{"id":10054,"date":"2025-05-29T08:00:00","date_gmt":"2025-05-29T01:00:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=10054"},"modified":"2025-05-28T15:38:02","modified_gmt":"2025-05-28T08:38:02","slug":"cum-moi-nguy-hiem-doi-voi-benh-nhan-tim-mach","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=10054","title":{"rendered":"C\u00daM \u2013 M\u1ed0I NGUY HI\u1ec2M \u0110\u1ed0I V\u1edaI B\u1ec6NH NH\u00c2N TIM M\u1ea0CH"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>1. C\u00fam kh\u00f4ng ch\u1ec9 l\u00e0 b\u1ec7nh c\u1ea3m th\u00f4ng th\u01b0\u1eddng<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00fam l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus g\u00e2y ra, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0 tim m\u1ea1ch. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng nhi\u1ec5m c\u00fam l\u00e0m t\u0103ng nguy c\u01a1 x\u1ea3y ra c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch c\u1ea5p t\u00ednh nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ef5 v\u00e0 suy tim.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"722\" height=\"1024\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-722x1024.jpg\" alt=\"\" class=\"wp-image-10056\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-722x1024.jpg 722w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-211x300.jpg 211w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-768x1090.jpg 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1082x1536.jpg 1082w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1443x2048.jpg 1443w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x851.jpg 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach.jpg 1804w\" sizes=\"auto, (max-width: 722px) 100vw, 722px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>2. T\u1ea1i sao b\u1ec7nh nh\u00e2n tim m\u1ea1ch d\u1ec5 b\u1ecb bi\u1ebfn ch\u1ee9ng do c\u00fam?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00fam l\u00ean h\u1ec7 tim m\u1ea1ch:<\/strong><strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2.1. T\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp c\u1ee7a virus c\u00fam l\u00ean tim m\u1ea1ch<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nhi\u1ec5m tr\u1ef1c ti\u1ebfp t\u1ebf b\u00e0o c\u01a1 tim (myocardium)<\/strong>: Virus c\u00fam c\u00f3 kh\u1ea3 n\u0103ng x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o c\u01a1 tim, g\u00e2y vi\u00eam c\u01a1 tim, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o, x\u01a1 h\u00f3a v\u00e0 gi\u1ea3m ch\u1ee9c n\u0103ng co b\u00f3p c\u1ee7a tim. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng suy tim \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u1ec1n tim m\u1ea1ch.<\/li>\n\n\n\n<li><strong>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u<\/strong>: Nhi\u1ec5m c\u00fam g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4, l\u00e0m m\u1ea5t \u1ed5n \u0111\u1ecbnh c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa v\u00e0 t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2.2. T\u00e1c \u0111\u1ed9ng gi\u00e1n ti\u1ebfp qua ph\u1ea3n \u1ee9ng to\u00e0n th\u00e2n<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n<\/strong>: Nhi\u1ec5m c\u00fam k\u00edch ho\u1ea1t ph\u1ea3n \u1ee9ng vi\u00eam m\u1ea1nh m\u1ebd, gi\u1ea3i ph\u00f3ng c\u00e1c cytokine g\u00e2y vi\u00eam nh\u01b0 IL-6 v\u00e0 TNF-\u03b1, l\u00e0m t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u.<\/li>\n\n\n\n<li><strong>T\u0103ng nhu c\u1ea7u oxy v\u00e0 g\u00e1nh n\u1eb7ng cho tim<\/strong>: S\u1ed1t cao v\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam l\u00e0m t\u0103ng nhu c\u1ea7u oxy c\u1ee7a c\u01a1 th\u1ec3, trong khi ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p b\u1ecb suy gi\u1ea3m do nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. \u0110i\u1ec1u n\u00e0y t\u1ea1o ra t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy t\u01b0\u01a1ng \u0111\u1ed1i, \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh ho\u1eb7c suy tim.<\/li>\n\n\n\n<li><strong>T\u0103ng ho\u1ea1t \u0111\u1ed9ng h\u1ec7 th\u1ea7n kinh giao c\u1ea3m<\/strong>: C\u00fam k\u00edch th\u00edch h\u1ec7 th\u1ea7n kinh giao c\u1ea3m, d\u1eabn \u0111\u1ebfn t\u0103ng nh\u1ecbp tim v\u00e0 huy\u1ebft \u00e1p, l\u00e0m t\u0103ng g\u00e1nh n\u1eb7ng cho tim v\u00e0 nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/li>\n\n\n\n<li><strong>T\u0103ng \u0111\u00f4ng m\u00e1u<\/strong>: Nhi\u1ec5m c\u00fam l\u00e0m t\u0103ng ho\u1ea1t t\u00ednh \u0111\u00f4ng m\u00e1u, t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i trong l\u00f2ng m\u1ea1ch, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c \u0111\u1ed9t qu\u1ef5.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>H\u1eadu qu\u1ea3 l\u00e2m s\u00e0ng:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>T\u0103ng nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim<\/strong>: Trong tu\u1ea7n \u0111\u1ea7u sau khi nhi\u1ec5m c\u00fam, nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim t\u0103ng g\u1ea5p 6 \u0111\u1ebfn 10 l\u1ea7n, do ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u khi\u1ebfn m\u1ea3ng x\u01a1 v\u1eefa d\u1ec5 v\u1ee1 ra, g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n\n\n\n<li><strong>L\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh tim m\u1ea1ch<\/strong>: C\u00fam c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng suy tim, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, vi\u00eam c\u01a1 tim v\u00e0 vi\u00eam m\u00e0ng ngo\u00e0i tim, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim.<\/li>\n\n\n\n<li><strong>T\u0103ng t\u1ef7 l\u1ec7 nh\u1eadp vi\u1ec7n v\u00e0 t\u1eed vong<\/strong>: Kho\u1ea3ng 50% ng\u01b0\u1eddi l\u1edbn nh\u1eadp vi\u1ec7n v\u00ec c\u00fam c\u00f3 b\u1ec7nh tim m\u1ea1ch k\u00e8m theo v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong \u1edf nh\u00f3m n\u00e0y cao h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng c\u00f3 b\u1ec7nh n\u1ec1n.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. Ti\u00eam v\u1eafc xin c\u00fam \u2013 bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 hi\u1ec7u qu\u1ea3<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3.1. <\/strong><strong>V\u00ec sao b\u1ec7nh nh\u00e2n tim m\u1ea1ch c\u1ea7n ti\u00eam vaccine c\u00fam?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Gi\u1ea3m nguy c\u01a1 bi\u1ebfn c\u1ed1 tim m\u1ea1ch nghi\u00eam tr\u1ecdng<\/strong>: Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng ti\u00eam vaccine c\u00fam gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ef5 v\u00e0 t\u1eed vong do tim m\u1ea1ch. M\u1ed9t ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p cho th\u1ea5y ti\u00eam vaccine c\u00fam c\u00f3 th\u1ec3 gi\u1ea3m 34% nguy c\u01a1 c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p g\u1ea7n \u0111\u00e2y.<\/li>\n\n\n\n<li><strong>Gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong sau nh\u1ed3i m\u00e1u c\u01a1 tim<\/strong>: Ti\u00eam vaccine c\u00fam sau khi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim gi\u00fap gi\u1ea3m nguy c\u01a1 t\u1eed vong do tim m\u1ea1ch v\u00e0 c\u00e1c bi\u1ebfn c\u1ed1 nghi\u00eam tr\u1ecdng kh\u00e1c.<\/li>\n\n\n\n<li><strong>Hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i \u00edt nh\u1ea5t m\u1ed9t n\u0103m<\/strong>: Vaccine c\u00fam kh\u00f4ng ch\u1ec9 b\u1ea3o v\u1ec7 kh\u1ecfi nhi\u1ec5m c\u00fam m\u00e0 c\u00f2n gi\u00fap ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch c\u1ea5p t\u00ednh trong \u00edt nh\u1ea5t m\u1ed9t n\u0103m sau ti\u00eam.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3.2. <\/strong><strong>Khuy\u1ebfn c\u00e1o ti\u00eam vaccine c\u00fam cho b\u1ec7nh nh\u00e2n tim m\u1ea1ch<\/strong><strong> <\/strong><strong>\ud83d\udc89<\/strong><strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110\u1ed1i t\u01b0\u1ee3ng n\u00ean ti\u00eam<\/strong>: T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh tim m\u1ea1ch, bao g\u1ed3m suy tim, b\u1ec7nh m\u1ea1ch v\u00e0nh, t\u0103ng huy\u1ebft \u00e1p v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n\n\n\n<li><strong>Th\u1eddi \u0111i\u1ec3m ti\u00eam<\/strong>: N\u00ean ti\u00eam vaccine c\u00fam h\u00e0ng n\u0103m, b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o trong n\u0103m.<\/li>\n\n\n\n<li><strong>Lo\u1ea1i vaccine ph\u00f9 h\u1ee3p<\/strong>: Vaccine c\u00fam d\u1ea1ng ti\u00eam (kh\u00f4ng ch\u1ee9a virus s\u1ed1ng) \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho b\u1ec7nh nh\u00e2n tim m\u1ea1ch. Vaccine d\u1ea1ng x\u1ecbt m\u0169i (ch\u1ee9a virus s\u1ed1ng gi\u1ea3m \u0111\u1ed9c l\u1ef1c) kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho ng\u01b0\u1eddi c\u00f3 b\u1ec7nh tim m\u1ea1ch ho\u1eb7c ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c khuy\u1ebfn c\u00e1o ti\u00eam v\u1eafc xin c\u00fam<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>WHO v\u00e0 \u1ee6y ban C\u1ed1 v\u1ea5n v\u1ec1 Th\u1ef1c h\u00e0nh Ti\u00eam ch\u1ee7ng c\u1ee7a Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh (CDC): \u0111\u01b0a ra c\u00e1c khuy\u1ebfn c\u00e1o h\u00e0ng n\u0103m v\u1ec1 th\u00e0nh ph\u1ea7n c\u1ee7a v\u1eafc-xin c\u00fam cho c\u00e1c nh\u00e0 s\u1ea3n xu\u1ea5t. Nhi\u1ec1u h\u01b0\u1edbng d\u1eabn l\u00e2m s\u00e0ng kh\u00e1c nhau khuy\u1ebfn c\u00e1o ti\u00eam v\u1eafc-xin c\u00fam h\u00e0ng n\u0103m cho to\u00e0n b\u1ed9 d\u00e2n s\u1ed1 \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t ch\u00fa tr\u1ecdng \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh tim m\u1ea1ch.<\/li>\n\n\n\n<li>H\u01b0\u1edbng d\u1eabn chung c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u (ESC-2019) v\u00e0 Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 v\u00e0 Tr\u01b0\u1eddng Cao \u0111\u1eb3ng Tim m\u1ea1ch Hoa K\u1ef3 (AHA\/ACC: \u0111\u1ec1 xu\u1ea5t khuy\u1ebfn c\u00e1o Lo\u1ea1i I (M\u1ee9c \u0111\u1ed9 B\u1eb1ng ch\u1ee9ng B) v\u1ec1 vi\u1ec7c ti\u00eam v\u1eafc-xin c\u00fam cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh tim m\u1ea1ch.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"681\" height=\"1024\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/image-11-681x1024.png\" alt=\"\" class=\"wp-image-10055\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/image-11-681x1024.png 681w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/image-11-199x300.png 199w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/image-11-768x1156.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/image-11-600x903.png 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/image-11.png 979w\" sizes=\"auto, (max-width: 681px) 100vw, 681px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>4. T\u00ecnh h\u00ecnh ti\u00eam ch\u1ee7ng t\u1ea1i Vi\u1ec7t Nam<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh gi\u1ed1ng c\u00fam \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 1,6 \u0111\u1ebfn 1,8 tri\u1ec7u ng\u01b0\u1eddi m\u1ed7i n\u0103m v\u00e0 \u0111\u00e3 tr\u1ea3i qua hai \u0111\u1ee3t b\u00f9ng ph\u00e1t l\u1edbn c\u1ee7a vi-r\u00fat c\u00fam m\u1edbi c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra \u0111\u1ea1i d\u1ecbch, \u0111\u1ee3t \u0111\u1ea7u ti\u00ean v\u00e0o n\u0103m 2003 v\u1edbi vi-r\u00fat c\u00fam A\/H5N1 \u0111\u1ed9c l\u1ef1c cao v\u00e0 \u0111\u1ee3t c\u00f2n l\u1ea1i v\u00e0o n\u0103m 2009 v\u1edbi vi-r\u00fat c\u00fam A\/H1N1pdm09. T\u00ednh \u0111\u1ebfn th\u00e1ng 7 n\u0103m 2018, ba lo\u1ea1i v\u1eafc-xin c\u00fam tam gi\u00e1 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p v\u00e0 nh\u1eadp kh\u1ea9u v\u00e0o Vi\u1ec7t Nam, d\u00e0nh cho c\u1ea3 b\u00e1n c\u1ea7u B\u1eafc v\u00e0 Nam. H\u00e0ng n\u0103m, c\u00f3 kho\u1ea3ng 700.000 li\u1ec1u \u0111\u01b0\u1ee3c nh\u1eadp kh\u1ea9u; ngay c\u1ea3 khi s\u1eed d\u1ee5ng t\u1ea5t c\u1ea3 c\u00e1c li\u1ec1u \u0111\u00f3, th\u00ec c\u0169ng ch\u1ec9 ch\u01b0a \u0111\u1ebfn 1% d\u00e2n s\u1ed1 Vi\u1ec7t Nam \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc-xin c\u00fam m\u1ed7i n\u0103m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam \u0111\u00e3 nh\u1eadn th\u1ea5y nguy c\u01a1 nhi\u1ec5m c\u00fam cao v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a v\u1eafc-xin n\u00ean n\u0103m 2011 \u0111\u00e3 \u0111\u01b0a ra h\u01b0\u1edbng d\u1eabn v\u1ec1 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00fam theo m\u00f9a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5. <\/strong><strong>R\u00e0o c\u1ea3n v\u00e0 h\u01b0\u1edbng kh\u1eafc ph\u1ee5c<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>T\u1ef7 l\u1ec7 ti\u00eam v\u1eafc xin c\u00fam v\u1eabn c\u00f2n th\u1ea5p<\/strong> \u1edf b\u1ec7nh nh\u00e2n tim m\u1ea1ch t\u1ea1i nhi\u1ec1u qu\u1ed1c gia, ph\u1ea7n l\u1edbn do nh\u1eadn th\u1ee9c ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf.<\/li>\n\n\n\n<li><strong>C\u1ea7n t\u00edch c\u1ef1c truy\u1ec1n th\u00f4ng, t\u01b0 v\u1ea5n t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf<\/strong>, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c khoa tim m\u1ea1ch, ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa v\u00e0 l\u1ed3ng gh\u00e9p v\u00e0o quy tr\u00ecnh ch\u0103m s\u00f3c \u0111\u1ecbnh k\u1ef3.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\"><strong><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Ths.BS.Nguy\u1ec5n Th\u1ecb Ng\u1ecdc Y\u1ebfn<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em><u>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/u><\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Siva H Yedlapati, et al. Vaccines and cardiovascular outcomes: lessons learned from influenza epidemics,&nbsp;<em>European Heart Journal Supplements<\/em>, Volume 25, Issue Supplement_A, February 2023.<\/li>\n\n\n\n<li>Omidi F, Zangiabadian M, et al. Influenza vaccination and major cardiovascular risk: a systematic review and meta-analysis of clinical trials studies.Scientific Reports. 2023;13(1):20235. DOI: 10.1038\/s41598-023-47690-9.<\/li>\n\n\n\n<li>Kumbhani D J. Influenza Vaccine to Prevent Adverse Vascular Events \u2013 IVVE.2022.<\/li>\n\n\n\n<li>World Health Organization.&nbsp; Made in Viet Nam Vaccines: efforts to develop sustainable in-country manufacturing for seasonal and pandemic influenza vaccines. 2016.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>1. C\u00fam kh\u00f4ng ch\u1ec9 l\u00e0 b\u1ec7nh c\u1ea3m th\u00f4ng th\u01b0\u1eddng C\u00fam l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus g\u00e2y ra, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0 tim m\u1ea1ch. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng nhi\u1ec5m c\u00fam l\u00e0m t\u0103ng nguy c\u01a1 x\u1ea3y ra c\u00e1c [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":10056,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56],"tags":[],"class_list":["post-10054","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x1800.jpg",1200,1800,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach.jpg",1804,2560,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach.jpg",1804,2560,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-211x300.jpg",211,300,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-768x1090.jpg",768,1090,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-722x1024.jpg",722,1024,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-400x2560.jpg",400,2560,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1082x1536.jpg",1082,1536,true],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1443x2048.jpg",1443,2048,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x1800.jpg",1200,1800,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x900.jpg",600,900,true],"ultp_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-600x600.jpg",600,600,true],"elixar_section_extra_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-640x400.jpg",640,400,true],"elixar_gallery_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-615x400.jpg",615,400,true],"elixar_blog_home_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-348x196.jpg",348,196,true],"elixar_blog_full_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-1110x515.jpg",1110,515,true],"elixar_blog_sidebar_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-805x350.jpg",805,350,true],"woocommerce_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/tim-mach-300x300.jpg",300,300,true],"woocommerce_single":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/05\/ti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C\u00fam kh\u00f4ng ch\u1ec9 l\u00e0 b\u1ec7nh c\u1ea3m th\u00f4ng th\u01b0\u1eddng C\u00fam l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m do virus g\u00e2y ra, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0 tim m\u1ea1ch. 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