{"id":4014,"date":"2023-11-02T13:45:38","date_gmt":"2023-11-02T06:45:38","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=4014"},"modified":"2023-11-02T14:04:42","modified_gmt":"2023-11-02T07:04:42","slug":"benh-vien-dau-tien-tai-tp-hcm-dat-chung-nhan-bac-trong-dieu-tri-suy-tim","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=4014","title":{"rendered":"B\u1ec7nh vi\u1ec7n \u0111\u1ea7u ti\u00ean t\u1ea1i TP.HCM \u0111\u1ea1t Ch\u1ee9ng nh\u1eadn b\u1ea1c trong \u0111i\u1ec1u tr\u1ecb suy tim"},"content":{"rendered":"\r\n

Tr\u00f2n \u0111\u00fang 1 n\u0103m sau khi \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn \u0111\u1ed3ng\u201d v\u1ec1 \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA), ng\u00e0y 02\/11\/2023, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ti\u1ebfp t\u1ee5c vinh d\u1ef1 \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn b\u1ea1c\u201d.B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 \u0111\u01a1n v\u1ecb \u0111\u1ea7u ti\u00ean t\u1ea1i khu v\u1ef1c ph\u00eda nam v\u00e0 TPHCM \u0111\u1ea1t ch\u1ee9ng nh\u1eadn n\u00e0y.<\/p>\r\n\r\n\r\n\r\n

T\u1ed5 ch\u1ee9c Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 – American Heart Association (AHA) l\u00e0 m\u1ed9t trong nh\u1eefng t\u1ed5 ch\u1ee9c h\u00e0ng \u0111\u1ea7u trong vi\u1ec7c \u0111\u01b0a ra c\u00e1c khuy\u1ebfn c\u00e1o, h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch. Ch\u01b0\u01a1ng tr\u00ecnh Ch\u1ee9ng nh\u1eadn ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a AHA \u0111\u01b0\u1ee3c lan r\u1ed9ng nh\u1eb1m n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb suy tim t\u1ed1t nh\u1ea5t \u0111\u1ebfn ng\u01b0\u1eddi b\u1ec7nh.Ti\u00eau chu\u1ea9n \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn t\u1eeb AHA r\u1ea5t kh\u1eaft khe, bao g\u1ed3m \u0111\u1ea3m b\u1ea3o ph\u1ea7n tr\u0103m ng\u01b0\u1eddi b\u1ec7nh suy tim tu\u00e2n th\u1ee7 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb, th\u1ef1c hi\u1ec7n c\u1eadn l\u00e2m s\u00e0ng, \u0111\u00e1nh gi\u00e1 theo d\u00f5i sau xu\u1ea5t vi\u1ec7n, th\u01b0\u1eddng xuy\u00ean \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe\u2026<\/p>\r\n\r\n\r\n\r\n

C\u00e1c ti\u00eau ch\u00ed n\u00e0y ph\u1ea3i \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi \u00edt nh\u1ea5t 85% b\u1ec7nh nh\u00e2n suy tim v\u00e0 ph\u1ea3i duy tr\u00ec k\u1ebft qu\u1ea3 n\u00e0y trong \u00edt nh\u1ea5t 90 ng\u00e0y li\u00ean t\u1ee5c. N\u1ebfu k\u1ebft qu\u1ea3 n\u00e0y ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c duy tr\u00ec \u0111\u1ebfn 12 th\u00e1ng th\u00ec s\u1ebd \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn b\u1ea1c (SILVER PLUS) v\u00e0 ch\u1ee9ng nh\u1eadn v\u00e0ng (GOLD PLUS) \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn n\u1ebfu duy tr\u00ec k\u1ebft qu\u1ea3 t\u1eeb 24 th\u00e1ng tr\u1edf l\u00ean v\u1ec1 \u0111i\u1ec1u tr\u1ecb suy tim. Tr\u01b0\u1edbc \u0111\u00f3 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 \u0111\u01a1n v\u1ecb \u0111\u1ea7u ti\u00ean trong Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh \u0111\u1ea1t \u0111\u01b0\u1ee3c ti\u00eau chu\u1ea9n \u0111\u1ed3ng v\u00e0 v\u1edbi vi\u1ec7c n\u1ed7 l\u1ef1c kh\u00f4ng ng\u1eebng c\u1ee7a t\u1eadp th\u1ec3 khoa N\u1ed9i tim m\u1ea1ch n\u00f3i ri\u00eang v\u00e0 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh n\u00f3i chung \u0111\u00e3 ho\u00e0n th\u00e0nh m\u1ee5c ti\u00eau \u0111\u1ea1t \u201cCh\u1ee9ng nh\u1eadn b\u1ea1c\u201d theo chu\u1ea9n c\u1ee7a AHA.<\/p>\r\n\r\n\r\n\r\n

BS CKII Ph\u1ea1m Tr\u01b0\u01a1ng M\u1ef9 Dung \u2013 Ph\u00f3 tr\u01b0\u1edfng khoa N\u1ed9i Tim m\u1ea1ch \u2013 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft: \u201c Suy tim l\u00e0 h\u1eadu qu\u1ea3 sau c\u00f9ng trong chu\u1ed7i b\u1ec7nh l\u00fd tim m\u1ea1ch, t\u1eeb nh\u1eefng b\u1ec7nh th\u01b0\u1eddng g\u1eb7p nh\u01b0 T\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u2026 cho \u0111\u1ebfn nh\u1eefng b\u1ec7nh ph\u1ee9c t\u1ea1p nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim th\u00ec c\u0169ng d\u1eabn \u0111\u1ebfn suy tim, v\u1edbi t\u1ea7n s\u1ed1 m\u1eafc ph\u1ea3i t\u1eeb 1 \u0111\u1ebfn 2% d\u00e2n s\u1ed1. T\u1ea1i Vi\u1ec7t Nam ch\u01b0a c\u00f3 th\u1ed1ng k\u00ea v\u1ec1 suy tim trong d\u00e2n s\u1ed1 tuy nhi\u00ean v\u1edbi m\u1ee9c \u0111\u1ed9 gi\u00e0 h\u00f3a d\u00e2n s\u1ed1 ng\u00e0y c\u00e0ng t\u0103ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh m\u1ea1n t\u00ednh t\u0103ng d\u1ea7n th\u00ec c\u00f3 th\u1ec3 t\u1ea7n s\u1ed1 m\u1eafc suy tim s\u1ebd c\u00f3 th\u1ec3 c\u00e0ng t\u0103ng h\u01a1n trong th\u1eddi gian t\u1edbi. Tr\u00ean th\u1ef1c t\u1ebf, \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh suy tim g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n, \u0111\u1eb7c bi\u1ec7t kh\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c li\u1ec1u \u0111\u00edch (li\u1ec1u thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ee9ng minh gi\u1ea3m t\u1eed vong nhi\u1ec1u nh\u1ea5t) trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, ngay c\u1ea3 \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh suy tim \u0111\u1ea1t \u0111\u01b0\u1ee3c li\u1ec1u \u0111\u00edch c\u0169ng ch\u1ec9 kho\u1ea3ng 8 – 22%.Ch\u01b0\u01a1ng tr\u00ecnh ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n suy tim l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh l\u00e2u d\u00e0i, li\u00ean t\u1ee5c v\u00e0 to\u00e0n di\u1ec7n. Vi\u1ec7c h\u00ecnh th\u00e0nh \u0111\u01a1n v\u1ecb suy tim l\u00e0 m\u1ed9t \u0111i\u1ec1u kh\u00f4ng th\u1ec3 thi\u1ebfu \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. T\u1eeb th\u00e1ng 6\/2020, khoa N\u1ed9i tim m\u1ea1ch, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh th\u00e0nh l\u1eadp \u0111\u01a1n v\u1ecb suy tim nh\u1eb1m \u0111\u00e1p \u1ee9ng nhu c\u1ea7u kh\u00e1m ch\u1eefa b\u1ec7nh chuy\u00ean s\u00e2u cho b\u1ec7nh nh\u00e2n suy tim. N\u0103m 2021 khoa tham gia d\u1ef1 \u00e1n \u0111i\u1ec1u tr\u1ecb suy tim theo chu\u1ea9n AHA v\u1edbi m\u1ee5c \u0111\u00edch \u0111\u1ea3m b\u1ea3o vi\u1ec7c \u0111i\u1ec1u tr\u1ecb, ch\u0103m s\u00f3c v\u00e0 gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n suy tim m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n, gi\u00fap b\u1ec7nh nh\u00e2n ti\u1ebfp c\u1eadn \u0111\u1ea7y \u0111\u1ee7 v\u00e0 to\u00e0n di\u1ec7n c\u00e1c ti\u1ebfn b\u1ed9 y khoa.\u201d<\/p>\r\n\r\n\r\n\r\n

Theo h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a c\u00e1c H\u1ed9i Tim tr\u00ean th\u1ebf gi\u1edbi, m\u1ed9t h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c c\u00f3 s\u1ef1 ph\u1ed1i h\u1ee3p li\u00ean ng\u00e0nh hi\u1ec7u qu\u1ea3 c\u1ea7n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho t\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh suy tim. H\u1ec7 th\u1ed1ng n\u00e0y nh\u1eb1m \u0111\u1ea1t m\u1ee5c ti\u00eau ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, gi\u1ea3m t\u1eed vong v\u00e0 t\u00e1i nh\u1eadp vi\u1ec7n cung c\u1ea5p k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb th\u1eadt c\u1ee5 th\u1ec3 v\u00e0 r\u00f5 r\u00e0ng, bao g\u1ed3m m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u1ea1t \u0111\u01b0\u1ee3c, qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3 b\u1ec7nh l\u00fd \u0111\u1ed3ng m\u1eafc, th\u1eddi gian t\u00e1i kh\u00e1m, ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t ph\u00f9 h\u1ee3p.<\/p>\r\n\r\n\r\n\r\n

TS.BS CKII Nguy\u1ec5n Ho\u00e0ng H\u1ea3i \u2013 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft: \u201cM\u00f4 h\u00ecnh \u0111\u01a1n v\u1ecb suy tim \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh vai tr\u00f2 trong ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n suy tim, bao g\u1ed3m suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m. Hi\u1ec7u qu\u1ea3 n\u1ed5i b\u1eadt c\u1ee7a m\u00f4 h\u00ecnh n\u00e0y l\u00e0 t\u1ed1i \u01b0u ho\u00e1 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa suy tim theo khuy\u1ebfn c\u00e1o v\u1ec1 lo\u1ea1i thu\u1ed1c c\u0169ng nh\u01b0 li\u1ec1u thu\u1ed1c, qua \u0111\u00f3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 gi\u1ea3m t\u00e1i nh\u1eadp vi\u1ec7n. T\u1ea1i Vi\u1ec7t Nam hi\u1ec7n nay, c\u00f3 nhi\u1ec1u c\u01a1 s\u1edf y t\u1ebf tuy\u1ebfn cu\u1ed1i tri\u1ec3n khai h\u00ecnh th\u1ee9c ch\u0103m s\u00f3c suy tim t\u1eadp trung nh\u01b0 tr\u00ean. Trong xu th\u1ebf \u0111\u00f3, khoa N\u1ed9i tim m\u1ea1ch B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 x\u00e2y d\u1ef1ng v\u00e0 tri\u1ec3n khai ho\u1ea1t \u0111\u1ed9ng \u0111\u01a1n v\u1ecb \u0111i\u1ec1u tr\u1ecb suy tim v\u1edbi m\u1ee5c \u0111\u00edch cung c\u1ea5p s\u1ef1 ch\u0103m s\u00f3c to\u00e0n di\u1ec7n v\u00e0 t\u1ed1i \u01b0u ho\u00e1 \u0111i\u1ec1u tr\u1ecb nh\u00f3m b\u1ec7nh nh\u00e2n quan tr\u1ecdng n\u00e0y. vi\u1ec7c \u0111\u1ea1t ch\u1ee9ng nh\u1eadn n\u00e0y cho th\u1ea5y s\u1ef1 n\u1ed7 l\u1ef1c c\u1ee7a c\u00e1c y b\u00e1c s\u0129 t\u1eebng b\u01b0\u1edbc ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c ti\u00eau chu\u1ea9n th\u1ebf gi\u1edbi. T\u1eeb \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i, theo \u0111\u00fang ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb qu\u1ed1c t\u1ebf.\u201d<\/p>\r\n\r\n\r\n\r\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3, \u0111ang v\u00e0 s\u1ebd n\u1ed7 l\u1ef1c t\u1eebng b\u01b0\u1edbc ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb qu\u1ed1c t\u1ebf. Ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1ea1t ch\u1ee9ng nh\u1eadn Ch\u1ea5t l\u01b0\u1ee3ng \u0110i\u1ec1u tr\u1ecb v\u00e0ng, ti\u1ebfn t\u1edbi l\u00e0 Kim c\u01b0\u01a1ng c\u1ee7a T\u1ed5 ch\u1ee9c \u0110\u1ed9t qu\u1ef5 th\u1ebf gi\u1edbi (WSO),ch\u1ee9ng nh\u1eadn B\u1ea1c ti\u1ebfn t\u1edbi l\u00e0 V\u00e0ng trong \u0111i\u1ec1u tr\u1ecb suy tim Hoa k\u1ef3 (AHA). T\u1eeb \u0111\u00f3, ch\u1ee9ng minh Ng\u00e0nh y t\u1ebf Th\u00e0nh ph\u1ed1 s\u1ebd kh\u00f4ng ng\u1eebng n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n, ph\u1ea5n \u0111\u1ea5u v\u01b0\u01a1n t\u1ea7m v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n h\u00e0ng \u0111\u1ea7u trong khu v\u1ef1c v\u00e0 ti\u1ebfn t\u1edbi l\u00e0 c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf ch\u00e2u l\u1ee5c.\/<\/p>\r\n\r\n\r\n\r\n

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Tr\u00f2n \u0111\u00fang 1 n\u0103m sau khi \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn \u0111\u1ed3ng\u201d v\u1ec1 \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA), ng\u00e0y 02\/11\/2023, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ti\u1ebfp t\u1ee5c vinh d\u1ef1 \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn b\u1ea1c\u201d.B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 \u0111\u01a1n v\u1ecb \u0111\u1ea7u ti\u00ean t\u1ea1i khu v\u1ef1c ph\u00eda 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