{"id":7380,"date":"2024-08-08T17:16:47","date_gmt":"2024-08-08T09:16:47","guid":{"rendered":"https:\/\/cardiothinklab.com\/buoc-tien-vuot-bac-trong-viec-giam-70-80-ty-le-tai-nhap-vien-do-suy-tim-bang-cach-nao-va-o-dau\/"},"modified":"2026-02-12T00:27:43","modified_gmt":"2026-02-11T16:27:43","slug":"quantum-leap-in-reducing-rehospitalization-in-hf-by-70-80-how-and-where","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/vi\/quantum-leap-in-reducing-rehospitalization-in-hf-by-70-80-how-and-where\/","title":{"rendered":"B\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc trong vi\u1ec7c gi\u1ea3m 70-80% t\u1ef7 l\u1ec7 t\u00e1i nh\u1eadp vi\u1ec7n do suy tim \u2013 B\u1eb1ng c\u00e1ch n\u00e0o v\u00e0 \u1edf \u0111\u00e2u?"},"content":{"rendered":"\r\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\r\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/cardiothinklab.com\/vi\/moi-nhip-tim-deu-dang-tran-trong-hay-hanh-dong-va-tao-anh-huong-tich-cuc-nhan-ngay-tim-mach-the-gioi-nay\/?lang=vi\">Truy c\u1eadp trang Ng\u00e0y Tim m\u1ea1ch Th\u1ebf gi\u1edbi<\/a><\/div>\r\n<\/div>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"h-what-is-the-current-state-of-heart-failure-management-in-thailand-and-what-in-your-opinion-are-some-of-the-biggest-unmet-needs-in-this-field\">T\u00ecnh h\u00ecnh qu\u1ea3n l\u00fd suy tim hi\u1ec7n nay \u1edf Th\u00e1i Lan nh\u01b0 th\u1ebf n\u00e0o? Theo qu\u00fd v\u1ecb, \u0111\u00e2u l\u00e0 nh\u1eefng nhu c\u1ea7u l\u1edbn nh\u1ea5t ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng trong l\u0129nh v\u1ef1c n\u00e0y? <\/h4>\r\n\r\n\r\n\r\n<p>T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh suy tim \u0111ang gia t\u0103ng \u1edf nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi, bao g\u1ed3m c\u1ea3 Th\u00e1i Lan.<br>\u0110i\u1ec1u n\u00e0y l\u00e0 do d\u00e2n s\u1ed1 gi\u00e0 \u0111i v\u00e0 vi\u1ec7c ch\u0103m s\u00f3c tim m\u1ea1ch \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n. Hi\u1ec7n nay, suy tim l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ea9n \u0111o\u00e1n nh\u1eadp vi\u1ec7n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf b\u1ec7nh nh\u00e2n. Khi n\u00f3i \u0111\u1ebfn nhu c\u1ea7u ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng, c\u00f3 hai \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd. M\u1ed9t l\u00e0 gi\u00e1o d\u1ee5c ho\u1eb7c n\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim cho c\u1ea3 c\u1ed9ng \u0111\u1ed3ng v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf. Nhu c\u1ea7u ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng th\u1ee9 hai l\u00e0 c\u00f4ng ngh\u1ec7 \u0111i\u1ec1u tr\u1ecb suy tim.    <\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"h-how-is-the-hf-clinic-at-chulalongkorn-hospital-reducing-rehospitalization-of-hf-patients-by-up-to-70-80-what-does-the-hf-patient-journey-look-like\">Ph\u00f2ng kh\u00e1m suy tim t\u1ea1i b\u1ec7nh vi\u1ec7n Chulalongkorn c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 t\u00e1i nh\u1eadp vi\u1ec7n c\u1ee7a b\u1ec7nh nh\u00e2n suy tim t\u1edbi 70-80% nh\u01b0 th\u1ebf n\u00e0o? H\u00e0nh tr\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n suy tim di\u1ec5n ra nh\u01b0 th\u1ebf n\u00e0o? <\/h4>\r\n\r\n\r\n\r\n<p>Ph\u00f2ng kh\u00e1m suy tim \u0111\u00f3ng vai tr\u00f2 l\u00e0 c\u1eeda ng\u00f5 gi\u00fap b\u1ec7nh nh\u00e2n chuy\u1ec3n t\u1eeb \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa sang \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa. Ph\u00f2ng kh\u00e1m suy tim gi\u00fap gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n c\u00e1ch ch\u0103m s\u00f3c b\u1ea3n th\u00e2n, \u0111\u1ed3ng th\u1eddi trao quy\u1ec1n cho b\u00e1c s\u0129 \u0111\u01b0a ra li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t cho t\u1eebng b\u1ec7nh nh\u00e2n. V\u00e0 nh\u1edd vi\u1ec7c ti\u1ebfp c\u1eadn ph\u00f2ng kh\u00e1m nh\u01b0 v\u1eady, t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n ph\u1ea3i t\u00e1i nh\u1eadp vi\u1ec7n \u0111\u00e3 gi\u1ea3m.  <\/p>\r\n\r\n\r\n\r\n<p>Th\u00f4ng th\u01b0\u1eddng, b\u1ec7nh nh\u00e2n suy tim c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n theo hai c\u00e1ch. Th\u1ee9 nh\u1ea5t, h\u1ecd c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh suy tim v\u00e0 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 kh\u00f3 th\u1edf ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch kh\u00e1c v\u00e0 ph\u1ea3i tr\u1ea3i qua qu\u00e1 tr\u00ecnh ki\u1ec3m tra ngo\u1ea1i tr\u00fa \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n suy tim. Ho\u1eb7c h\u1ecd c\u00f3 th\u1ec3 b\u1ecb kh\u00f3 th\u1edf kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t v\u00e0 ph\u1ea3i \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u v\u00e0 \u0111\u01b0\u1ee3c nh\u1eadp vi\u1ec7n v\u00ec suy tim c\u1ea5p. V\u00e0 khi h\u1ecd \u0111\u00e3 nh\u1eadp vi\u1ec7n, \u0111\u1ed9i ng\u0169 \u0111i\u1ec1u tr\u1ecb suy tim s\u1ebd gi\u00fap ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n v\u00e0 theo d\u00f5i sau \u0111\u00f3.   <\/p>\r\n\r\n\r\n\r\n<p>\u0110i\u1ec1u ch\u00fang t\u00f4i \u0111ang l\u00e0m th\u1ef1c s\u1ef1 t\u1ed1t l\u00e0 c\u00e1ch ch\u00fang t\u00f4i s\u1eed d\u1ee5ng nh\u00f3m \u0111a ng\u00e0nh, bao g\u1ed3m \u0111i\u1ec1u d\u01b0\u1ee1ng vi\u00ean chuy\u00ean khoa suy tim, d\u01b0\u1ee3c s\u0129 chuy\u00ean khoa suy tim v\u00e0 ng\u01b0\u1eddi quan tr\u1ecdng nh\u1ea5t l\u00e0 b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c. Hai \u0111i\u1ec1u n\u00e0y \u0111ang gi\u00fap ch\u00fang t\u00f4i ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n. \u0110\u1ed3ng th\u1eddi, ch\u01b0\u01a1ng tr\u00ecnh \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a ch\u00fang t\u00f4i c\u00f3 t\u1ea5t c\u1ea3 c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o trong h\u01b0\u1edbng d\u1eabn t\u1eeb giai \u0111o\u1ea1n A \u0111\u1ebfn B, cho \u0111\u1ebfn thu\u1ed1c \u1edf giai \u0111o\u1ea1n C, v\u00e0 c\u1ea3 gh\u00e9p tim v\u00e0 thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 th\u1ea5t tr\u00e1i (LVAD) \u1edf giai \u0111o\u1ea1n D. V\u1edbi t\u1ea5t c\u1ea3 nh\u1eefng li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n n\u00e0y, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n t\u1eeb m\u1ee9c c\u00f3 nguy c\u01a1 \u0111\u1ebfn suy tim n\u1eb7ng.  <\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"h-what-is-the-role-and-medical-value-of-nt-probnp-in-heart-failure-patient-journey-from-a-cardiologist-perspective-in-thailand-how-do-you-interpret-nt-probnp-in-your-daily-practice\">X\u00e9t nghi\u1ec7m NT-proBNP c\u00f3 vai tr\u00f2 v\u00e0 gi\u00e1 tr\u1ecb y khoa g\u00ec trong h\u00e0nh tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n suy tim theo quan \u0111i\u1ec3m c\u1ee7a b\u00e1c s\u0129 tim m\u1ea1ch t\u1ea1i Th\u00e1i Lan? Qu\u00fd v\u1ecb di\u1ec5n gi\u1ea3i x\u00e9t nghi\u1ec7m NT-proBNP nh\u01b0 th\u1ebf n\u00e0o trong th\u1ef1c h\u00e0nh h\u00e0ng ng\u00e0y? <\/h4>\r\n\r\n\r\n\r\n<p>Tr\u01b0\u1edbc \u0111\u00e2y, n\u1ebfu nghi ng\u1edd b\u1ec7nh nh\u00e2n b\u1ecb suy tim, ch\u00fang t\u00f4i ph\u1ea3i g\u1eedi b\u1ec7nh nh\u00e2n \u0111i si\u00eau \u00e2m tim. T\u1ea1i Th\u00e1i Lan, vi\u1ec7c n\u00e0y do b\u00e1c s\u0129 tim m\u1ea1ch th\u1ef1c hi\u1ec7n. V\u00ec v\u1eady, qu\u00fd v\u1ecb c\u00f3 th\u1ec3 t\u01b0\u1edfng t\u01b0\u1ee3ng th\u1eddi gian ch\u1edd \u0111\u1ee3i l\u00e0 kh\u00e1 l\u00e2u. X\u00e9t nghi\u1ec7m m\u00e1u nh\u01b0 NT-proBNP c\u00f3 th\u1ec3 gi\u00fap ch\u00fang t\u00f4i t\u1ea7m so\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n suy tim. M\u1ed9t khi ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n qu\u1ea3n l\u00fd k\u1ecbp th\u1eddi cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00f3.   <\/p>\r\n\r\n\r\n\r\n<p>X\u00e9t nghi\u1ec7m NT-proBNP l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ed9c \u0111\u00e1o v\u00ec m\u1eb7c d\u00f9 \u0111\u00e2y l\u00e0 m\u1ed9t c\u00f4ng ngh\u1ec7 m\u1edbi, n\u00f3 c\u00f3 th\u1ec3 mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch h\u01a1n cho vi\u1ec7c ch\u0103m s\u00f3c ban \u0111\u1ea7u ho\u1eb7c kh\u00f4ng ph\u1ea3i b\u00e1c s\u0129 tim m\u1ea1ch. V\u00ec x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb ch\u00ednh x\u00e1c b\u1ec7nh nh\u00e2n m\u00e0 ch\u00fang t\u00f4i nghi ng\u1edd b\u1ecb suy tim ho\u1eb7c l\u00e0m cho kh\u1ea3 n\u0103ng cao h\u01a1n n\u1ebfu h\u1ecd ki\u1ec3m tra d\u01b0\u01a1ng t\u00ednh v\u00e0 n\u00f3 c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh m\u1ed9t ng\u01b0\u1eddi g\u00e1c c\u1ed5ng \u0111\u1ec3 gi\u00fap g\u1eedi b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m b\u00e1c s\u0129 tim m\u1ea1ch. <br><br>\u0110\u1ed3ng th\u1eddi, h\u1ea7u h\u1ebft c\u00e1c th\u1eed nghi\u1ec7m ph\u00e2n nh\u00f3m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng cho th\u1ea5y l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb suy tim \u0111\u1ec1u c\u00f3 ng\u01b0\u1ee1ng tr\u1ecb s\u1ed1 NT-proBNP \u0111\u1ec3 gi\u00fap ch\u00fang t\u00f4i l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. V\u00ec v\u1eady, x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01a1n gi\u1ea3n n\u00e0y c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u1edf m\u1ecdi n\u01a1i, kh\u00f4ng c\u1ea7n \u0111\u1ebfn b\u00e1c s\u0129 tim m\u1ea1ch, c\u00f3 th\u1ec3 gi\u00fap theo d\u00f5i b\u1ec7nh nh\u00e2n. <\/p>\r\n\r\n\r\n\r\n<p>C\u00e1c b\u1ed1i c\u1ea3nh l\u1eadp kh\u00e1c nhau c\u00f3 ng\u01b0\u1ee1ng tr\u1ecb s\u1ed1 kh\u00e1c nhau. T\u00f4i khuy\u1ebfn kh\u00edch m\u1ecdi ng\u01b0\u1eddi xem h\u01b0\u1edbng d\u1eabn n\u00e0y. \u1ede b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa, m\u1ee9c NT-proBNP tr\u00ean 125pg\/mL l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng suy tim. C\u00f2n \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea5p t\u00ednh, ch\u1eb3ng h\u1ea1n nh\u01b0 trong ph\u00f2ng c\u1ea5p c\u1ee9u, \u1edf m\u1ee9c d\u01b0\u1edbi 300pg\/mL, ch\u00fang ta c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng suy tim. Nh\u01b0ng n\u1ebfu tr\u1ecb s\u1ed1 n\u00e0y v\u01b0\u1ee3t qu\u00e1 450pg\/mL th\u00ec nguy c\u01a1 suy tim s\u1ebd cao h\u01a1n. Ng\u01b0\u1ee1ng tr\u1ecb s\u1ed1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y theo \u0111\u1ed9 tu\u1ed5i, th\u1ec3 tr\u1ea1ng c\u01a1 th\u1ec3 v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n. <br><br>Sacubitril-valsartan l\u00e0 nh\u1eefng thu\u1ed1c m\u1edbi trong nh\u00f3m thu\u1ed1c c\u00f3 t\u00ean ARNI. Ch\u1eef &#8220;N&#8221; v\u00e0 &#8220;I&#8221; trong ARNI l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf neprilysin. Neprilysin \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 BNP nh\u01b0ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 NT-proBNP. V\u00ec v\u1eady, n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng nh\u00f3m thu\u1ed1c n\u00e0y, h\u01b0\u1edbng d\u1eabn khuy\u1ebfn c\u00e1o n\u00ean s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m NT-proBNP thay v\u00ec BNP.<\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"h-what-inspires-you-to-continuously-improve-the-hf-management-in-your-practice\">\u0110i\u1ec1u g\u00ec truy\u1ec1n c\u1ea3m h\u1ee9ng \u0111\u1ec3 qu\u00fd v\u1ecb li\u00ean t\u1ee5c c\u1ea3i thi\u1ec7n vi\u1ec7c qu\u1ea3n l\u00fd suy tim trong c\u00f4ng vi\u1ec7c c\u1ee7a m\u00ecnh?<\/h4>\r\n\r\n\r\n\r\n<p>So v\u1edbi c\u00e1c l\u0129nh v\u1ef1c kh\u00e1c trong tim m\u1ea1ch, l\u0129nh v\u1ef1c suy tim v\u1eabn c\u00f2n t\u01b0\u01a1ng \u0111\u1ed1i m\u1edbi, n\u1ebfu qu\u00fd v\u1ecb x\u00e9t \u0111\u1ebfn l\u1ecbch s\u1eed \u0111\u1eb7t stent ho\u1eb7c m\u00e1y t\u1ea1o nh\u1ecbp tim. C\u00f2n nhi\u1ec1u \u0111i\u1ec1u ch\u00fang ta c\u00f3 th\u1ec3 l\u00e0m cho b\u1ec7nh nh\u00e2n trong l\u0129nh v\u1ef1c n\u00e0y. Trong 20-30 n\u0103m tr\u1edf l\u1ea1i \u0111\u00e2y, \u0111\u00e3 c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c m\u1edbi, chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb m\u1edbi v\u00e0 c\u00f4ng ngh\u1ec7 m\u1edbi. M\u1eb7c d\u00f9 c\u00f3 t\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u n\u00e0y, nh\u01b0ng t\u1ef7 l\u1ec7 nh\u1eadp vi\u1ec7n v\u00ec suy tim v\u1eabn c\u00f2n cao. Ch\u00ednh v\u00ec nh\u1eefng k\u1ebft qu\u1ea3 \u0111\u00f3 \u0111\u00e3 th\u00fac \u0111\u1ea9y t\u00f4i c\u1ea3i thi\u1ec7n vi\u1ec7c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n.    <\/p>\r\n\r\n\r\n\r\n<p>\u0110\u1ed3ng th\u1eddi, \u0111\u00e2y c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng t\u00ecnh tr\u1ea1ng b\u1ec7nh \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u \u0111\u1ebfn b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nh\u00e2n. Do c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh, h\u1ecd kh\u00f4ng th\u1ec3 tham gia nhi\u1ec1u ho\u1ea1t \u0111\u1ed9ng. V\u00ec v\u1eady, vi\u1ec7c c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 th\u1ea5y h\u1ecd c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c nhi\u1ec1u \u0111i\u1ec1u h\u01a1n s\u1ebd t\u1ea1o \u0111\u1ed9ng l\u1ef1c \u0111\u1ec3 ch\u00fang t\u00f4i gi\u00fap \u0111\u1ee1 h\u1ecd.  <\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"h-are-you-currently-exploring-other-initiatives-to-enhance-the-management-of-hf-and-what-steps-are-you-taking-to-refine-these-initiatives\">Hi\u1ec7n t\u1ea1i, qu\u00fd v\u1ecb c\u00f3 \u0111ang t\u00ecm hi\u1ec3u c\u00e1c s\u00e1ng ki\u1ebfn kh\u00e1c \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng qu\u1ea3n l\u00fd suy tim kh\u00f4ng, v\u00e0 qu\u00fd v\u1ecb \u0111ang th\u1ef1c hi\u1ec7n nh\u1eefng bi\u1ec7n ph\u00e1p n\u00e0o \u0111\u1ec3 tinh ch\u1ec9nh c\u00e1c s\u00e1ng ki\u1ebfn n\u00e0y?<\/h4>\r\n\r\n\r\n\r\n<p>Tr\u1ecdng t\u00e2m \u0111\u00e3 chuy\u1ec3n sang nh\u1eefng g\u00ec ch\u00fang ta c\u00f3 th\u1ec3 l\u00e0m khi b\u1ec7nh nh\u00e2n xu\u1ea5t vi\u1ec7n \u0111\u1ec3 gi\u1ea3m s\u1ed1 l\u1ea7n nh\u1eadp vi\u1ec7n. B\u1ec7nh vi\u1ec7n c\u1ee7a ch\u00fang t\u00f4i tham gia d\u1ef1 \u00e1n c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a<br>Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 c\u00f3 t\u00ean l\u00e0 Get With The Guideline. \u0110i\u1ec1u n\u00e0y gi\u00fap ch\u00fang t\u00f4i ki\u1ec3m tra xem m\u00ecnh \u0111\u00e3 l\u00e0m t\u1ed1t c\u00f4ng vi\u1ec7c ch\u01b0a tr\u01b0\u1edbc khi cho b\u1ec7nh nh\u00e2n v\u1ec1 nh\u00e0. V\u00e0 g\u1ea7n \u0111\u00e2y \u0111\u00e3 c\u00f3 m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c m\u1edbi v\u1ec1 c\u00e1ch theo d\u00f5i b\u1ec7nh nh\u00e2n sau khi xu\u1ea5t vi\u1ec7n. N\u1ebfu ch\u00fang ta th\u0103m kh\u00e1m b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean h\u01a1n, n\u1ebfu ch\u00fang ta theo d\u00f5i b\u1ec7nh nh\u00e2n c\u1ea9n th\u1eadn v\u00e0 \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 nh\u1eadp vi\u1ec7n do suy tim. V\u00ec v\u1eady t\u00f4i khuy\u1ebfn kh\u00edch m\u1ecdi ng\u01b0\u1eddi xem x\u00e9t th\u1eed nghi\u1ec7m <a href=\"https:\/\/cardiothinklab.com\/apac-strong-hf-master-pack-first-hand-insights-from-prof-mebazaa-on-heart-failure-treatment-monitoring\/\">STRONG-HF<\/a>. \u0110\u00e2y l\u00e0 c\u00e1ch m\u1edbi \u0111\u1ec3 ch\u00fang ta c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ee1 b\u1ec7nh nh\u00e2n.      <\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"h-how-would-you-advise-your-peers-on-improving-hf-management-in-asia-pacific\">Qu\u00fd v\u1ecb s\u1ebd t\u01b0 v\u1ea5n cho \u0111\u1ed3ng nghi\u1ec7p c\u1ee7a m\u00ecnh nh\u01b0 th\u1ebf n\u00e0o v\u1ec1 vi\u1ec7c c\u1ea3i thi\u1ec7n qu\u1ea3n l\u00fd suy tim \u1edf Ch\u00e2u \u00c1 &#8211; Th\u00e1i B\u00ecnh D\u01b0\u01a1ng?<\/h4>\r\n\r\n\r\n\r\n<p>B\u1eb1ng s\u1ef1 ch\u0103m s\u00f3c m\u00e0 ch\u00fang ta d\u00e0nh cho b\u1ec7nh nh\u00e2n, h\u00e3y h\u01b0\u1edbng d\u1eabn h\u1ecd c\u00e1ch t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n. Ch\u1ec9 v\u1edbi x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01a1n gi\u1ea3n v\u00e0 d\u00f9ng thu\u1ed1c, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3. \u0110\u00e2y l\u00e0 th\u00f4ng \u0111i\u1ec7p m\u00e0 t\u00f4i mu\u1ed1n g\u1eedi t\u1edbi b\u1ea1n \u0111\u1ed3ng nghi\u1ec7p c\u1ee7a ch\u00fang ta. \u1ede \u0110\u00f4ng Nam \u00c1, ch\u00fang ta b\u1ecb h\u1ea1n ch\u1ebf v\u1ec1 chi ph\u00ed ch\u0103m s\u00f3c, c\u00f4ng ngh\u1ec7, nh\u01b0ng suy tim l\u00e0 m\u1ed9t trong nh\u1eefng h\u1ed9i ch\u1ee9ng m\u00e0 ch\u1ec9 c\u1ea7n m\u1ed9t \u0111i\u1ec1u \u0111\u01a1n gi\u1ea3n c\u0169ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n.   <br><\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\r\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/cardiothinklab.com\/vi\/moi-nhip-tim-deu-dang-tran-trong-hay-hanh-dong-va-tao-anh-huong-tich-cuc-nhan-ngay-tim-mach-the-gioi-nay\/?lang=vi\">Truy c\u1eadp trang Ng\u00e0y Tim m\u1ea1ch Th\u1ebf gi\u1edbi<\/a><\/div>\r\n<\/div>\r\n\r\n\r\n\r\n<p><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>T\u00ecnh h\u00ecnh qu\u1ea3n l\u00fd suy tim hi\u1ec7n nay \u1edf Th\u00e1i Lan nh\u01b0 th\u1ebf n\u00e0o? Theo qu\u00fd v\u1ecb, \u0111\u00e2u l\u00e0 nh\u1eefng nhu c\u1ea7u l\u1edbn nh\u1ea5t ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng trong l\u0129nh v\u1ef1c n\u00e0y? T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh suy tim \u0111ang gia t\u0103ng \u1edf nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi, bao g\u1ed3m c\u1ea3 Th\u00e1i Lan.\u0110i\u1ec1u n\u00e0y l\u00e0 [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/cardiothinklab.com\/vi\/quantum-leap-in-reducing-rehospitalization-in-hf-by-70-80-how-and-where\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":7382,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[664,665],"tags":[674,684,673,676],"specialty":[696],"class_list":["post-7380","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostics-insights-vi","category-expert-opinion-vi","tag-heart-failure-vi","tag-heart-failure-management-vi","tag-nt-probnp-vi","tag-strong-hf-vi","specialty-cardiovascular-vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts\/7380","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=7380"}],"version-history":[{"count":6,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts\/7380\/revisions"}],"predecessor-version":[{"id":8530,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/posts\/7380\/revisions\/8530"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/media\/7382"}],"wp:attachment":[{"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/media?parent=7380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/categories?post=7380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/tags?post=7380"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/cardiothinklab.com\/vi\/wp-json\/wp\/v2\/specialty?post=7380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}