{"id":147392,"date":"2020-03-02T03:02:11","date_gmt":"2020-03-02T03:02:11","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/loai-bo-chan-doan-cham-tre-bang-ky-thuat-xet-nghiem-tai-cho-cho-hoi-chung-mach-vanh-cap\/"},"modified":"2026-02-23T07:41:31","modified_gmt":"2026-02-23T07:41:31","slug":"eliminating-diagnostic-delay-with-point-of-care-technology-for-acute-coronary-syndrome","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/operations\/point-of-care\/eliminating-diagnostic-delay-with-point-of-care-technology-for-acute-coronary-syndrome\/","title":{"rendered":"Lo\u1ea1i b\u1ecf ch\u1ea9n \u0111o\u00e1n ch\u1eadm tr\u1ec5 b\u1eb1ng k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 cho h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p"},"content":{"rendered":"

Trong m\u1ed9t th\u1ebf gi\u1edbi l\u00fd t\u01b0\u1edfng, m\u1ed7i b\u1ec7nh nh\u00e2n tr\u1ea3i qua c\u01a1n \u0111au th\u1eaft ng\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1ed9t c\u00e1ch nhanh ch\u00f3ng. Tuy nhi\u00ean, nhi\u1ec1u ng\u01b0\u1eddi Th\u00e1i b\u1ecb \u0111au ng\u1ef1c nh\u01b0ng l\u1ea1i kh\u00f4ng mu\u1ed1n t\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf. Nhi\u1ec1u ng\u01b0\u1eddi tr\u00ec ho\u00e3n \u0111\u1ebfn kh\u00e1m b\u00e1c s\u0129, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u1eadm ch\u00ed tr\u00ec ho\u00e3n \u0111\u1ebfn hai ng\u00e0y. C\u00f9ng v\u1edbi nh\u1eefng th\u00f3i quen thay \u0111\u1ed5i trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 th\u00f3i quen s\u1ed1ng c\u1ee7a qu\u1ed1c gia ch\u00fang ta, th\u1eadt kh\u00f4ng ng\u1ea1c nhi\u00ean khi t\u1ef7 l\u1ec7 t\u1eed vong do b\u1ec7nh tim m\u1ea1ch v\u00e0nh ti\u1ebfp t\u1ee5c t\u0103ng l\u00ean [1]. M\u1eb7c d\u00f9 y h\u1ecdc trong ph\u00f2ng x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 \u00edt \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn h\u00e0nh vi t\u00ecm ki\u1ebfm ch\u0103m s\u00f3c y t\u1ebf c\u1ee7a m\u1ecdi ng\u01b0\u1eddi, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c d\u1ecbch v\u1ee5 c\u1ee7a ch\u00fang t\u00f4i cung c\u1ea5p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3. V\u00e0 ch\u00fang t\u00f4i c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 ch\u1ee7 \u0111\u1ea1o trong vi\u1ec7c ti\u1ebft ki\u1ec7m th\u1eddi gian. T\u1ea1i Khon Kaen University, ch\u00fang t\u00f4i \u0111\u00e3 xem x\u00e9t qu\u00e1 tr\u00ecnh t\u1eeb khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf cho \u0111\u1ebfn khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. Ch\u00fang t\u00f4i nh\u1eadn ra r\u1eb1ng sau khi \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 c\u00f3 s\u1ef1 ch\u1eadm tr\u1ec5 trong vi\u1ec7c theo d\u00f5i EKG, v\u00e0 nghi\u00eam tr\u1ecdng h\u01a1n, k\u1ebft qu\u1ea3 troponin c\u00f3 th\u1ec3 b\u1ecb tr\u00ec ho\u00e3n. \u0110\u1ec3 lo\u1ea1i b\u1ecf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ch\u1eadm tr\u1ec5 trong s\u1ed1 n\u00e0y, ch\u00fang t\u00f4i \u0111\u00e3 \u0111\u00e0o t\u1ea1o th\u00eam nhi\u1ec1u chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, bao g\u1ed3m c\u1ea3 y t\u00e1, \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1ecdc k\u1ebft qu\u1ea3 EKG \u0111\u1ea3m b\u1ea3o theo d\u00f5i nhanh ch\u00f3ng cho b\u1ec7nh nh\u00e2n. Quan tr\u1ecdng kh\u00f4ng k\u00e9m, ch\u00fang t\u00f4i mu\u1ed1n k\u1ebft h\u1ee3p vi\u1ec7c s\u00e0ng l\u1ecdc n\u1ed3ng \u0111\u1ed9 troponin T t\u1ea1i \u0111i\u1ec3m ch\u0103m s\u00f3c \u0111\u1ec3 c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 g\u1eb7p bi\u1ebfn c\u1ed1 ho\u1eb7c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn tim \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 nhanh ch\u00f3ng v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c theo d\u00f5i c\u1ea7n thi\u1ebft. \u0110\u00e1nh gi\u00e1 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n c\u1ee7a x\u00e9t nghi\u1ec7m troponin T t\u1ea1i ch\u1ed7 (POC), c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u t\u1eeb \u0110an M\u1ea1ch \u0111\u00e3 b\u00e1o c\u00e1o v\u00e0o n\u0103m 2013 [2]\u00a0r\u1eb1ng 89% b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed3ng \u0111\u1ed9 troponin T cao h\u01a1n 50 ng\/L g\u1eb7p t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn tim. N\u1ed3ng \u0111\u1ed9 n\u00e0y t\u0103ng l\u00ean c\u0169ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n 3\u201310 l\u1ea7n, b\u1ea5t k\u1ec3 b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p hay kh\u00f4ng. Do \u0111\u00f3, ch\u00fang t\u00f4i quy\u1ebft \u0111\u1ecbnh bao g\u1ed3m s\u00e0ng l\u1ecdc troponin T v\u00ec ngay c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng t\u0103ng ST c\u00f3 n\u1ed3ng \u0111\u1ed9 troponin T t\u0103ng cao c\u0169ng ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 t\u1eed vong cao h\u01a1n v\u00e0 n\u00ean \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt trong v\u00f2ng 24 gi\u1edd.<\/p>\n

\"X\u00e9t<\/p>\n

\u00a0 Th\u00eam x\u00e9t nghi\u1ec7m POC troponin T v\u00e0o d\u1ecbch v\u1ee5 ch\u1ea9n \u0111o\u00e1n c\u1ee7a ch\u00fang t\u00f4i \u0111\u00e3 l\u00e0m thay \u0111\u1ed5i ho\u1ea1t \u0111\u1ed9ng ch\u0103m s\u00f3c m\u00e0 ch\u00fang t\u00f4i cung c\u1ea5p cho b\u1ec7nh nh\u00e2n c\u1ee7a m\u00ecnh. By combining clinical evaluation of symptoms with EKG and POC troponin T, this diagnostic pathway offers value and saves lives.<\/p>\n

[1]<\/a> Kiatchoosakun, S., et al., 2012. Coronary artery disease in the Thai population: data from health situation analysis 2010. Journal of the Medical Association of Thailand, 95 supplementary 7, S149-155.<\/p>\n

[2]<\/a> Stengaard, C., et al. 2013. Quantitative Point-of-Care Troponin T Measurement for Diagnosis and Prognosis in Patients With a Suspected Acute Myocardial Infarction. The American Journal of Cardiology, 112(9), pp.1361-1366.<\/p>\n","protected":false},"excerpt":{"rendered":"

Trong m\u1ed9t th\u1ebf gi\u1edbi l\u00fd t\u01b0\u1edfng, m\u1ed7i b\u1ec7nh nh\u00e2n tr\u1ea3i qua c\u01a1n \u0111au th\u1eaft ng\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1ed9t c\u00e1ch nhanh ch\u00f3ng. Tuy nhi\u00ean, nhi\u1ec1u ng\u01b0\u1eddi Th\u00e1i b\u1ecb \u0111au ng\u1ef1c nh\u01b0ng l\u1ea1i kh\u00f4ng mu\u1ed1n t\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf. Nhi\u1ec1u ng\u01b0\u1eddi tr\u00ec ho\u00e3n \u0111\u1ebfn kh\u00e1m b\u00e1c s\u0129, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u1eadm ch\u00ed […]<\/p>\n","protected":false},"author":1,"featured_media":84169,"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":[14754,14751,14761,14860],"pillarandcategory":[325,283,282,309],"reporter":[15212],"class_list":["post-147392","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","tag-gia-tri-lam-sang","tag-tai-cho","tag-thai-lan","tag-tim-mach","pillarandcategory-point-of-care","pillarandcategory-cardiology","pillarandcategory-disease-area","pillarandcategory-operations","reporter-chaiyasith-wongvipaporn"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147392","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":2,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147392\/revisions"}],"predecessor-version":[{"id":149108,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/147392\/revisions\/149108"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media\/84169"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media?parent=147392"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/tags?post=147392"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/pillarandcategory?post=147392"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/reporter?post=147392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}