{"id":216,"date":"2025-07-22T13:05:57","date_gmt":"2025-07-22T06:05:57","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=216"},"modified":"2025-08-12T07:42:17","modified_gmt":"2025-08-12T00:42:17","slug":"khoa-tim-mach-can-thiep-dsa","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=216","title":{"rendered":"Khoa Tim M\u1ea1ch Can Thi\u1ec7p – DSA"},"content":{"rendered":"\n

1. L\u1ecaCH S\u1eec H\u00ccNH TH\u00c0NH V\u00c0 S\u1ee8 M\u1ec6NH:<\/strong><\/p>\n\n\n\n

T\u1eeb \u0110\u01a1n v\u1ecb Tim m\u1ea1ch can thi\u1ec7p th\u00e0nh l\u1eadp v\u00e0o th\u00e1ng 04 n\u0103m 2009, tr\u1ef1c thu\u1ed9c khoa N\u1ed9i Tim m\u1ea1ch,  \u0111\u1ebfn 30 th\u00e1ng 9 n\u0103m 2015, Khoa tim m\u1ea1ch can thi\u1ec7p B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh ch\u00ednh th\u1ee9c \u0111i v\u00e0o ho\u1ea1t \u0111\u1ed9ng v\u00e0 ph\u00e1t tri\u1ec3n \u0111\u1ebfn nay<\/p>\n\n\n\n

 V\u1edbi s\u1ee9 m\u1ec7nh ch\u0103m s\u00f3c v\u00e0 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe tim m\u1ea1ch cho ng\u01b0\u1eddi d\u00e2n khu v\u1ef1c \u0110\u00f4ng B\u1eafc Tp H\u1ed3 Ch\u00ed Minh v\u00e0 c\u00e1c t\u1ec9nh l\u00e2n c\u1eadn, Khoa tim m\u1ea1ch can thi\u1ec7p B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh lu\u00f4n h\u01b0\u1edbng t\u1edbi m\u1ee5c ti\u00eau kh\u00f4ng ng\u1eebng c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5, \u0111\u00e1p \u1ee9ng nhu c\u1ea7u ng\u00e0y c\u00e0ng cao c\u1ee7a c\u1ed9ng \u0111\u1ed3ng, ph\u1ea5n \u0111\u1ea5u tr\u1edf th\u00e0nh m\u1ed9t trung t\u00e2m chuy\u00ean s\u00e2u v\u1ec1 Can thi\u1ec7p tim m\u1ea1ch h\u00e0ng \u0111\u1ea7u t\u1ea1i TP.HCM v\u00e0 c\u1ea3 n\u01b0\u1edbc,<\/p>\n\n\n\n

T\u00ednh \u0111\u1ebfn th\u00e1ng 6 n\u0103m 2025, khoa \u0111\u00e3 th\u1ef1c hi\u1ec7n g\u1ea7n 20.000 th\u1ee7 thu\u1eadt ch\u1ee5p v\u00e0 can thi\u1ec7p tim m\u1ea1ch, c\u1ea5p c\u1ee9u v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh, mang l\u1ea1i s\u1ef1 s\u1ed1ng cho nhi\u1ec1u b\u1ec7nh nh\u00e2n trong nh\u1eefng t\u00ecnh hu\u1ed1ng nguy k\u1ecbch. Nh\u1eefng con s\u1ed1 \u1ea5n t\u01b0\u1ee3ng n\u00e0y th\u1ec3 hi\u1ec7n s\u1ef1 n\u1ed7 l\u1ef1c kh\u00f4ng ng\u1eebng ngh\u1ec9 c\u1ee7a t\u1eadp th\u1ec3 c\u00e1n b\u1ed9, nh\u00e2n vi\u00ean y t\u1ebf c\u1ee7a khoa, x\u1ee9ng \u0111\u00e1ng v\u1edbi s\u1ef1 tin t\u01b0\u1edfng v\u00e0 k\u1ef3 v\u1ecdng t\u1eeb ng\u01b0\u1eddi d\u00e2n Tp. HCM.<\/p>\n\n\n\n

2. C\u01a0 S\u1ede V\u1eacT CH\u1ea4T-K\u1ef8 THU\u1eacT:<\/strong><\/p>\n\n\n\n

\u2022 Ph\u00f2ng DSA (<\/strong>Digital Subtraction Angiography) \u0111\u01b0\u1ee3c trang b\u1ecb c\u00e1c thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i h\u00e0ng \u0111\u1ea7u, n\u1ed5i b\u1eadt v\u1edbi h\u1ec7 th\u1ed1ng m\u00e1y ch\u1ee5p m\u1ea1ch k\u1ef9 thu\u1eadt s\u1ed1 x\u00f3a n\u1ec1n Siemens, m\u00e1y b\u01a1m b\u00f3ng \u0111\u1ed1i xung n\u1ed9i \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (IABP), v\u00e0 lo\u1ea1t c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn nh\u01b0 FFR (\u0111o d\u1ef1 tr\u1eef l\u01b0u l\u01b0\u1ee3ng v\u00e0nh), IVUS, IVUS-NIRS v\u00e0 OCT. Nh\u1eefng c\u00f4ng c\u1ee5 n\u00e0y kh\u00f4ng ch\u1ec9 cho ph\u00e9p \u0111\u00e1nh gi\u00e1 chi ti\u1ebft t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch v\u00e0nh m\u00e0 c\u00f2n h\u1ed7 tr\u1ee3 t\u1ed1i \u01b0u h\u00f3a chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, n\u00e2ng cao hi\u1ec7u qu\u1ea3 can thi\u1ec7p.<\/p>\n\n\n\n

Trong \u0111\u00f3, IVUS<\/strong> cung c\u1ea5p h\u00ecnh \u1ea3nh si\u00eau \u00e2m trong l\u00f2ng m\u1ea1ch v\u00e0nh, h\u1ed7 tr\u1ee3 \u0111\u1ecbnh v\u1ecb v\u00e0 \u0111o \u0111\u1ea1c ch\u00ednh x\u00e1c t\u1ed5n th\u01b0\u01a1ng, c\u00f2n OCT<\/strong> v\u1edbi \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao cho ph\u00e9p quan s\u00e1t r\u00f5 c\u1ea5u tr\u00fac m\u00f4 h\u1ecdc c\u1ee7a m\u1ea1ch v\u00e0nh, gi\u00fap l\u1eadp k\u1ebf ho\u1ea1ch can thi\u1ec7p t\u1ed1i \u01b0u. IVUS-NIRS<\/strong> \u0111\u00f3ng vai tr\u00f2 ph\u00e1t hi\u1ec7n c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa kh\u00f4ng \u1ed5n \u0111\u1ecbnh \u2013 y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim \u2013 t\u1eeb \u0111\u00f3 t\u0103ng kh\u1ea3 n\u0103ng ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm.<\/p>\n\n\n\n

B\u00ean c\u1ea1nh h\u1ec7 th\u1ed1ng ch\u1ea9n \u0111o\u00e1n, ph\u00f2ng DSA c\u00f2n \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1ea7y \u0111\u1ee7 thi\u1ebft b\u1ecb c\u1ea5p c\u1ee9u nh\u01b0 m\u00e1y s\u1ed1c \u0111i\u1ec7n, m\u00e1y h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, m\u00e1y t\u1ea1o nh\u1ecbp tim t\u1ea1m th\u1eddi, c\u00f9ng v\u1edbi \u0111\u1ed9i ng\u0169 chuy\u00ean m\u00f4n cao \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n. \u0110\u1eb7c bi\u1ec7t, trong n\u0103m 2025, m\u1ed9t h\u1ec7 th\u1ed1ng m\u00e1y ch\u1ee5p n\u1ec1n k\u1ef9 thu\u1eadt s\u1ed1 th\u1ebf h\u1ec7 m\u1edbi s\u1ebd \u0111\u01b0\u1ee3c b\u1ed5 sung, n\u00e2ng cao n\u0103ng l\u1ef1c ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u1ee5c v\u1ee5 \u0111i\u1ec1u tr\u1ecb cho nhi\u1ec1u b\u1ec7nh nh\u00e2n h\u01a1n. V\u1edbi quy tr\u00ecnh can thi\u1ec7p \u0111\u1ea1t chu\u1ea9n qu\u1ed1c t\u1ebf v\u00e0 s\u1eb5n s\u00e0ng ho\u1ea1t \u0111\u1ed9ng 24\/7, n\u01a1i \u0111\u00e2y kh\u00f4ng ch\u1ec9 \u0111\u1ea3m b\u1ea3o x\u1eed tr\u00ed hi\u1ec7u qu\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u m\u1ea1ch v\u00e0nh m\u00e0 c\u00f2n t\u1ea1o n\u1ec1n t\u1ea3ng v\u1eefng ch\u1eafc cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u \u2013 \u0111\u00e0o t\u1ea1o, g\u00f3p ph\u1ea7n c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe tim m\u1ea1ch c\u1ed9ng \u0111\u1ed3ng m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Ekip th\u1ef1c hi\u1ec7n can thi\u1ec7p<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Tri\u1ec3n khai k\u1ef9 thu\u1eadt OCT \u0111\u00e1nh gi\u00e1 h\u00ecnh \u1ea3nh n\u1ed9i m\u1ea1ch v\u00e0n<\/strong>h<\/p>\n\n\n\n

\u2022 \u0110\u01a1n v\u1ecb Ch\u0103m s\u00f3c m\u1ea1ch v\u00e0nh (CCU)<\/strong> hi\u1ec7n c\u00f3 4 gi\u01b0\u1eddng b\u1ec7nh, \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1ea7y \u0111\u1ee7 c\u00e1c thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i nh\u01b0 m\u00e1y h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, m\u00e1y s\u1ed1c \u0111i\u1ec7n, m\u00e1y si\u00eau \u00e2m tim Doppler m\u00e0u v\u00e0 4 m\u00e1y theo d\u00f5i li\u00ean t\u1ee5c, gi\u00fap \u0111\u1ea3m b\u1ea3o vi\u1ec7c gi\u00e1m s\u00e1t t\u1ed1i \u01b0u t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n. \u0110\u01a1n v\u1ecb chuy\u00ean ti\u1ebfp nh\u1eadn v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p c\u0169ng nh\u01b0 c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch n\u1ed9i khoa nghi\u00eam tr\u1ecdng, d\u01b0\u1edbi ch\u1ebf \u0111\u1ed9 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t.<\/p>\n\n\n\n

\u0110\u1ed9i ng\u0169 t\u1ea1i \u0111\u00e2y c\u00f3 kinh nghi\u1ec7m v\u1eefng v\u00e0ng trong s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb ti\u00ean ti\u1ebfn nh\u01b0 m\u00e1y b\u01a1m b\u00f3ng \u0111\u1ed1i xung \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (IABP), h\u1ec7 th\u1ed1ng h\u1ea1 th\u00e2n nhi\u1ec7t \u0111\u1ec3 b\u1ea3o v\u1ec7 n\u00e3o v\u00e0 tim trong c\u00e1c t\u00ecnh hu\u1ed1ng ng\u01b0ng tim \u2013 ng\u01b0ng th\u1edf, c\u00f9ng v\u1edbi h\u1ec7 th\u1ed1ng l\u1ecdc m\u00e1u li\u00ean t\u1ee5c h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb suy \u0111a c\u01a1 quan. H\u01b0\u1edbng \u0111\u1ebfn vi\u1ec7c \u0111\u00e1p \u1ee9ng t\u1ed1t h\u01a1n nhu c\u1ea7u ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb tim m\u1ea1ch ng\u00e0y c\u00e0ng cao, \u0111\u01a1n v\u1ecb CCU d\u1ef1 ki\u1ebfn m\u1edf r\u1ed9ng quy m\u00f4 l\u00ean 9 gi\u01b0\u1eddng b\u1ec7nh, \u0111\u1ed3ng th\u1eddi kh\u00f4ng ng\u1eebng n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u0110i\u1ec1u d\u01b0\u1ee1ng \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c m\u1ea1ch v\u00e0nh<\/strong><\/p>\n\n\n\n

\u2022 Ph\u00f2ng b\u1ec7nh Tim m\u1ea1ch can thi\u1ec7p:<\/strong> v\u1edbi 21 gi\u01b0\u1eddng b\u1ec7nh \u0111\u01b0\u1ee3c trang b\u1ecb ti\u1ec7n nghi, s\u1ea1ch s\u1ebd, c\u00f3 h\u1ec7 th\u1ed1ng chu\u00f4ng b\u1ea5m li\u00ean l\u1ea1c \u0111i\u1ec1u d\u01b0\u1ee1ng khi c\u1ea7n, h\u1ec7 th\u1ed1ng gi\u00e1m s\u00e1t t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n li\u00ean t\u1ee5c, c\u00f9ng v\u1edbi kh\u00f4ng gian tho\u00e1ng \u0111\u00e3ng. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 t\u1ea1o t\u00e2m l\u00fd an t\u00e2m v\u00e0 tho\u1ea3i m\u00e1i cho b\u1ec7nh nh\u00e2n m\u00e0 c\u00f2n h\u1ed7 tr\u1ee3 t\u1ed1i \u01b0u trong vi\u1ec7c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb, \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 \u0111\u1ea1t ti\u00eau chu\u1ea9n qu\u1ed1c t\u1ebf.<\/p>\n\n\n\n

3. HO\u1ea0T \u0110\u1ed8NG CHUY\u00caN M\u00d4N:<\/strong><\/p>\n\n\n\n

Khoa Tim m\u1ea1ch Can thi\u1ec7p th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ch\u1ee9c n\u0103ng ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea5p c\u1ee9u c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p, v\u1edbi quy tr\u00ecnh chuy\u00ean m\u00f4n ch\u1eb7t ch\u1ebd v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n

\u2022 Ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p <\/strong>(nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh), \u0111\u01b0\u1ee3c tri\u1ec3n khai m\u1ed9t c\u00e1ch kh\u1ea9n tr\u01b0\u01a1ng, hi\u1ec7u qu\u1ea3 b\u1edfi \u0111\u1ed9i ng\u0169 \u00ea-k\u00edp tr\u1ef1c 24\/7 gi\u00e0u kinh nghi\u1ec7m trong x\u1eed l\u00fd c\u00e1c t\u00ecnh hu\u1ed1ng nguy k\u1ecbch nh\u01b0 cho\u00e1ng tim, ng\u01b0ng tim \u2013 ng\u01b0ng th\u1edf. To\u00e0n b\u1ed9 quy tr\u00ecnh c\u1ea5p c\u1ee9u tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t c\u00e1c ti\u00eau chu\u1ea9n qu\u1ed1c t\u1ebf, \u0111\u1ea3m b\u1ea3o th\u1eddi gian can thi\u1ec7p t\u1ed1i \u01b0u theo \u0111\u00fang khuy\u1ebfn c\u00e1o c\u1eadp nh\u1eadt t\u1eeb c\u00e1c hi\u1ec7p h\u1ed9i tim m\u1ea1ch h\u00e0ng \u0111\u1ea7u c\u1ee7a Ch\u00e2u \u00c2u v\u00e0 Hoa K\u1ef3. B\u00ean c\u1ea1nh \u0111\u00f3, h\u1ec7 th\u1ed1ng h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n v\u1edbi c\u00e1c c\u01a1 s\u1edf tuy\u1ebfn d\u01b0\u1edbi \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c nhanh ch\u00f3ng, ch\u00ednh x\u00e1c, gi\u00fap k\u1ecbp th\u1eddi chuy\u1ec3n tuy\u1ebfn v\u00e0 x\u1eed tr\u00ed c\u00e1c ca b\u1ec7nh nguy k\u1ecbch, t\u1eeb \u0111\u00f3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 c\u1ee9u s\u1ed1ng v\u00e0 gi\u1ea3m thi\u1ec3u bi\u1ebfn ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

\u2022 T\u1ea7m so\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch v\u00e0nh m\u1ea1n<\/strong> bao g\u1ed3m \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh v\u00e0 suy tim do thi\u1ebfu m\u00e1u c\u01a1 tim \u2013 l\u00e0 m\u1ed9t trong nh\u1eefng tr\u1ecdng t\u00e2m chuy\u00ean s\u00e2u c\u1ee7a Khoa Tim m\u1ea1ch Can thi\u1ec7p. Qu\u00e1 tr\u00ecnh ch\u1ee5p, can thi\u1ec7p m\u1ea1ch v\u00e0nh v\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed3ng b\u1ed9, xuy\u00ean su\u1ed1t t\u1eeb tr\u01b0\u1edbc, trong \u0111\u1ebfn sau can thi\u1ec7p, nh\u1eb1m \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u0111a cho ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1eb7c bi\u1ec7t, vi\u1ec7c \u1ee9ng d\u1ee5ng k\u1ef9 thu\u1eadt \u0111o l\u01b0u l\u01b0\u1ee3ng d\u1ef1 tr\u1eef m\u1ea1ch v\u00e0nh (FFR) \u0111\u00e3 mang l\u1ea1i nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc trong \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 thi\u1ebfu m\u00e1u c\u01a1 tim. C\u00f4ng ngh\u1ec7 n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng huy\u1ebft \u0111\u1ed9ng c\u1ee7a c\u00e1c t\u1ed5n th\u01b0\u01a1ng h\u1eb9p m\u1ea1ch v\u00e0nh trung gian, t\u1eeb \u0111\u00f3 x\u00e2y d\u1ef1ng chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, c\u00e1 th\u1ec3 h\u00f3a cho t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

\u2022 Th\u00f4ng tim ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd tim b\u1ea9m sinh b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p qua da <\/strong>\u0111\u1ed1i v\u1edbi c\u00e1c d\u1ecb t\u1eadt nh\u01b0 th\u00f4ng li\u00ean nh\u0129, th\u00f4ng li\u00ean th\u1ea5t, t\u1ed3n t\u1ea1i l\u1ed7 b\u1ea7u d\u1ee5c, v\u00e0 t\u1ed3n t\u1ea1i \u1ed1ng \u0111\u1ed9ng m\u1ea1ch. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng ch\u1ec9 cho ph\u00e9p x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh m\u00e0 c\u00f2n gi\u00fap l\u1ef1a ch\u1ecdn h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u. \u01afu \u0111i\u1ec3m n\u1ed5i b\u1eadt c\u1ee7a can thi\u1ec7p qua da l\u00e0 t\u00ednh \u00edt x\u00e2m l\u1ea5n, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb ng\u1eafn, g\u00f3p ph\u1ea7n \u0111\u1ea9y nhanh qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c v\u00e0 gi\u1ea3m thi\u1ec3u bi\u1ebfn ch\u1ee9ng sau can thi\u1ec7p, \u0111\u1eb7c bi\u1ec7t ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u1ea7n h\u1ed3i ph\u1ee5c s\u1edbm.<\/p>\n\n\n\n

\u2022 Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd van tim b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p qua da: <\/strong>thay van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 qua da (TAVI), s\u1eeda van hai l\u00e1 qua da (nong b\u00f3ng h\u1eb9p van hai l\u00e1, Mitralclip). \u0110\u00e2y l\u00e0 l\u1ef1a ch\u1ecdn l\u00fd t\u01b0\u1edfng cho c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt, gi\u00fap gi\u1ea3m thi\u1ec3u x\u00e2m l\u1ea5n, r\u00fat ng\u1eafn th\u1eddi gian h\u1ed3i ph\u1ee5c v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng.<\/p>\n\n\n\n

4. NH\u00c2N S\u1ef0<\/strong><\/p>\n\n\n\n

Khoa Tim m\u1ea1ch Can thi\u1ec7p hi\u1ec7n c\u00f3 \u0111\u1ed9i ng\u0169 31 nh\u00e2n s\u1ef1, g\u1ed3m c\u00e1c b\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao, kinh nghi\u1ec7m phong ph\u00fa trong l\u0129nh v\u1ef1c tim m\u1ea1ch.<\/p>\n\n\n\n

    \n
  • Nh\u00e2n s\u1ef1 chuy\u00ean m\u00f4n:<\/strong>
    \u2022 01 Ti\u1ebfn s\u0129
    \u2022 02 B\u00e1c s\u0129 Chuy\u00ean khoa II N\u1ed9i Tim m\u1ea1ch
    \u2022 02 Th\u1ea1c s\u0129
    \u2022 04 Th\u1ea1c s\u0129 \u2013 B\u00e1c s\u0129 n\u1ed9i tr\u00fa
    \u2022 01 B\u00e1c s\u0129 Chuy\u00ean khoa I N\u1ed9i t\u1ed5ng qu\u00e1t<\/li>\n\n\n\n
  • Nh\u00e2n s\u1ef1 \u0111i\u1ec1u d\u01b0\u1ee1ng \u2013 k\u1ef9 thu\u1eadt:<\/strong>
    \u2022 17 C\u1eed nh\u00e2n \u0111i\u1ec1u d\u01b0\u1ee1ng
    \u2022 02 K\u1ef9 thu\u1eadt vi\u00ean
    \u2022 02 H\u1ed9 l\u00fd<\/li>\n<\/ul>\n\n\n\n

    T\u1eadp th\u1ec3 nh\u00e2n vi\u00ean c\u1ee7a khoa \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n, th\u01b0\u1eddng xuy\u00ean c\u1eadp nh\u1eadt c\u00e1c k\u1ef9 thu\u1eadt v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t. \u0110\u1ed9i ng\u0169 n\u00e0y lu\u00f4n n\u1ed7 l\u1ef1c mang \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

      \n
    • Ban l\u00e3nh \u0111\u1ea1o khoa:<\/strong>
      \u2022 Tr\u01b0\u1edfng khoa:<\/strong> B\u00e1c s\u0129 Chuy\u00ean khoa II Nguy\u1ec5n \u0110\u1ed7 Anh
      \u2022 Ph\u00f3 khoa:<\/strong> Ti\u1ebfn s\u0129, B\u00e1c s\u0129 Ch\u00e2u \u0110\u1ed7 Tr\u01b0\u1eddng S\u01a1n<\/li>\n<\/ul>\n\n\n\n

      S\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa chuy\u00ean m\u00f4n v\u1eefng v\u00e0ng v\u00e0 tinh th\u1ea7n l\u00e0m vi\u1ec7c t\u1eadn t\u00e2m \u0111\u00e3 t\u1ea1o n\u00ean m\u1ed9t m\u00f4i tr\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, chuy\u00ean nghi\u1ec7p v\u00e0 \u0111\u1ea7y nh\u00e2n v\u0103n.<\/p>\n\n\n\n

      \"\"<\/figure>\n\n\n\n

      5. \u0110\u00c0O T\u1ea0O V\u00c0 NGHI\u00caN C\u1ee8U KHOA H\u1eccC<\/strong><\/strong><\/p>\n\n\n\n

      Khoa Tim m\u1ea1ch Can thi\u1ec7p kh\u00f4ng ng\u1eebng n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng chuy\u00ean m\u00f4n th\u00f4ng qua ho\u1ea1t \u0111\u1ed9ng \u0111\u00e0o t\u1ea1o v\u00e0 nghi\u00ean c\u1ee9u khoa h\u1ecdc, g\u00f3p ph\u1ea7n kh\u1eb3ng \u0111\u1ecbnh v\u1ecb th\u1ebf ti\u00ean phong trong l\u0129nh v\u1ef1c tim m\u1ea1ch.<\/p>\n\n\n\n

      \u2022 \u0110\u00e0o t\u1ea1o chuy\u00ean s\u00e2u \u2013 c\u1eadp nh\u1eadt li\u00ean t\u1ee5c:<\/strong>
      Khoa t\u1ed5 ch\u1ee9c c\u00e1c bu\u1ed5i sinh ho\u1ea1t khoa h\u1ecdc \u0111\u1ecbnh k\u1ef3 h\u00e0ng tu\u1ea7n theo m\u00f4 h\u00ecnh \u0111\u00e0o t\u1ea1o Y khoa li\u00ean t\u1ee5c (CME), nh\u1eb1m c\u1eadp nh\u1eadt c\u00e1c ki\u1ebfn th\u1ee9c, k\u1ef9 thu\u1eadt v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t t\u1eeb c\u00e1c hi\u1ec7p h\u1ed9i chuy\u00ean ng\u00e0nh trong n\u01b0\u1edbc v\u00e0 qu\u1ed1c t\u1ebf.
      \u0110\u00e2y \u0111\u1ed3ng th\u1eddi l\u00e0 m\u00f4i tr\u01b0\u1eddng trao \u0111\u1ed5i kinh nghi\u1ec7m, n\u00e2ng cao t\u01b0 duy l\u00e2m s\u00e0ng v\u00e0 k\u1ef9 n\u0103ng ph\u00e2n t\u00edch cho \u0111\u1ed9i ng\u0169 nh\u00e2n vi\u00ean y t\u1ebf, t\u1ea1o n\u1ec1n t\u1ea3ng ph\u00e1t tri\u1ec3n ngu\u1ed3n nh\u00e2n l\u1ef1c ch\u1ea5t l\u01b0\u1ee3ng cao.<\/p>\n\n\n\n

      \u2022 Trung t\u00e2m nghi\u00ean c\u1ee9u khoa h\u1ecdc uy t\u00edn:<\/strong>
      Khoa tham gia nhi\u1ec1u nghi\u00ean c\u1ee9u l\u1edbn, \u0111a trung t\u00e2m, c\u1ea3 trong n\u01b0\u1edbc l\u1eabn qu\u1ed1c t\u1ebf, bao g\u1ed3m c\u00e1c:<\/p>\n\n\n\n

        \n
      • Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng m\u00f9 \u0111\u00f4i, c\u00f3 \u0111\u1ed1i ch\u1ee9ng<\/strong><\/li>\n\n\n\n
      • Nghi\u00ean c\u1ee9u quan s\u00e1t<\/strong><\/li>\n\n\n\n
      • \u0110\u1ec1 t\u00e0i khoa h\u1ecdc c\u1ea5p c\u01a1 s\u1edf, c\u1ea5p b\u1ec7nh vi\u1ec7n v\u00e0 c\u1ea5p nh\u00e0 n\u01b0\u1edbc<\/strong><\/li>\n<\/ul>\n\n\n\n

        Nhi\u1ec1u nghi\u00ean c\u1ee9u c\u00f3 t\u00ednh th\u1ef1c ti\u1ec5n cao, g\u00f3p ph\u1ea7n gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea5p b\u00e1ch trong \u0111i\u1ec1u tr\u1ecb tim m\u1ea1ch, \u0111\u1ed3ng th\u1eddi m\u1edf r\u1ed9ng tri th\u1ee9c v\u00e0 \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 m\u1edbi:<\/p>\n\n\n\n

          \n
        • \u201cNh\u00e2n 99 tr\u01b0\u1eddng h\u1ee3p ch\u1ee5p v\u00e0 can thi\u1ec7p m\u1ea1ch v\u00e0nh t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh\u201d, H\u1ed9i nghi Tim m\u1ea1ch c\u00e1c t\u1ec9nh ph\u00eda nam, T.P H\u1ed3 Ch\u00ed Minh, 2009<\/li>\n\n\n\n
        • \u201cR\u00fat ng\u1eafn th\u1eddi gian c\u1eeda \u2013 b\u00f3ng trong can thi\u1ec7p m\u1ea1ch v\u00e0nh ti\u00ean ph\u00e1t tr\u00ean b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 ST ch\u00eanh l\u00ean\u201d, H\u1ed9i ngh\u1ecb Tim m\u1ea1ch mi\u1ec1n Trung v\u00e0 T\u00e2y Nguy\u00ean m\u1edf r\u1ed9ng l\u1ea7n VI, \u0110\u1eafc L\u1eafc, 08\/2011<\/li>\n\n\n\n
        • \u201cKh\u1ed1i m\u00e1u t\u1ee5 sau can thi\u1ec7p m\u1ea1ch v\u00e0nh\u201d, H\u1ed9i ngh\u1ecb nghi\u00ean c\u1ee9u khoa h\u1ecdc \u0110i\u1ec1u d\u01b0\u1ee1ng,  Vi\u1ec7n Tim TP. HCM 05\/2011.<\/li>\n\n\n\n
        • \u201cNh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p \u1edf b\u1ec7nh nh\u00e2n r\u1ea5t tr\u1ebb\u201d, H\u1ed9i ngh\u1ecb khoa h\u1ecdc c\u00f4ng ngh\u1ec7 tu\u1ed5i tr\u1ebb l\u1ea7n th\u1ee9 22 v\u00e0 H\u1ed9i ngh\u1ecb khoa h\u1ecdc k\u1ef9 thu\u1eadt l\u1ea7n th\u1ee9 29, \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c T.P H\u1ed3 Ch\u00ed Minh th\u00e1ng 01\/2012.<\/li>\n\n\n\n
        • \u201cKh\u1ea3o s\u00e1t \u0111\u1eb7c \u0111i\u1ec3m sang th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00ean b\u1ec7nh nh\u00e2n H\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p c\u00f3 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2\u201d,  \u0110\u1ec1 t\u00e0i t\u1ed1t nghi\u1ec7p chuy\u00ean khoa c\u1ea5p 1, \u0110ai h\u1ecdc Y Ph\u1ea1m Ng\u1ecdc Th\u1ea1chT.P H\u1ed3 Ch\u00ed Minh 2013.<\/li>\n\n\n\n
        • \u201cKh\u1ea3o s\u00e1t \u0111\u1eb7c \u0111i\u1ec3m H\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p tr\u00ean b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i\u201c, \u0110\u1ec1 t\u00e0i t\u1ed1t nghi\u1ec7p Th\u1ea1c s\u0129 y h\u1ecdc, \u0110ai h\u1ecdc Y D\u01b0\u1ee3c T.P H\u1ed3 Ch\u00ed Minh 2014.<\/li>\n\n\n\n
        • \u201cCan thi\u1ec7p m\u1ea1ch v\u00e0nh ti\u00ean ph\u00e1t: S\u1ed1 li\u1ec7u 05 n\u0103m t\u1eeb m\u1ed9t trung t\u00e2m\u201d, H\u1ed9i nghi Tim m\u1ea1ch to\u00e0n qu\u1ed1c, \u0110\u00e0 N\u1eb5ng, 2014<\/li>\n\n\n\n
        • \u201c \u0110i\u1ec1u tri b\u1ec7nh th\u00e2n chung \u0111\u00f4ng m\u1ea1ch v\u00e0nh tr\u00e1i kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7: So s\u00e1nh can thi\u1ec7p m\u1ea1ch v\u00e0nh v\u00e0 Ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh\u201d, H\u1ed9i ngh\u1ecbTim m\u1ea1ch can thi\u1ec7p TP. H\u1ed3 Ch\u00ed Minh, Hu\u1ebf  2016.<\/li>\n\n\n\n
        • \u201cL\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 x\u00e2y d\u1ef1ng m\u1ed9t trung t\u00e2m can thi\u1ec7p m\u1ea1ch v\u00e0nh c\u1ea5p c\u1ee9u?, H\u00f4i ngh\u1ecb Tim m\u1ea1ch c\u00e1c n\u01b0\u1edbc ASEAN, Singapore 2012<\/li>\n\n\n\n
        • \u201cNh\u00e2n m\u1ed9t tr\u01b0\u1eddng h\u1ee3p NMCT c\u1ea5p b\u1ea5t th\u01b0\u1eddng hi\u1ebfm g\u1eb7p\u201d, H\u1ed9i nghi Tim m\u1ea1ch can thi\u1ec7p Ch\u00e2u \u00c1, Asia- PCR 2015, H\u1ed9i ngh\u1ecb Qu\u1ed1c t\u1ebf v\u1ec1 bi\u1ebfn ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed trong Tim m\u1ea1ch can thi\u1ec7p, Lausane, Th\u1ee5y s\u0129 2015.<\/li>\n\n\n\n
        • Nhi\u1ec7m v\u1ee5 \u0111\u1ec1 t\u00e0i khoa h\u1ecdc c\u00f4ng ngh\u1ec7 c\u1ea5p b\u1ed9 \u201cKh\u1ea3o s\u00e1t vai tr\u00f2 c\u1ee7a CYP2C19 tr\u00ean t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch v\u00e0nh \u0111\u00edch \u1edf b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p sau \u0111\u1eb7t stent c\u00f3 s\u1eed d\u1ee5ng Clopidogrel\u201d do PGS.TS.BS. Ho\u00e0ng Qu\u1ed1c H\u00f2a l\u00e0m ch\u1ee7 nhi\u1ec7m \u0111\u1ec1 t\u00e0i.<\/li>\n\n\n\n
        • Nghi\u00ean c\u1ee9u qu\u1ed1c t\u1ebf\u201d Theo d\u00f5i d\u00e0i h\u1ea1n hi\u1ec7u qu\u1ea3 d\u00f9ng thu\u1ed1c ch\u00f4ng huy\u1ebft kh\u1ed1i tr\u00ean b\u1ec7nh nh\u00e2n H\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p EPICOR (Long-term follow-up of antithrombotic management Patterns In acute coronary syndrome patients), 2013.<\/li>\n\n\n\n
        • Nghi\u00ean c\u1ee9u \u0111a trung t\u00e2m\u201d \u0110i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n ng\u0103n ng\u1eeba th\u1ee9 ph\u00e1t sau xu\u1ea5t vi\u1ec7n b\u1ec7nh nh\u00e2n h\u1ed9i ch\u1ee9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p\u201d TRADIS (Treatment persistenceof secendary preventionafter discharge of acute coronary syndrome)<\/li>\n\n\n\n
        • Th\u1eed nghi\u1ec7m m\u00f9 \u0111\u00f4i, ng\u1eabu nhi\u00ean, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c,\u0111a qu\u1ed1c gia, \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a ticagrelor 90 mg hai l\u1ea7n m\u1ed7i ng\u00e0y x\u00e9t tr\u00ean t\u1ef7 l\u1ec7 ph\u00e1t sinh t\u1eed vong tim m\u1ea1ch, nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c \u0111\u1ed9t qu\u1ef5 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 THEMIS (Effect of Ticagrelor on Health outcomes in diabEtes Mellitus patients Intervention Study), 2015 -2017.<\/li>\n<\/ul>\n\n\n\n

          \u2022 Ho\u1ea1t \u0111\u1ed9ng b\u00e1o c\u00e1o khoa h\u1ecdc n\u1ed5i b\u1eadt:<\/strong>
          C\u00e1c c\u00f4ng tr\u00ecnh c\u1ee7a Khoa \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y t\u1ea1i nhi\u1ec1u h\u1ed9i ngh\u1ecb uy t\u00edn trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc nh\u01b0:<\/p>\n\n\n\n

            \n
          • H\u1ed9i ngh\u1ecb Tim m\u1ea1ch c\u00e1c t\u1ec9nh ph\u00eda Nam<\/li>\n\n\n\n
          • H\u1ed9i ngh\u1ecb Tim m\u1ea1ch to\u00e0n qu\u1ed1c<\/li>\n\n\n\n
          • H\u1ed9i ngh\u1ecb Tim m\u1ea1ch can thi\u1ec7p to\u00e0n qu\u1ed1c<\/li>\n\n\n\n
          • H\u1ed9i ngh\u1ecb Tim m\u1ea1ch can thi\u1ec7p TpHCM<\/li>\n\n\n\n
          • AsiaPCR, EuroPCR, ESC, ACC, TCT<\/li>\n<\/ul>\n\n\n\n

            \u2022 H\u1ee3p t\u00e1c qu\u1ed1c t\u1ebf v\u00e0 ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn:<\/strong>
            Khoa duy tr\u00ec h\u1ee3p t\u00e1c th\u01b0\u1eddng xuy\u00ean v\u1edbi c\u00e1c chuy\u00ean gia \u0111\u1ebfn t\u1eeb Nh\u1eadt B\u1ea3n, Singapore, Hoa K\u1ef3, Th\u1ee5y S\u0129, \u00dd v\u00e0 \u0110\u00e0i Loan qua h\u1ed9i ch\u1ea9n t\u1eeb xa v\u00e0 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o \u2013 nghi\u00ean c\u1ee9u chung.
            \u0110\u1ed3ng th\u1eddi, Khoa h\u1ed7 tr\u1ee3 chuy\u00ean m\u00f4n v\u00e0 chuy\u1ec3n giao k\u1ef9 thu\u1eadt cho nhi\u1ec1u b\u1ec7nh vi\u1ec7n tuy\u1ebfn d\u01b0\u1edbi nh\u01b0 B\u1ec7nh vi\u1ec7n L\u00e2m \u0110\u1ed3ng, Qu\u1eadn Th\u1ee7 \u0110\u1ee9c, Columbia Asia B\u00ecnh D\u01b0\u01a1ng, H\u1ed3ng \u0110\u1ee9c III… th\u00f4ng qua h\u1ed9i ch\u1ea9n tr\u1ef1c tuy\u1ebfn v\u00e0 \u0111\u00e0o t\u1ea1o t\u1ea1i ch\u1ed7.<\/p>\n\n\n\n

            \u2022 Ph\u00e1t tri\u1ec3n nh\u00e2n l\u1ef1c qu\u1ed1c t\u1ebf:<\/strong>
            H\u1eb1ng n\u0103m, c\u00e1c b\u00e1c s\u0129 trong khoa \u0111\u01b0\u1ee3c c\u1eed tham d\u1ef1 c\u00e1c h\u1ed9i ngh\u1ecb tim m\u1ea1ch qu\u1ed1c t\u1ebf v\u00e0 tu nghi\u1ec7p t\u1ea1i c\u00e1c trung t\u00e2m h\u00e0ng \u0111\u1ea7u th\u1ebf gi\u1edbi, gi\u00fap c\u1eadp nh\u1eadt c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn, t\u1eeb \u0111\u00f3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5.<\/p>\n\n\n\n

            6. TH\u00c0NH T\u1ef0U V\u00c0 \u0110\u1ecaNH H\u01af\u1edaNG PH\u00c1T TRI\u1ec2N<\/strong><\/p>\n\n\n\n

            \u2022 Th\u00e0nh t\u1ef1u n\u1ed5i b\u1eadt:<\/strong>
            Khoa Tim m\u1ea1ch Can thi\u1ec7p \u0111\u00e3 \u0111\u1ea1t nhi\u1ec1u k\u1ebft qu\u1ea3 quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p:<\/p>\n\n\n\n

              \n
            • Th\u1eddi gian \u201cc\u1eeda \u2013 b\u00f3ng\u201d<\/strong> (door-to-balloon time) \u0111\u01b0\u1ee3c r\u00fat ng\u1eafn xu\u1ed1ng d\u01b0\u1edbi 90 ph\u00fat \u1edf 55\u201358% s\u1ed1 ca t\u1eeb n\u0103m 2011\u20132015, so v\u1edbi ch\u1ec9 10% n\u0103m 2009 \u2013 \u0111\u1ea1t m\u1ee9c c\u1ee7a nhi\u1ec1u trung t\u00e2m can thi\u1ec7p h\u00e0ng \u0111\u1ea7u th\u1ebf gi\u1edbi.<\/li>\n\n\n\n
            • Th\u1eddi gian \u201cch\u1ea9n \u0111o\u00e1n \u2013 wire\u201d<\/strong> (diagnosis-to-wire time) c\u0169ng \u0111\u01b0\u1ee3c r\u00fat ng\u1eafn d\u01b0\u1edbi 60 ph\u00fat nh\u1edd c\u1ea3i ti\u1ebfn li\u00ean t\u1ee5c trong quy tr\u00ecnh ti\u1ebfp nh\u1eadn v\u00e0 x\u1eed tr\u00ed.<\/li>\n\n\n\n
            • \u1ee8ng d\u1ee5ng th\u00e0nh c\u00f4ng c\u00e1c c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn nh\u01b0 FFR, IVUS, IVUS-NIRS, OCT v\u00e0 Rotablator v\u00e0o th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, gi\u00fap n\u00e2ng cao \u0111\u1ed9 ch\u00ednh x\u00e1c ch\u1ea9n \u0111o\u00e1n v\u00e0 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n\n\n\n

              \u2022 Ghi nh\u1eadn t\u1eeb c\u00e1c c\u1ea5p:<\/strong>
              Nh\u1eefng n\u1ed7 l\u1ef1c c\u1ee7a khoa \u0111\u00e3 \u0111\u01b0\u1ee3c vinh danh qua nhi\u1ec1u gi\u1ea3i th\u01b0\u1edfng v\u00e0 khen th\u01b0\u1edfng nh\u01b0:<\/p>\n\n\n\n

                \n
              • B\u1eb1ng khen c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf<\/strong> cho c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u y d\u01b0\u1ee3c ti\u00eau bi\u1ec3u (2007\u20132012)<\/li>\n\n\n\n
              • B\u1eb1ng khen c\u1ee7a Ch\u1ee7 t\u1ecbch UBND TP.HCM<\/strong> v\u00ec th\u00e0nh t\u00edch xu\u1ea5t s\u1eafc trong phong tr\u00e0o thi \u0111ua y\u00eau n\u01b0\u1edbc<\/li>\n\n\n\n
              • Gi\u1ea5y khen c\u1ee7a \u0110\u1ea3ng b\u1ed9 S\u1edf Y t\u1ebf v\u00e0 B\u1ec7nh vi\u1ec7n<\/strong> trong vi\u1ec7c th\u1ef1c hi\u1ec7n Ch\u1ec9 th\u1ecb h\u1ecdc t\u1eadp v\u00e0 l\u00e0m theo t\u1ea5m g\u01b0\u01a1ng \u0111\u1ea1o \u0111\u1ee9c H\u1ed3 Ch\u00ed Minh<\/li>\n<\/ul>\n\n\n\n

                \u2022 Vai tr\u00f2 d\u1eabn \u0111\u1ea7u \u2013 chuy\u1ec3n giao k\u1ef9 thu\u1eadt:<\/strong>
                Khoa gi\u1eef vai tr\u00f2 n\u00f2ng c\u1ed1t trong h\u1ed7 tr\u1ee3 chuy\u00ean m\u00f4n v\u00e0 chuy\u1ec3n giao k\u1ef9 thu\u1eadt cho nhi\u1ec1u \u0111\u01a1n v\u1ecb tuy\u1ebfn d\u01b0\u1edbi th\u00f4ng qua c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o, h\u1ed9i ch\u1ea9n tr\u1ef1c tuy\u1ebfn v\u00e0 h\u1ed7 tr\u1ee3 x\u1eed tr\u00ed ca b\u1ec7nh kh\u00f3. \u0110i\u1ec1u n\u00e0y gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng \u0111\u1ec1u trong to\u00e0n h\u1ec7 th\u1ed1ng y t\u1ebf v\u00e0 gi\u1ea3m t\u1ea3i cho b\u1ec7nh vi\u1ec7n tuy\u1ebfn tr\u00ean.<\/p>\n\n\n\n

                \u0110\u1ecbnh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n chi\u1ebfn l\u01b0\u1ee3c<\/strong><\/p>\n\n\n\n

                Khoa Tim m\u1ea1ch Can thi\u1ec7p \u0111\u1eb7t m\u1ee5c ti\u00eau tr\u1edf th\u00e0nh trung t\u00e2m chuy\u00ean s\u00e2u h\u00e0ng \u0111\u1ea7u trong l\u0129nh v\u1ef1c tim m\u1ea1ch t\u1ea1i Vi\u1ec7t Nam<\/strong>, v\u1edbi c\u00e1c tr\u1ee5 c\u1ed9t ph\u00e1t tri\u1ec3n:<\/p>\n\n\n\n

                1. Ph\u00e1t tri\u1ec3n k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u v\u00e0 c\u00f4ng ngh\u1ec7 hi\u1ec7n \u0111\u1ea1i:<\/strong>
                Ti\u1ebfp t\u1ee5c \u0111\u1ea7u t\u01b0 v\u00e0 khai th\u00e1c hi\u1ec7u qu\u1ea3 c\u00e1c thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i nh\u01b0 IVUS, IVUS-NIRS, OCT, FFR v\u00e0 Rotablator, gi\u00fap t\u0103ng \u0111\u1ed9 ch\u00ednh x\u00e1c ch\u1ea9n \u0111o\u00e1n, t\u1ed1i \u01b0u h\u00f3a \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u bi\u1ebfn ch\u1ee9ng. \u0110\u1ed3ng th\u1eddi, \u0111\u1ea9y m\u1ea1nh c\u00e1c k\u1ef9 thu\u1eadt can thi\u1ec7p van tim qua da nh\u01b0 TAVI, MitralClip, nong b\u00f3ng van hai l\u00e1, g\u00f3p ph\u1ea7n m\u1edf r\u1ed9ng ph\u1ea1m vi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd tim c\u1ea5u tr\u00fac.<\/p>\n\n\n\n

                2. Trung t\u00e2m nghi\u00ean c\u1ee9u khoa h\u1ecdc:<\/strong>
                Ph\u1ea5n \u0111\u1ea5u tr\u1edf th\u00e0nh \u0111\u01a1n v\u1ecb d\u1eabn \u0111\u1ea7u c\u1ea3 n\u01b0\u1edbc v\u1ec1 nghi\u00ean c\u1ee9u tim m\u1ea1ch, th\u00f4ng qua c\u00e1c \u0111\u1ec1 t\u00e0i \u0111\u1ed9t ph\u00e1 c\u00f3 t\u00ednh \u1ee9ng d\u1ee5ng cao, h\u1ee3p t\u00e1c qu\u1ed1c t\u1ebf r\u1ed9ng r\u00e3i v\u00e0 \u0111\u00f3ng g\u00f3p th\u1ef1c ti\u1ec5n cho y h\u1ecdc l\u00e2m s\u00e0ng.<\/p>\n\n\n\n

                3. Trung t\u00e2m \u0111\u00e0o t\u1ea1o tim m\u1ea1ch can thi\u1ec7p:<\/strong>
                X\u00e2y d\u1ef1ng ch\u01b0\u01a1ng tr\u00ecnh hu\u1ea5n luy\u1ec7n chuy\u00ean s\u00e2u t\u1eeb l\u00fd thuy\u1ebft \u0111\u1ebfn th\u1ef1c h\u00e0nh cho b\u00e1c s\u0129 trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. M\u00f4i tr\u01b0\u1eddng h\u1ecdc t\u1eadp hi\u1ec7n \u0111\u1ea1i, ti\u1ebfp c\u1eadn c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn s\u1ebd g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng nh\u00e2n l\u1ef1c tim m\u1ea1ch can thi\u1ec7p Vi\u1ec7t Nam.<\/p>\n\n\n\n

                4. Ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn:<\/strong>
                T\u0103ng c\u01b0\u1eddng chuy\u1ec3n giao k\u1ef9 thu\u1eadt, t\u1ed5 ch\u1ee9c h\u1ed9i ch\u1ea9n t\u1eeb xa v\u00e0 \u0111\u00e0o t\u1ea1o t\u1ea1i ch\u1ed7 cho c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn d\u01b0\u1edbi tr\u00ean to\u00e0n qu\u1ed1c. Qua \u0111\u00f3, g\u00f3p ph\u1ea7n n\u00e2ng cao n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n \u0111\u1ed3ng \u0111\u1ec1u, t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u1ea3m b\u1ea3o ti\u1ebfp c\u1eadn y t\u1ebf ch\u1ea5t l\u01b0\u1ee3ng cho ng\u01b0\u1eddi d\u00e2n \u1edf m\u1ecdi khu v\u1ef1c.<\/p>\n\n\n\n

                <\/p>\n","protected":false},"excerpt":{"rendered":"

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