{"id":742,"date":"2026-07-19T17:54:46","date_gmt":"2026-07-19T10:54:46","guid":{"rendered":"https:\/\/vhfs.com.vn\/?post_type=nghien_cuu&p=742"},"modified":"2026-07-19T17:54:46","modified_gmt":"2026-07-19T10:54:46","slug":"dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh","status":"publish","type":"nghien_cuu","link":"https:\/\/vhfs.com.vn\/en\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/","title":{"rendered":"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh)"},"content":{"rendered":"

\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P<\/strong><\/span><\/p>\n

(b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh)<\/em><\/span><\/p>\n

ThS.BSNT Nguy\u1ec5n Nh\u1eadt T\u00e0i<\/em><\/p>\n

B\u1ed9 m\u00f4n N\u1ed9i t\u1ed5ng qu\u00e1t, \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n

I. Gi\u1edbi thi\u1ec7u chung<\/span><\/strong><\/h1>\n

Suy tim c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ee9c n\u0103ng tim \u0111\u1ed9t ng\u1ed9t ho\u1ea1t \u0111\u1ed9ng y\u1ebfu \u0111i v\u00e0 kh\u00f4ng th\u1ec3 b\u01a1m \u0111\u1ee7 m\u00e1u \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3. \u0110\u00e2y l\u00e0 b\u1ec7nh l\u00fd n\u1eb7ng, c\u00f3 th\u1ec3 \u0111e do\u1ea1 t\u00ednh m\u1ea1ng v\u00e0 th\u01b0\u1eddng khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i nh\u1eadp vi\u1ec7n ngay l\u1eadp t\u1ee9c. Trong \u0111a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, nguy\u00ean nh\u00e2n khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u1ebfn b\u1ec7nh vi\u1ec7n l\u00e0 t\u00ecnh tr\u1ea1ng sung huy\u1ebft, hay l\u00e0 t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 d\u1ecbch trong ph\u1ed5i, ch\u00e2n, b\u1ee5ng ho\u1eb7c to\u00e0n th\u00e2n. Khi d\u1ecbch t\u00edch t\u1ee5 trong ph\u1ed5i, b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f3 th\u1edf, c\u00f3 c\u1ea3m gi\u00e1c ngh\u1eb9t \u1edf ng\u1ef1c v\u00e0 v\u00f4 c\u00f9ng m\u1ec7t m\u1ecfi. Khi d\u1ecbch \u1ee9 \u1edf ch\u00e2n ho\u1eb7c b\u1ee5ng, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u1ea3m th\u1ea5y b\u1ee5ng ch\u01b0\u1edbng to, ch\u00e2n s\u01b0ng h\u01a1n v\u00e0 c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng t\u0103ng c\u00e2n k\u00e8m ti\u1ec3u \u00edt.<\/p>\n

\"\"<\/p>\n

H\u00ecnh 1.<\/strong> Tri\u1ec7u ch\u1ee9ng sung huy\u1ebft tr\u00ean b\u1ec7nh nh\u00e2n suy tim<\/p>\n

\u0110i\u1ec1u tr\u1ecb sung huy\u1ebft l\u00e0 \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u khi ti\u1ebfp c\u1eadn ng\u01b0\u1eddi b\u1ec7nh suy tim c\u1ea5p. Vi\u1ec7c lo\u1ea1i b\u1ecf d\u1ecbch d\u01b0 th\u1eeba s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n th\u1edf d\u1ec5 h\u01a1n, gi\u1ea3m nguy c\u01a1 suy h\u00f4 h\u1ea5p, b\u1ea3o v\u1ec7 th\u1eadn, gi\u1ea3m g\u00e1nh n\u1eb7ng cho tim v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 b\u00e1c s\u0129 kh\u1edfi tr\u1ecb c\u00e1c thu\u1ed1c n\u1ec1n t\u1ea3ng gi\u00fap ki\u1ec3m so\u00e1t suy tim l\u00e2u d\u00e0i. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n c\u1ea7n hi\u1ec3u r\u00f5 m\u1ee5c ti\u00eau, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1ch theo d\u00f5i \u0111\u1ec3 ph\u1ed1i h\u1ee3p t\u1ed1t v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n

II. Sung huy\u1ebft l\u00e0 g\u00ec v\u00e0 t\u1ea1i sao c\u1ea7n \u0111i\u1ec1u tr\u1ecb s\u1edbm?<\/span><\/strong><\/h1>\n

Sung huy\u1ebft l\u00e0 t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 d\u1ecbch trong c\u01a1 th\u1ec3 khi tim b\u01a1m m\u00e1u kh\u00f4ng hi\u1ec7u qu\u1ea3. M\u00e1u v\u00e0 d\u1ecbch \u1ee9 l\u1ea1i trong ph\u1ed5i g\u00e2y ra kh\u00f3 th\u1edf, kh\u00f2 kh\u00e8, ho nhi\u1ec1u ho\u1eb7c c\u1ea3m gi\u00e1c \u201cng\u1ee3p\u201d khi n\u1eb1m, n\u1ebfu t\u00ecnh tr\u1ea1ng \u1ee9 d\u1ecbch \u1edf ph\u1ed5i nhi\u1ec1u c\u00f3 th\u1ec3 khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i ng\u1ee7 ng\u1ed3i ho\u1eb7c th\u1eadm ch\u00ed suy h\u00f4 h\u1ea5p g\u00e2y \u0111e d\u1ecda t\u00ednh m\u1ea1ng cho ng\u01b0\u1eddi b\u1ec7nh. Khi d\u1ecbch t\u00edch t\u1ee5 \u1edf m\u00f4 ngo\u1ea1i vi, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ph\u00f9 ch\u00e2n, ph\u00f9 m\u1eb7t, \u0111\u1ea7y b\u1ee5ng ho\u1eb7c t\u0103ng c\u00e2n nhanh ch\u1ec9 trong v\u00e0i ng\u00e0y. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f2n c\u1ea3m th\u1ea5y m\u1ec7t nhi\u1ec1u, ng\u1ee7 kh\u00f4ng \u0111\u01b0\u1ee3c v\u00e0 ti\u1ec3u \u00edt h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, sung huy\u1ebft c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng r\u1ea5t nghi\u00eam tr\u1ecdng. Ph\u00f9 ph\u1ed5i c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng d\u1ecbch tr\u00e0n v\u00e0o ph\u1ebf nang l\u00e0m b\u1ec7nh nh\u00e2n th\u1edf nhanh, th\u1edf g\u1ea5p v\u00e0 c\u00f3 th\u1ec3 ng\u01b0ng th\u1edf n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u1ea9n c\u1ea5p. Sung huy\u1ebft k\u00e9o d\u00e0i l\u00e0m gi\u1ea3m t\u01b0\u1edbi m\u00e1u th\u1eadn, d\u1eabn \u0111\u1ebfn suy th\u1eadn c\u1ea5p. Nhi\u1ec1u b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i nh\u01b0 h\u1ea1 natri ho\u1eb7c kali m\u00e1u, g\u00e2y chu\u1ed9t r\u00fat ho\u1eb7c g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp tim nguy hi\u1ec3m. Nh\u1eefng suy s\u1ee5p n\u00e0y khi\u1ebfn huy\u1ebft \u00e1p t\u1ee5t, gi\u1ea3m \u00fd th\u1ee9c v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. Do \u0111\u00f3, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb sung huy\u1ebft c\u00e0ng s\u1edbm v\u00e0 c\u00e0ng t\u00edch c\u1ef1c th\u00ec kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c c\u00e0ng cao, tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng nhanh ch\u00f3ng.<\/p>\n

III. \u0110i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft l\u00e0 nh\u01b0 n\u00e0o?<\/strong><\/span><\/h1>\n

\u0110i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft trong suy tim c\u1ea5p l\u00e0 qu\u00e1 tr\u00ecnh gi\u00fap ng\u01b0\u1eddi b\u1ec7nh lo\u1ea1i b\u1edbt l\u01b0\u1ee3ng d\u1ecbch d\u01b0 th\u1eeba \u0111ang t\u00edch t\u1ee5 trong ph\u1ed5i v\u00e0 c\u00e1c m\u00f4, nh\u1edd \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1edf d\u1ec5 h\u01a1n, gi\u1ea3m ph\u00f9 ch\u00e2n, b\u1edbt m\u1ec7t v\u00e0 \u1ed5n \u0111\u1ecbnh tu\u1ea7n ho\u00e0n. Trong suy tim c\u1ea5p, tim b\u1ecb \u201cqu\u00e1 t\u1ea3i\u201d v\u00e0 kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u hi\u1ec7u qu\u1ea3; l\u01b0\u1ee3ng d\u1ecbch \u1ee9 l\u1ea1i trong ph\u1ed5i khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf, c\u00f2n l\u01b0\u1ee3ng d\u1ecbch d\u01b0 \u1edf tay ch\u00e2n g\u00e2y ph\u00f9, n\u1eb7ng n\u1ec1. V\u00ec v\u1eady, \u0111i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft ch\u00ednh l\u00e0 b\u01b0\u1edbc quan tr\u1ecdng \u0111\u1ea7u ti\u00ean gi\u00fap gi\u1ea3i t\u1ecfa g\u00e1nh n\u1eb7ng n\u00e0y cho tim.<\/p>\n

\"\"<\/p>\n

H\u00ecnh 2.<\/strong> \u0110i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft gi\u00fap b\u1ec7nh nh\u00e2n h\u1ebft kh\u00f3 th\u1edf, b\u1ee5ng to hay ph\u00f9 ch\u00e2n<\/p>\n

Qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng di\u1ec5n ra ngay trong nh\u1eefng gi\u1edd \u0111\u1ea7u nh\u1eadp vi\u1ec7n. B\u00e1c s\u0129 s\u1ebd theo d\u00f5i s\u00e1t c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf, l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u, c\u00e2n n\u1eb7ng, nh\u1ecbp tim v\u00e0 huy\u1ebft \u00e1p \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 sung huy\u1ebft v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ee5c ti\u00eau l\u00e0 \u0111\u01b0a c\u01a1 th\u1ec3 v\u1ec1 tr\u1ea1ng th\u00e1i \u201ckh\u00f4 v\u1eeba ph\u1ea3i\u201d, ngh\u0129a l\u00e0 l\u01b0\u1ee3ng d\u1ecbch \u0111\u01b0\u1ee3c \u0111\u01b0a v\u1ec1 m\u1ee9c ph\u00f9 h\u1ee3p \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 ch\u1ecbu h\u01a1n nh\u01b0ng v\u1eabn \u0111\u1ea3m b\u1ea3o an to\u00e0n cho th\u1eadn v\u00e0 huy\u1ebft \u00e1p.<\/p>\n

Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft kh\u00f4ng ch\u1ec9 l\u00e0m b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u1ecfe l\u00ean m\u00e0 c\u00f2n gi\u00fap gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 ph\u00f9 ph\u1ed5i c\u1ea5p, t\u1ee5t huy\u1ebft \u00e1p, suy th\u1eadn ho\u1eb7c r\u1ed1i lo\u1ea1n nh\u1ecbp. Khi t\u00ecnh tr\u1ea1ng sung huy\u1ebft \u0111\u00e3 c\u1ea3i thi\u1ec7n, b\u00e1c s\u0129 m\u1edbi c\u00f3 th\u1ec3 y\u00ean t\u00e2m b\u1eaft \u0111\u1ea7u ho\u1eb7c t\u1ed1i \u01b0u c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb n\u1ec1n t\u1ea3ng gi\u00fap ki\u1ec3m so\u00e1t suy tim l\u00e2u d\u00e0i, gi\u1ea3m nguy c\u01a1 t\u00e1i nh\u1eadp vi\u1ec7n v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u1ec1 sau.<\/p>\n

N\u00f3i m\u1ed9t c\u00e1ch d\u1ec5 hi\u1ec3u: gi\u1ea3m sung huy\u1ebft l\u00e0 qu\u00e1 tr\u00ecnh \u201cr\u00fat b\u1edbt n\u01b0\u1edbc th\u1eeba\u201d ra kh\u1ecfi c\u01a1 th\u1ec3, gi\u00fap tim b\u1edbt g\u00e1nh n\u1eb7ng, ph\u1ed5i th\u00f4ng tho\u00e1ng h\u01a1n v\u00e0 t\u1ed5ng tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh \u0111\u1ec3 c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c c\u00e1c b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo.<\/p>\n

IV. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft hi\u1ec7n nay.<\/span><\/strong><\/h1>\n

Sau khi hi\u1ec3u r\u1eb1ng gi\u1ea3m sung huy\u1ebft l\u00e0 qu\u00e1 tr\u00ecnh \u201cl\u1ea5y b\u1edbt n\u01b0\u1edbc th\u1eeba ra kh\u1ecfi c\u01a1 th\u1ec3\u201d \u0111\u1ec3 gi\u00fap tim v\u00e0 ph\u1ed5i b\u1edbt g\u00e1nh n\u1eb7ng, c\u00e2u h\u1ecfi quan tr\u1ecdng ti\u1ebfp theo l\u00e0: B\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n \u0111i\u1ec1u n\u00e0y b\u1eb1ng c\u00e1ch n\u00e0o?<\/em><\/strong> Trong th\u1ef1c h\u00e0nh theo c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1c hi\u1ec7p h\u1ed9i tim m\u1ea1ch l\u1edbn tr\u00ean th\u1ebf gi\u1edbi nh\u01b0 H\u1ed9i Tim ch\u00e2u \u00c2u (ESC) v\u00e0 H\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3\/Tr\u01b0\u1eddng m\u00f4n Tim m\u1ea1ch Hoa K\u1ef3 (ACC\/AHA) v\u00e0 H\u1ed9i Tim m\u1ea1ch h\u1ecdc Vi\u1ec7t Nam (VNHA), \u0111i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh d\u01b0\u1edbi \u0111\u00e2y. M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 vai tr\u00f2 kh\u00e1c nhau, \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn t\u00f9y t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n

Tr\u01b0\u1edbc ti\u00ean, thu\u1ed1c l\u1ee3i ti\u1ec3u l\u00e0 n\u1ec1n t\u1ea3ng quan tr\u1ecdng nh\u1ea5t trong \u0111i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft \u1edf suy tim c\u1ea5p. L\u1ee3i ti\u1ec3u quai l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay, v\u00ec ch\u00fang c\u00f3 t\u00e1c d\u1ee5ng m\u1ea1nh v\u00e0 t\u00e1c d\u1ee5ng nhanh, gi\u00fap th\u1eadn th\u1ea3i b\u1edbt n\u01b0\u1edbc v\u00e0 mu\u1ed1i qua n\u01b0\u1edbc ti\u1ec3u, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng d\u1ecbch \u1ee9 \u1edf ph\u1ed5i, b\u1ee5ng v\u00e0 ch\u00e2n<\/strong>. Trong nh\u1eefng gi\u1edd \u0111\u1ea7u, b\u00e1c s\u0129 s\u1ebd theo d\u00f5i s\u00e1t l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u, c\u00e2n n\u1eb7ng v\u00e0 tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf ho\u1eb7c ph\u00f9 \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u cho ph\u00f9 h\u1ee3p. \u0110a s\u1ed1 b\u1ec7nh nh\u00e2n suy tim c\u1ea5p \u0111\u1ec1u \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi l\u1ee3i ti\u1ec3u v\u00e0 c\u1ea3i thi\u1ec7n nhanh t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf.<\/p>\n

Tuy nhi\u00ean, thu\u1ed1c l\u1ee3i ti\u1ec3u quai c\u00f3 th\u1ec3 g\u00e2y m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5, \u0111\u1eb7c bi\u1ec7t l\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i (gi\u1ea3m kali, magi\u00ea, natri), h\u1ea1 huy\u1ebft \u00e1p v\u00e0 \u0111\u00f4i khi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn n\u1ebfu d\u00f9ng li\u1ec1u cao ho\u1eb7c k\u00e9o d\u00e0i. Do \u0111\u00f3, c\u1ea7n theo d\u00f5i \u0111i\u1ec7n gi\u1ea3i v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, thu\u1ed1c gi\u00e3n m\u1ea1ch, \u0111\u1eb7c bi\u1ec7t l\u00e0 nitroglycerin truy\u1ec1n t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c trong h\u1ec7 tu\u1ea7n ho\u00e0n v\u00e0 gi\u1ea3m g\u00e1nh n\u1eb7ng cho tim. Khi m\u1ea1ch m\u00e1u gi\u00e3n ra, m\u00e1u tr\u1edf v\u1ec1 tim \u00edt h\u01a1n, gi\u00fap gi\u1ea3m \u1ee9 huy\u1ebft \u1edf ph\u1ed5i v\u00e0 c\u1ea3i thi\u1ec7n c\u1ea3m gi\u00e1c kh\u00f3 th\u1edf. Thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng khi b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh.<\/p>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f3 th\u1edf nhi\u1ec1u, nh\u1ea5t l\u00e0 khi b\u1ec7nh nh\u00e2n ph\u1ea3i ng\u1ed3i \u0111\u1ec3 th\u1edf, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh th\u1edf m\u00e1y kh\u00f4ng x\u00e2m l\u1ea5n (NIV). Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap \u0111\u1ea9y kh\u00f4ng kh\u00ed v\u00e0o ph\u1ed5i v\u1edbi \u00e1p l\u1ef1c d\u01b0\u01a1ng h\u1ed7 tr\u1ee3, gi\u00fap ph\u1ed5i n\u1edf t\u1ed1t h\u01a1n, gi\u1ea3m \u1ee9 d\u1ecbch \u1edf ph\u1ebf nang v\u00e0 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee1 m\u1ec7t. Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m l\u1ea5n kh\u00f4ng c\u1ea7n \u0111\u1eb7t \u1ed1ng th\u1edf, mang l\u1ea1i hi\u1ec7u qu\u1ea3 r\u1ea5t nhanh v\u1edbi m\u1ee9c x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u.<\/p>\n

\"\"<\/p>\n

H\u00ecnh 3<\/strong>. Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m l\u1ea5n gi\u00fap ng\u01b0\u1eddi b\u1ec7nh suy tim gi\u1ea3m kh\u00f3 th\u1edf<\/p>\n

N\u1ebfu sau m\u1ed9t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, l\u1ee3i ti\u1ec3u quai k\u00e9m \u0111\u00e1p \u1ee9ng (n\u01b0\u1edbc ti\u1ec3u ra \u00edt, ph\u00f9 kh\u00f4ng gi\u1ea3m), b\u00e1c s\u0129 s\u1ebd chuy\u1ec3n sang b\u01b0\u1edbc t\u0103ng c\u01b0\u1eddng. C\u00f3 th\u1ec3 k\u1ebft h\u1ee3p thu\u1ed1c l\u1ee3i ti\u1ec3u kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u00f3m thiazide ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ed1i kh\u00e1ng vasopressin nh\u01b0 tolvaptan (Samsca). Tolvaptan c\u00f3 \u01b0u \u0111i\u1ec3m \u0111\u1eb7c bi\u1ec7t l\u00e0 gi\u00fap c\u01a1 th\u1ec3 th\u1ea3i n\u01b0\u1edbc d\u01b0 th\u1eeba m\u00e0 kh\u00f4ng l\u00e0m m\u1ea5t nhi\u1ec1u \u0111i\u1ec7n gi\u1ea3i, r\u1ea5t h\u1eefu \u00edch trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb h\u1ea1 natri m\u00e1u ho\u1eb7c ph\u00f9 kh\u00e1ng tr\u1ecb.<\/p>\n

\"\"<\/p>\n

H\u00ecnh 4.<\/strong> C\u01a1 ch\u1ebf c\u1ee7a thu\u1ed1c tolvaptan trong suy tim gi\u00fap c\u01a1 th\u1ec3 th\u1ea3i n\u01b0\u1edbc d\u01b0 th\u1eeba nh\u01b0ng kh\u00f4ng l\u00e0m m\u1ea5t \u0111i\u1ec7n gi\u1ea3i.<\/p>\n

Trong nh\u1eefng t\u00ecnh hu\u1ed1ng n\u1eb7ng, khi c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p tr\u00ean \u0111\u1ec1u kh\u00f4ng hi\u1ec7u qu\u1ea3, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c xem l\u00e0 kh\u00e1ng tr\u1ecb l\u1ee3i ti\u1ec3u. L\u00fac n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng \u0111\u1ebfn l\u1ecdc m\u00e1u ho\u1eb7c si\u00eau l\u1ecdc (ultrafiltration \u2013 UF) \u0111\u1ec3 r\u00fat d\u1ecbch tr\u1ef1c ti\u1ebfp kh\u1ecfi m\u00e1u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u00e1p d\u1ee5ng cho b\u1ec7nh nh\u00e2n sung huy\u1ebft n\u1eb7ng k\u00e8m suy th\u1eadn ho\u1eb7c kh\u00f4ng th\u1ec3 th\u1ea3i d\u1ecbch qua \u0111\u01b0\u1eddng t\u1ef1 nhi\u00ean.<\/p>\n

T\u00f3m l\u1ea1i, \u0111i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh theo t\u1eebng b\u01b0\u1edbc r\u00f5 r\u00e0ng: b\u1eaft \u0111\u1ea7u b\u1eb1ng l\u1ee3i ti\u1ec3u, th\u00eam thu\u1ed1c gi\u00e3n m\u1ea1ch v\u00e0 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p khi c\u1ea7n, sau \u0111\u00f3 t\u0103ng c\u01b0\u1eddng b\u1eb1ng c\u00e1c thu\u1ed1c \u0111\u1eb7c bi\u1ec7t v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 si\u00eau l\u1ecdc n\u1ebfu m\u1ecdi bi\u1ec7n ph\u00e1p kh\u00e1c kh\u00f4ng hi\u1ec7u qu\u1ea3. M\u1ee5c ti\u00eau l\u00e0 \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c gi\u1ea3m b\u1edbt d\u1ecbch \u1ee9 m\u1ed9t c\u00e1ch an to\u00e0n, hi\u1ec7u qu\u1ea3 v\u00e0 b\u1ec1n v\u1eefng.<\/p>\n

V. Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n<\/strong><\/span><\/h1>\n

Trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng s\u1ebd theo d\u00f5i li\u00ean t\u1ee5c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xem b\u1ec7nh nh\u00e2n \u0111\u00e1p \u1ee9ng t\u1ed1t hay kh\u00f4ng. D\u1ea5u hi\u1ec7u \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m kh\u00f3 th\u1edf gi\u1ea3m d\u1ea7n, ph\u00f9 ch\u00e2n gi\u1ea3m r\u00f5, l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u t\u0103ng l\u00ean, c\u00e2n n\u1eb7ng gi\u1ea3m \u0111\u1ec1u m\u1ed7i ng\u00e0y v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m nh\u01b0 ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c \u0111i\u1ec7n gi\u1ea3i \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n. Ng\u01b0\u1ee3c l\u1ea1i, nh\u1eefng d\u1ea5u hi\u1ec7u nh\u01b0 ti\u1ec3u r\u1ea5t \u00edt, ch\u00f3ng m\u1eb7t, t\u1ee5t huy\u1ebft \u00e1p, chu\u1ed9t r\u00fat, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c ho\u1eb7c kh\u00f3 th\u1edf t\u0103ng l\u00ean l\u00e0 nh\u1eefng c\u1ea3nh b\u00e1o quan tr\u1ecdng c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1o ngay cho b\u00e1c s\u0129.<\/p>\n

\"\"<\/p>\n

H\u00ecnh 5.<\/strong> Theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh suy tim c\u1ea5p t\u1ea1i b\u1ec7nh vi\u1ec7n<\/p>\n

S\u1ef1 theo d\u00f5i s\u00e1t sao n\u00e0y gi\u00fap \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c h\u1ee3p l\u00fd, tr\u00e1nh bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1ed1i \u01b0u hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb trong nh\u1eefng ng\u00e0y \u0111\u1ea7u.<\/p>\n

VI. Vai tr\u00f2 c\u1ee7a th\u00e2n nh\u00e2n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb<\/span><\/strong><\/h1>\n

Th\u00e2n nh\u00e2n \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n. Trong th\u1eddi gian n\u1eb1m vi\u1ec7n, ng\u01b0\u1eddi nh\u00e0 n\u00ean gi\u00fap b\u1ec7nh nh\u00e2n tu\u00e2n th\u1ee7 \u0111\u00fang l\u1ecbch u\u1ed1ng thu\u1ed1c, nh\u1eafc b\u1ec7nh nh\u00e2n h\u1ea1n ch\u1ebf n\u01b0\u1edbc v\u00e0 \u0103n nh\u1ea1t theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, quan s\u00e1t s\u1ed1 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u v\u00e0 m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, th\u00e2n nh\u00e2n c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n v\u1eadn \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng khi \u0111\u01b0\u1ee3c ph\u00e9p \u0111\u1ec3 tr\u00e1nh n\u1eb1m l\u00e2u g\u00e2y y\u1ebfu c\u01a1 ho\u1eb7c huy\u1ebft kh\u1ed1i. Khi th\u1ea5y b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00e0o nh\u01b0 b\u1ec7nh nh\u00e2n m\u1ec7t h\u01a1n, kh\u00f3 th\u1edf t\u0103ng, ho\u1eb7c gi\u1ea3m m\u1ee9c \u0111\u1ed9 t\u1ec9nh t\u00e1o, ng\u01b0\u1eddi nh\u00e0 c\u1ea7n b\u00e1o ngay cho nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 k\u1ecbp th\u1eddi x\u1eed tr\u00ed.<\/p>\n

VIII. K\u1ebft lu\u1eadn<\/span><\/strong><\/h1>\n

\u0110i\u1ec1u tr\u1ecb gi\u1ea3m sung huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n suy tim c\u1ea5p l\u00e0 b\u01b0\u1edbc quan tr\u1ecdng v\u00e0 mang t\u00ednh quy\u1ebft \u0111\u1ecbnh trong vi\u1ec7c c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n v\u00e0 c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng l\u00e2u d\u00e0i. Vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u00fang thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c gi\u00e3n m\u1ea1ch, oxy li\u1ec7u ph\u00e1p v\u00e0 h\u1ea1n ch\u1ebf mu\u1ed1i \u2013 d\u1ecbch, k\u1ebft h\u1ee3p v\u1edbi theo d\u00f5i s\u00e1t v\u00e0 kh\u1edfi tr\u1ecb s\u1edbm c\u00e1c thu\u1ed1c n\u1ec1n t\u1ea3ng, s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c nhanh h\u01a1n v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i nh\u1eadp vi\u1ec7n. S\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng, b\u1ec7nh nh\u00e2n v\u00e0 th\u00e2n nh\u00e2n ch\u00ednh l\u00e0 ch\u00eca kh\u00f3a \u0111em l\u1ea1i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u.<\/p>\n

\u00a0<\/span><\/p>\n

\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n

    \n
  1. Arrigo M, Jessup M, Mullens W, et al. Acute heart failure.\u00a0Nat Rev Dis Primers<\/em>. 2020;6(1):16. Published 2020 Mar 5. doi:10.1038\/s41572-020-0151-7<\/li>\n
  2. Pellicori P, Hunter D, Ei Khin HH, Cleland JGF. How to diagnose and treat venous congestion in heart failure. Eur Heart J. 2024;45(15):1295-1297. doi:10.1093\/eurheartj\/ehad883<\/li>\n
  3. Mullens W, Damman K, Harjola VP, et al. The use of diuretics in heart failure with congestion – a position statement from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2019;21(2):137-155. doi:10.1002\/ejhf.1369<\/li>\n
  4. Felker, G, Mentz, R, Cole, R. et al. Efficacy and Safety of Tolvaptan in Patients Hospitalized With Acute Heart Failure. JACC. 2017 Mar, 69 (11) 1399\u20131406. https:\/\/doi.org\/10.1016\/j.jacc.2016.09.004<\/a><\/li>\n
  5. Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA\/ACC\/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032. doi:10.1161\/CIR.0000000000001063<\/li>\n
  6. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599-3726. doi:10.1093\/eurheartj\/ehab368<\/li>\n<\/ol>\n

    ","protected":false},"featured_media":0,"parent":0,"template":"","class_list":["post-742","nghien_cuu","type-nghien_cuu","status-publish","hentry"],"acf":[],"yoast_head":"\n\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh) - Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vhfs.com.vn\/en\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh)\" \/>\n<meta property=\"og:description\" content=\"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh) ThS.BSNT Nguy\u1ec5n Nh\u1eadt T\u00e0i B\u1ed9 m\u00f4n N\u1ed9i t\u1ed5ng qu\u00e1t, \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh I. Gi\u1edbi thi\u1ec7u chung Suy tim c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ee9c n\u0103ng tim \u0111\u1ed9t ng\u1ed9t\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vhfs.com.vn\/en\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/\" \/>\n<meta property=\"og:site_name\" content=\"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vhfs.com.vn\/wp-content\/uploads\/2026\/07\/Picture1.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/\",\"url\":\"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/\",\"name\":\"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh) - Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn\",\"isPartOf\":{\"@id\":\"https:\/\/vhfs.com.vn\/#website\"},\"datePublished\":\"2026-07-19T10:54:46+00:00\",\"dateModified\":\"2026-07-19T10:54:46+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/vhfs.com.vn\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nghi\u00ean c\u1ee9u\",\"item\":\"https:\/\/vhfs.com.vn\/nghien-cuu\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/vhfs.com.vn\/#website\",\"url\":\"https:\/\/vhfs.com.vn\/\",\"name\":\"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/vhfs.com.vn\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/vhfs.com.vn\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/vhfs.com.vn\/#organization\",\"name\":\"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn\",\"url\":\"https:\/\/vhfs.com.vn\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/vhfs.com.vn\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/vhfs.com.vn\/wp-content\/uploads\/2024\/08\/logo-hstvn.png\",\"contentUrl\":\"https:\/\/vhfs.com.vn\/wp-content\/uploads\/2024\/08\/logo-hstvn.png\",\"width\":547,\"height\":150,\"caption\":\"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn\"},\"image\":{\"@id\":\"https:\/\/vhfs.com.vn\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh) - Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vhfs.com.vn\/en\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/","og_locale":"en_US","og_type":"article","og_title":"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh)","og_description":"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh) ThS.BSNT Nguy\u1ec5n Nh\u1eadt T\u00e0i B\u1ed9 m\u00f4n N\u1ed9i t\u1ed5ng qu\u00e1t, \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh I. Gi\u1edbi thi\u1ec7u chung Suy tim c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ee9c n\u0103ng tim \u0111\u1ed9t ng\u1ed9t","og_url":"https:\/\/vhfs.com.vn\/en\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/","og_site_name":"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn","og_image":[{"url":"https:\/\/vhfs.com.vn\/wp-content\/uploads\/2026\/07\/Picture1.png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"14 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/","url":"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/","name":"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh) - Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn","isPartOf":{"@id":"https:\/\/vhfs.com.vn\/#website"},"datePublished":"2026-07-19T10:54:46+00:00","dateModified":"2026-07-19T10:54:46+00:00","breadcrumb":{"@id":"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/vhfs.com.vn\/nghien_cuu\/dieu-tri-giam-sung-huyet-o-benh-nhan-suy-tim-cap-bai-viet-danh-cho-nguoi-benh-va-than-nhan-nuoi-benh\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/vhfs.com.vn\/"},{"@type":"ListItem","position":2,"name":"Nghi\u00ean c\u1ee9u","item":"https:\/\/vhfs.com.vn\/nghien-cuu\/"},{"@type":"ListItem","position":3,"name":"\u0110I\u1ec0U TR\u1eca GI\u1ea2M SUNG HUY\u1ebeT \u1ede B\u1ec6NH NH\u00c2N SUY TIM C\u1ea4P (b\u00e0i vi\u1ebft d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n nu\u00f4i b\u1ec7nh)"}]},{"@type":"WebSite","@id":"https:\/\/vhfs.com.vn\/#website","url":"https:\/\/vhfs.com.vn\/","name":"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn","description":"","publisher":{"@id":"https:\/\/vhfs.com.vn\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/vhfs.com.vn\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/vhfs.com.vn\/#organization","name":"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn","url":"https:\/\/vhfs.com.vn\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/vhfs.com.vn\/#\/schema\/logo\/image\/","url":"https:\/\/vhfs.com.vn\/wp-content\/uploads\/2024\/08\/logo-hstvn.png","contentUrl":"https:\/\/vhfs.com.vn\/wp-content\/uploads\/2024\/08\/logo-hstvn.png","width":547,"height":150,"caption":"Ph\u00e2n h\u1ed9i Suy tim Vi\u1ec7t Nam - Vhfs.com.vn"},"image":{"@id":"https:\/\/vhfs.com.vn\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/vhfs.com.vn\/en\/wp-json\/wp\/v2\/nghien_cuu\/742"}],"collection":[{"href":"https:\/\/vhfs.com.vn\/en\/wp-json\/wp\/v2\/nghien_cuu"}],"about":[{"href":"https:\/\/vhfs.com.vn\/en\/wp-json\/wp\/v2\/types\/nghien_cuu"}],"wp:attachment":[{"href":"https:\/\/vhfs.com.vn\/en\/wp-json\/wp\/v2\/media?parent=742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}