{"id":147361,"date":"2020-07-22T08:37:53","date_gmt":"2020-07-22T08:37:53","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/chan-doan-nhanh-nhoi-mau-co-tim-cap-vai-tro-quan-trong-cua-phong-xet-nghiem-lam-sang\/"},"modified":"2026-01-27T09:54:59","modified_gmt":"2026-01-27T09:54:59","slug":"rapid-diagnosis-of-acute-myocardial-infarction-the-critical-role-of-clinical-labs","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/disease-area\/cardiology\/rapid-diagnosis-of-acute-myocardial-infarction-the-critical-role-of-clinical-labs\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n nhanh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p: vai tr\u00f2 quan tr\u1ecdng c\u1ee7a ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng"},"content":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng v\u00e0 an to\u00e0n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p (acute myocardial infarction, AMI) c\u00f3 t\u1ea7m quan tr\u1ecdng l\u1edbn v\u1ec1 y t\u1ebf v\u00e0 kinh t\u1ebf v\u00ec \u0111i\u1ec1u n\u00e0y t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111au ng\u1ef1c k\u1ecbp th\u1eddi v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n s\u1edbm \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa. Vi\u1ec7c gi\u1edbi thi\u1ec7u l\u00e2m s\u00e0ng g\u1ea7n \u0111\u00e2y c\u1ee7a x\u00e9t nghi\u1ec7m troponin T tim \u0111\u1ed9 nh\u1ea1y cao (hs-cTnT) s\u1eed d\u1ee5ng thu\u1eadt to\u00e1n 0 gi\u1edd\/1 gi\u1edd (0h\/1h) c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u (ESC) c\u00f3 ngh\u0129a l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd AMI hi\u1ec7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nhanh nh\u1ea5t trong 1 gi\u1edd, d\u1eabn \u0111\u1ebfn c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng v\u00e0 gi\u1ea3m chi ph\u00ed cho h\u1ec7 th\u1ed1ng y t\u1ebf. Vi\u1ec7c tri\u1ec3n khai th\u00e0nh c\u00f4ng thu\u1eadt to\u00e1n trong m\u00f4i tr\u01b0\u1eddng b\u1ec7nh vi\u1ec7n \u0111\u00f2i h\u1ecfi nh\u1eefng n\u1ed7 l\u1ef1c ph\u1ed1i h\u1ee3p c\u1ee7a c\u00e1c nh\u00f3m \u0111a ng\u00e0nh bao g\u1ed3m c\u00e1c chuy\u00ean gia ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng, b\u00e1c s\u0129 khoa c\u1ea5p c\u1ee9u (ED), b\u00e1c s\u0129 tim m\u1ea1ch v\u00e0 y t\u00e1. B\u00e0i vi\u1ebft n\u00e0y cung c\u1ea5p gi\u1edbi thi\u1ec7u ng\u1eafn g\u1ecdn v\u1ec1 thu\u1eadt to\u00e1n 0h\/1h, vai tr\u00f2 c\u1ee7a ph\u00f2ng x\u00e9t nghi\u1ec7m trong vi\u1ec7c hi\u1ec7n th\u1ef1c h\u00f3a thu\u1eadt to\u00e1n v\u00e0 l\u1ee3i \u00edch c\u1ee7a \u0111i\u1ec1u n\u00e0y cho b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 nh\u00e0 cung c\u1ea5p. <\/p>\n

Nguy\u00ean l\u00fd thu\u1eadt to\u00e1n 0h\/1h<\/h3>\n

Thu\u1eadt to\u00e1n 0h\/1h l\u00e0 m\u1ed9t quy tr\u00ecnh \u0111\u01b0\u1ee3c ph\u00ea chu\u1ea9n r\u1ed9ng r\u00e3i v\u00e0 \u0111\u01b0\u1ee3c ESC khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng nh\u1eb1m h\u1ed7 tr\u1ee3 ph\u00e2n b\u1ed1 nhanh ch\u00f3ng b\u1ec7nh nh\u00e2n v\u00e0o ph\u00e2n nh\u00f3m AMI \u201cnh\u1eadp vi\u1ec7n\u201d ho\u1eb7c \u201clo\u1ea1i tr\u1eeb\u201d trong v\u00f2ng 1 gi\u1edd khi c\u00f3 hs-cTnT. N\u1ed3ng \u0111\u1ed9 troponin \u0111\u01b0\u1eddng c\u01a1 s\u1edf th\u1ea5p d\u01b0\u1edbi 12 ng\/L t\u1ea1i 0h v\u00e0 s\u1ef1 thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 < 3 ng\/L trong v\u00f2ng 1 gi\u1edd \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 \u201clo\u1ea1i tr\u1eeb\u201d; troponin \u0111\u01b0\u1eddng c\u01a1 s\u1edf cao l\u1edbn h\u01a1n ho\u1eb7c b\u1eb1ng 52 ng\/L t\u1ea1i 0h v\u00e0 s\u1ef1 thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 \u2265 5 ng\/L trong v\u00f2ng 1 gi\u1edd \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 \u201cnh\u1eadp vi\u1ec7n\u201d. Nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng c\u1ea3 hai ti\u00eau chu\u1ea9n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u00f9ng \u201cquan s\u00e1t\u201d (xem H\u00ecnh 1 d\u01b0\u1edbi \u0111\u00e2y). [caption id=\"attachment_84644\" align=\"alignnone\" width=\"2451\"]\"1 H\u00ecnh 1: Thu\u1eadt to\u00e1n 0h\/1h s\u1eed d\u1ee5ng hs-cTnT theo khuy\u1ebfn c\u00e1o c\u1ee7a ESC[\/caption] Trong m\u1ed9t lo\u1ea1t c\u00e1c cu\u1ed9c ph\u1ecfng v\u1ea5n g\u1ea7n \u0111\u00e2y v\u1edbi Roche Diagnostics Asia Pacific, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa tim v\u00e0 b\u00e1c s\u0129 ED t\u1eeb King Chulalongkorn Memorial Hospital \u1edf Th\u00e1i Lan v\u00e0 Juntendo University Nerima Hospital t\u1ea1i Nh\u1eadt B\u1ea3n \u2013 hai b\u1ec7nh vi\u1ec7n \u1edf khu v\u1ef1c Ch\u00e2u \u00c1-Th\u00e1i B\u00ecnh D\u01b0\u01a1ng \u0111\u00e3 \u00e1p d\u1ee5ng th\u00e0nh c\u00f4ng thu\u1eadt to\u00e1n 0h\/1h \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n AMI \u2013 chia s\u1ebb kinh nghi\u1ec7m c\u1ee7a h\u1ecd v\u1ec1 vi\u1ec7c tri\u1ec3n khai v\u00e0 t\u00e1c \u0111\u1ed9ng t\u00edch c\u1ef1c \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng ch\u0103m s\u00f3c v\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a b\u1ec7nh nh\u00e2n. <\/p>\n

Vai tr\u00f2 quan tr\u1ecdng c\u1ee7a c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng<\/h3>\n

\u1ede b\u1ec7nh nh\u00e2n nghi ng\u1edd AMI, c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m ph\u1ea3i \u0111\u1ea3m b\u1ea3o th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 (TAT) hs-cTnT nhanh \u0111\u1ec3 cho ph\u00e9p di\u1ec5n gi\u1ea3i ch\u00ednh x\u00e1c s\u1ef1 thay \u0111\u1ed5i troponin tim trong h\u01a1n 1 gi\u1edd. \u201cNg\u00e0y nay, c\u00e1c x\u00e9t nghi\u1ec7m kh\u00f4ng ch\u1ec9 \u0111\u01a1n gi\u1ea3n c\u1ea7n ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 \u0111\u1ed9 ch\u00ednh x\u00e1c\u201d, Ti\u1ebfn s\u0129 Chintana Chirathaworn, Ph\u00f3 gi\u00e1o s\u01b0 t\u1ea1i Khoa Vi sinh t\u1ea1i Chulalongkorn University \u1edf Th\u00e1i Lan, n\u00f3i. \u201cNg\u00e0y nay, ch\u00fang ta c\u1ea7n t\u1eadp trung nhi\u1ec1u h\u01a1n v\u00e0o t\u1ed1c \u0111\u1ed9 v\u00e0 th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 nhanh \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n nhanh ch\u00f3ng\u201d. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 ch\u00ednh th\u00fac \u0111\u1ea9y hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u1ec3 hi\u1ec7n th\u1ef1c h\u00f3a thu\u1eadt to\u00e1n 0h\/1h c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c thi\u1ebft b\u1ecb ti\u1ec1n ph\u00e2n t\u00edch \u0111\u1ec3 x\u1eed l\u00fd m\u1eabu nhanh, h\u1ec7 th\u1ed1ng ph\u00e1t hi\u1ec7n t\u1ef1 \u0111\u1ed9ng \u0111\u01b0a ra k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m trong v\u00f2ng v\u00e0i ph\u00fat, h\u1ec7 th\u1ed1ng th\u00f4ng tin g\u1eedi k\u1ebft qu\u1ea3 tr\u1ef1c ti\u1ebfp \u0111\u1ebfn c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 h\u1ec7 th\u1ed1ng x\u00e1c nh\u1eadn t\u1ef1 \u0111\u1ed9ng \u0111\u1ec3 ki\u1ec3m tra ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 ki\u1ec3m tra delta. Vi\u1ec7c c\u00e1c th\u00e0nh vi\u00ean ph\u00f2ng x\u00e9t nghi\u1ec7m tham gia t\u00edch c\u1ef1c v\u00e0o qu\u00e1 tr\u00ecnh th\u1ea3o lu\u1eadn v\u1edbi c\u00e1c b\u00e1c s\u0129 c\u00f3 li\u00ean quan c\u0169ng r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh ch\u00ednh x\u00e1c c\u1ee7a k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh y\u00eau c\u1ea7u. \u201cCh\u00fang ta c\u1ea7n bi\u1ebft c\u00e1c b\u00e1c s\u0129 c\u1ea7n nh\u1eefng x\u00e9t nghi\u1ec7m g\u00ec v\u00e0 h\u1ecd mu\u1ed1n ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u1ea9n \u0111o\u00e1n \u0111\u00fang cho b\u1ec7nh nh\u00e2n ra sao\u201d, Ti\u1ebfn s\u0129 Chirathaworn n\u00f3i th\u00eam. <\/p>\n

C\u00e1c b\u01b0\u1edbc \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o TAT nhanh cho thu\u1eadt to\u00e1n 0h\/1h<\/h3>\n

\u201cKhi ch\u00fang t\u00f4i l\u1ea7n \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng thu\u1eadt to\u00e1n 1 gi\u1edd, \u0111\u00f4i khi ch\u00fang t\u00f4i kh\u00f4ng th\u1ec3 l\u1ea5y k\u1ebft qu\u1ea3 trong v\u00f2ng 1 gi\u1edd\u201d, Ti\u1ebfn s\u0129 Wacin Buddhari, ng\u01b0\u1eddi ch\u1ec9 \u0111\u1ea1o Ph\u00f2ng x\u00e9t nghi\u1ec7m Th\u00f4ng tim t\u1ea1i King Chulalongkorn Memorial Hospital, n\u00f3i. \u201cDo \u0111\u00f3, ch\u00fang t\u00f4i \u0111\u00e3 ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh m\u1ed9t v\u00e0i chi ti\u1ebft \u0111\u1ec3 c\u00f3 th\u1ec3 nh\u1eadn k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m trong v\u00f2ng 1 gi\u1edd, t\u1eeb qu\u00e1 tr\u00ecnh g\u1eedi m\u1eabu m\u00e1u, quy tr\u00ecnh x\u00e9t nghi\u1ec7m \u0111\u1ebfn b\u00e1o c\u00e1o k\u1ebft qu\u1ea3\u201d. B\u00e1c s\u0129 Chirathaworn \u0111\u00e3 m\u00f4 t\u1ea3 \u201c4R\u201d m\u00e0 ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng t\u1ea1i King Chulalongkorn Memorial Hospital coi l\u00e0 quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o TAT nhanh v\u00e0 tri\u1ec3n khai th\u00e0nh c\u00f4ng thu\u1eadt to\u00e1n 0h\/1h (xem H\u00ecnh 2 d\u01b0\u1edbi \u0111\u00e2y).

\"1
H\u00ecnh 2: \u201c4R\u201d c\u1ee7a Ti\u1ebfn s\u0129 Chirathaworn cho c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ec3 tri\u1ec3n khai thu\u1eadt to\u00e1n 0h\/1h<\/figcaption><\/figure> \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, thu\u1eadt to\u00e1n 0h\/1h c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng v\u00e0 m\u1ee9c \u0111\u1ed9 an to\u00e0n. Vi\u1ec7c lo\u1ea1i tr\u1eeb nhanh ch\u00f3ng AMI c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 th\u1eddi gian ch\u1edd \u0111\u1ee3i v\u00e0 s\u1ef1 lo l\u1eafng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh h\u1ecd \u1edf ED. Gi\u00e1 tr\u1ecb d\u1ef1 \u0111o\u00e1n \u00e2m t\u00ednh cao c\u1ee7a thu\u1eadt to\u00e1n 0h\/1h c\u0169ng \u0111\u1ea3m b\u1ea3o ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c h\u01a1n, l\u00e0m t\u0103ng s\u1ef1 t\u1ef1 tin trong c\u00e1c \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u201clo\u1ea1i tr\u1eeb\u201d m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 cho ph\u00e9p b\u1ec7nh nh\u00e2n v\u1ec1 nh\u00e0 m\u1ed9t c\u00e1ch an to\u00e0n. \u201cTrong qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb \u0111au ng\u1ef1c c\u1ea5p t\u00ednh do nh\u1ed3i m\u00e1u c\u01a1 tim, ch\u00fang ta th\u01b0\u1eddng nghe th\u1ea5y thu\u1eadt ng\u1eef \u201cth\u1eddi gian l\u00e0 c\u01a1 b\u1eafp\u201d, cho th\u1ea5y r\u1eb1ng khi ch\u00fang ta c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm, ch\u00fang ta c\u00e0ng c\u00f3 th\u1ec3 c\u1ee9u \u0111\u01b0\u1ee3c nhi\u1ec1u c\u01a1 tim\u201d, Ti\u1ebfn s\u0129 Krongwong Musikatavorn, Ph\u00f3 gi\u00e1o s\u01b0 v\u00e0 Tr\u01b0\u1edfng khoa Y h\u1ecdc C\u1ea5p c\u1ee9u t\u1ea1i King Chulalongkorn Memorial Hospital cho bi\u1ebft. <\/p>\n

L\u1ee3i \u00edch cho b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 nh\u00e0 cung c\u1ea5p<\/h3>\n

C\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u0169ng \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb vi\u1ec7c tri\u1ec3n khai thu\u1eadt to\u00e1n 0h\/1h. V\u00ec thu\u1eadt to\u00e1n n\u00e0y cung c\u1ea5p ch\u1ec9 s\u1ed1 kh\u00e1ch quan v\u00e0 tuy\u1ec7t \u0111\u1ed1i, thu\u1eadt to\u00e1n cho ph\u00e9p c\u00e1c b\u00e1c s\u0129 kh\u00f4ng thu\u1ed9c khoa tim m\u1ea1ch v\u00e0 c\u00e1c b\u00e1c s\u0129 tr\u1ebb ho\u1eb7c l\u00e0m ca \u0111\u00eam \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh quan tr\u1ecdng khi kh\u00f4ng c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3. T\u1ea1i Juntendo University Nerima Hospital, c\u00e1c b\u00e1c s\u0129 ED \u0111\u00f4i khi c\u0169ng do d\u1ef1 khi t\u00ecm ki\u1ebfm t\u01b0 v\u1ea5n t\u1eeb c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa tim m\u00e0 kh\u00f4ng c\u00f3 c\u01a1 s\u1edf v\u1eefng ch\u1eafc \u0111\u1ec3 \u0111\u00e1nh gi\u00e1. \u0110\u1ed1i v\u1edbi c\u00e1c nh\u00e0 cung c\u1ea5p, vi\u1ec7c ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n nhanh v\u00e0 ch\u00ednh x\u00e1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i trong th\u1eddi gian n\u1eb1m vi\u1ec7n c\u1ea5p c\u1ee9u v\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft, gi\u1ea3i ph\u00f3ng c\u00e1c ngu\u1ed3n l\u1ef1c bao g\u1ed3m gi\u01b0\u1eddng v\u00e0 b\u00e1c s\u0129 cho c\u00e1c b\u1ec7nh nh\u00e2n nguy k\u1ecbch kh\u00e1c. Gi\u1ea3m th\u00f4ng tim kh\u1ea9n c\u1ea5p c\u00f3 th\u1ec3 cho ph\u00e9p c\u00f3 th\u00eam gi\u01b0\u1eddng tr\u1ed1ng v\u00e0 tr\u00e1nh nguy c\u01a1 bi\u1ebfn ch\u1ee9ng li\u00ean quan cho b\u1ec7nh nh\u00e2n. TAT nhanh v\u00e0 c\u00e1c quy tr\u00ecnh \u0111\u00e1ng tin c\u1eady trong ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng mang l\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c l\u1ee3i \u00edch n\u00e0y. B\u1eb1ng c\u00e1ch h\u1ed7 tr\u1ee3 tri\u1ec3n khai thu\u1eadt to\u00e1n 0h\/1h, c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m b\u1ec7nh vi\u1ec7n c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 trung t\u00e2m trong vi\u1ec7c c\u1ea3i thi\u1ec7n ho\u1ea1t \u0111\u1ed9ng ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n, \u0111\u1ed3ng th\u1eddi th\u1ec3 hi\u1ec7n gi\u00e1 tr\u1ecb r\u00f5 r\u00e0ng cho t\u1ea5t c\u1ea3 c\u00e1c b\u00ean li\u00ean quan ch\u00ednh c\u1ee7a h\u1ecd. B\u1ea1n mu\u1ed1n t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 thu\u1eadt to\u00e1n 0h\/1h v\u00e0 c\u00e1ch th\u1ee9c thu\u1eadt to\u00e1n n\u00e0y \u0111ang \u0111\u01b0\u1ee3c tri\u1ec3n khai t\u1ea1i khu v\u1ef1c Ch\u00e2u \u00c1-Th\u00e1i B\u00ecnh D\u01b0\u01a1ng?\u00a0H\u00e3y truy c\u1eadp\u00a0Cardio Thinklab<\/a>, c\u1ed5ng th\u00f4ng tin gi\u00e1o d\u1ee5c khoa h\u1ecdc v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh tim m\u1ea1ch.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng v\u00e0 an to\u00e0n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p (acute myocardial infarction, AMI) c\u00f3 t\u1ea7m quan tr\u1ecdng l\u1edbn v\u1ec1 y t\u1ebf v\u00e0 kinh t\u1ebf v\u00ec \u0111i\u1ec1u n\u00e0y t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111au ng\u1ef1c k\u1ecbp th\u1eddi v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n s\u1edbm \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa. Vi\u1ec7c […]<\/p>\n","protected":false},"author":1,"featured_media":84671,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"tags":[],"pillarandcategory":[283,282],"reporter":[15180,15179,15181],"class_list":["post-147361","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","pillarandcategory-cardiology","pillarandcategory-disease-area","reporter-chintana-chirathaworn","reporter-khrongwong-musikatavorn","reporter-wacin-buddhari"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article"}],"about":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/types\/acf_article"}],"author":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":1,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147361\/revisions"}],"predecessor-version":[{"id":147796,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147361\/revisions\/147796"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media\/84671"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media?parent=147361"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/tags?post=147361"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/pillarandcategory?post=147361"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/reporter?post=147361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}