ed1t h\u01a1n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tim m\u1ea1ch cho b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. <\/p>\r\n\r\n\r\n\r\n

B\u00e1c s\u0129 ch\u0103m s\u00f3c ban \u0111\u1ea7u c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng nh\u01b0 th\u1ebf n\u00e0o trong vi\u1ec7c s\u00e0ng l\u1ecdc b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 \u0111\u1ec3 ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch s\u1edbm?<\/h4>\r\n\r\n\r\n\r\n

B\u00e1c s\u0129 ch\u0103m s\u00f3c ban \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb cho h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 \u1edf nhi\u1ec1u qu\u1ed1c gia. Do \u0111\u00f3, h\u1ecd l\u00e0 tuy\u1ebfn ph\u00f2ng th\u1ee7 \u0111\u1ea7u ti\u00ean v\u00e0 c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch s\u1edbm b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p x\u00e9t nghi\u1ec7m ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc sinh h\u1ecdc, ch\u1eb3ng h\u1ea1n nh\u01b0 NT-proBNP, v\u00e0o l\u1ed9 tr\u00ecnh ch\u0103m s\u00f3c.<\/p>\r\n\r\n\r\n\r\n

N\u00f3i c\u00e1ch kh\u00e1c, b\u00e1c s\u0129 ch\u0103m s\u00f3c ban \u0111\u1ea7u n\u00ean b\u1ed5 sung x\u00e9t nghi\u1ec7m NT-proBNP v\u00e0o x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y h\u00e0ng n\u0103m. \u0110\u1ec3 tr\u00e1nh b\u1ecf l\u1ee1 x\u00e9t nghi\u1ec7m, t\u00f4i th\u1ef1c s\u1ef1 khuy\u1ebfn kh\u00edch c\u00e1c b\u00e1c s\u0129 k\u1ebft h\u1ee3p x\u00e9t nghi\u1ec7m ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc h\u00e0ng n\u0103m \u0111\u1ec3 ph\u00e1t hi\u1ec7n bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng m\u00e0 t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u1ec1u ph\u1ea3i th\u1ef1c hi\u1ec7n. <\/p>\r\n\r\n\r\n\r\n

Sau \u0111\u00f3, c\u1ea7n \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p theo d\u00f5i th\u00edch h\u1ee3p n\u1ebfu n\u1ed3ng \u0111\u1ed9 t\u0103ng cao.<\/p>\r\n\r\n\r\n\r\n

Qu\u00fd v\u1ecb s\u1ebd khuy\u1ebfn kh\u00edch \u0111\u1ed3ng nghi\u1ec7p c\u1ee7a m\u00ecnh \u1edf khu v\u1ef1c Ch\u00e2u \u00c1 Th\u00e1i B\u00ecnh D\u01b0\u01a1ng (APAC) c\u1ea3i thi\u1ec7n ph\u00e2n t\u1ea7ng nguy c\u01a1 suy tim \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 nh\u01b0 th\u1ebf n\u00e0o theo h\u01b0\u1edbng d\u1eabn c\u1ee7a ESC n\u0103m 2023?<\/h4>\r\n\r\n\r\n\r\n

Tr\u01b0\u1edbc ti\u00ean, \u0111i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 ph\u1ea3i n\u00e2ng cao nh\u1eadn th\u1ee9c c\u1ee7a c\u00e1c b\u00e1c s\u0129 \u1edf khu v\u1ef1c APAC v\u1ec1 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 suy tim. C\u00e1c b\u1ec7nh nh\u00e2n ch\u00e2u \u00c1 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n m\u1eafc b\u1ec7nh suy tim s\u1edbm h\u01a1n kho\u1ea3ng m\u01b0\u1eddi n\u0103m so v\u1edbi b\u1ec7nh nh\u00e2n ph\u01b0\u01a1ng T\u00e2y. V\u00ec v\u1eady, vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm, ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\r\n\r\n\r\n\r\n

C\u1ed9ng \u0111\u1ed3ng r\u1ed9ng l\u1edbn \u1edf khu v\u1ef1c APAC c\u0169ng c\u1ea7n nh\u1eadn ra r\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01a1n gi\u1ea3n, x\u00e9t nghi\u1ec7m \u0111o NT-proBNP, c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 vi\u1ec7c ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch v\u00e0 suy tim \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tu\u00fdp 2. C\u00e1c b\u00e1c s\u0129 c\u0169ng n\u00ean n\u00e2ng cao hi\u1ec3u bi\u1ebft c\u1ee7a m\u00ecnh v\u1ec1 x\u00e9t nghi\u1ec7m ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m sinh h\u1ecdc n\u00e0y v\u00e0 \u0111\u1ea3m b\u1ea3o x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 s\u1eb5n trong h\u1ec7 th\u1ed1ng y t\u1ebf c\u1ee7a m\u00ecnh.<\/p>\r\n\r\n\r\n\r\n

Cu\u1ed1i c\u00f9ng, c\u00e1c khuy\u1ebfn c\u00e1o c\u1ee7a ADA v\u00e0 ESC n\u00ean \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o h\u01b0\u1edbng d\u1eabn \u0111\u1ecba ph\u01b0\u01a1ng c\u1ee7a t\u1eebng qu\u1ed1c gia trong khu v\u1ef1c APAC \u0111\u1ec3 \u0111\u1ea9y nhanh vi\u1ec7c \u0111\u01b0a c\u00e1c h\u01b0\u1edbng d\u1eabn v\u00e0o th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng.<\/p>\r\n\r\n\r\n\r\n

T\u00f4i hy v\u1ecdng nh\u1eefng chi\u1ebfn l\u01b0\u1ee3c n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh tim m\u1ea1ch v\u00e0 suy tim \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tu\u00fdp 2, cho ph\u00e9p can thi\u1ec7p k\u1ecbp th\u1eddi \u0111\u1ec3 ng\u0103n ng\u1eeba ti\u1ebfn tri\u1ec3n suy tim \u1edf khu v\u1ef1c n\u00e0y.<\/p>\r\n\r\n\r\n\r\n

\r\n
Truy c\u1eadp trang Ng\u00e0y Tim m\u1ea1ch Th\u1ebf gi\u1edbi
<\/a><\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"

\u0110\u1ed3ng thu\u1eadn c\u1ee7a ADA n\u0103m 2022 v\u00e0 khuy\u1ebfn c\u00e1o c\u1ee7a ESC n\u0103m 2023 g\u1ea7n \u0111\u00e2y s\u1ebd gi\u00fap c\u00e1c b\u00e1c s\u0129 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 nh\u01b0 th\u1ebf n\u00e0o? Ng\u01b0\u1eddi ta \u0111\u00e3 nh\u1eadn th\u1ea5y r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 c\u00f3 nguy […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":7369,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[665],"tags":[680,678,681,679,682,683],"specialty":[693],"class_list":["post-7368","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-expert-opinion-vi","tag-cardiovascular-risk-vi","tag-high-sensitive-troponin-vi","tag-risk-stratification-of-t2dm-patients-for-cvd-vi","tag-t2dm-vi","tag-tim-mach","tag-tim-mach-chuyen-hoa","specialty-cardiometabolic-vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts\/7368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/comments?post=7368"}],"version-history":[{"count":7,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts\/7368\/revisions"}],"predecessor-version":[{"id":8525,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts\/7368\/revisions\/8525"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/media\/7369"}],"wp:attachment":[{"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/media?parent=7368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/categories?post=7368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/tags?post=7368"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/specialty?post=7368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}