![\"\"](\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/09\/BeoPhiVaBenhTimMach.jpg\")
<\/p>\nB\u00e9o ph\u00ec theo \u0111\u1ecbnh ngh\u0129a c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi khi c\u00f3 ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI) \u2265 30 kg\/m2, th\u1eeba c\u00e2n khi BMI \u2265 25 kg\/m2 v\u00e0 < 30 kg\/m2. Tuy nhi\u00ean \u1edf Ch\u00e2u \u00c1, bao g\u1ed3m Vi\u1ec7t Nam, \u0111i\u1ec3m c\u1eaft n\u00e0y l\u00e0 24 kg\/m2 \u0111\u1ed1i v\u1edbi th\u1eeba c\u00e2n, 28 kg\/m2 \u0111\u1ed1i v\u1edbi b\u00e9o ph\u00ec. Theo th\u1ed1ng k\u00ea G\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt to\u00e0n c\u1ea7u, t\u1ef7 l\u1ec7 b\u00e9o ph\u00ec t\u0103ng g\u1ea5p \u0111\u00f4i t\u1eeb n\u0103m 1980 \u0111\u1ebfn 2015 \u1edf 73 qu\u1ed1c gia v\u00e0 li\u00ean t\u1ee5c t\u0103ng \u1edf h\u1ea7u h\u1ebft c\u00e1c qu\u1ed1c gia kh\u00e1c. \u01af\u1edbc t\u00ednh c\u00f3 39 – 49% d\u00e2n s\u1ed1 th\u1ebf gi\u1edbi (2,8 – 3,5 t\u1ef7 ng\u01b0\u1eddi) b\u1ecb th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec.<\/p>\n
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Ngo\u00e0i ch\u1ec9 s\u1ed1 BMI, b\u00e9o ph\u00ec c\u00f2n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng v\u00f2ng eo, m\u1ee1 n\u1ed9i t\u1ea1ng. V\u00f2ng eo cao \u1edf ng\u01b0\u1eddi c\u00f3 c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng v\u1eabn c\u00f3 nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch cao h\u01a1n v\u00ec v\u00f2ng eo l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 l\u01b0\u1ee3ng m\u1ee1 c\u01a1 th\u1ec3 v\u00f9ng b\u1ee5ng, c\u00f3 li\u00ean quan b\u1ec7nh chuy\u1ec3n h\u00f3a v\u00e0 tim m\u1ea1ch. M\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o \u0111\u1ec1 ngh\u1ecb v\u00f2ng eo c\u1ea7n \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p v\u1edbi BMI trong \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng.<\/p>\n
M\u1ee1 n\u1ed9i t\u1ea1ng \u0111\u01b0\u1ee3c kh\u1ea3o s\u00e1t d\u1ef1a v\u00e0o c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 CT scan, MRI. C\u00e1c nghi\u00ean c\u1ee9u cho r\u1eb1ng m\u1ee1 n\u1ed9i t\u1ea1ng l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch. M\u1ee1 n\u1ed9i t\u1ea1ng \u0111\u01b0\u1ee3c quan t\u00e2m nhi\u1ec1u l\u00e0 m\u1ee1 m\u00e0ng ngo\u00e0i tim hay quanh tim. Nghi\u00ean c\u1ee9u Multi-Ethnic Study of Atherosclerosis ghi nh\u1eadn m\u1ee1 quanh tim c\u00f3 li\u00ean quan nguy c\u01a1 cao b\u1ec7nh tim m\u1ea1ch, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 suy tim. C\u00e1c nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y \u0111\u1ed9 d\u00e0y m\u1ee1 quanh tim c\u00f3 li\u00ean quan v\u00f2ng eo, huy\u1ebft \u00e1p, t\u00ecnh tr\u1ea1ng kh\u00e1ng insulin, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a lipid.<\/p>\n
Li\u00ean quan gi\u1eefa b\u00e9o ph\u00ec v\u00e0 b\u1ec7nh tim m\u1ea1ch \u0111\u01b0\u1ee3c ghi nh\u1eadn r\u00f5 \u1edf b\u1ec7nh m\u1ea1ch v\u00e0nh, suy tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp.<\/p>\n
B\u00e9o ph\u00ec t\u00e1c \u0111\u1ed9ng tr\u00ean b\u1ec7nh m\u1ea1ch v\u00e0nh th\u00f4ng qua c\u01a1 ch\u1ebf x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch. M\u1ed9t nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 ch\u1ee9ng minh r\u1eb1ng b\u00e9o ph\u00ec c\u00f3 li\u00ean quan nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh cao h\u01a1n. \u1ede m\u1ed7i m\u1ee9c BMI, ch\u1ec9 s\u1ed1 m\u1ee1 trung t\u00e2m, bao g\u1ed3m v\u00f2ng eo v\u00e0 t\u1ef7 l\u1ec7 eo h\u00f4ng, cao h\u01a1n li\u00ean quan nguy c\u01a1 b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 t\u1eed vong tim m\u1ea1ch cao h\u01a1n, k\u1ec3 c\u1ea3 ng\u01b0\u1eddi c\u00f3 c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng theo BMI. M\u1ed1i li\u00ean quan gi\u1eefa b\u00e9o ph\u00ec v\u00e0 b\u1ec7nh m\u1ea1ch v\u00e0nh theo c\u00e1c nghi\u00ean c\u1ee9u l\u1edbn do t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n lipid m\u00e1u, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 c\u00e1c b\u1ec7nh \u0111i k\u00e8m kh\u00e1c. S\u1ef1 l\u1eafng \u0111\u1ecdng ch\u1ea5t b\u00e9o \u1edf t\u1ea1ng, bao g\u1ed3m m\u00e0ng ngo\u00e0i tim, th\u01b0\u1ee3ng t\u00e2m m\u1ea1c c\u0169ng g\u00f3p ph\u1ea7n th\u00eam v\u00e0o g\u00e1nh n\u1eb7ng x\u01a1 v\u1eefa m\u1ea1ch v\u00e0nh.<\/p>\n
Ngo\u00e0i nh\u1eefng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u01b0\u1ee3ng t\u00e2m m\u1ea1c m\u1ea1ch v\u00e0nh, b\u00e9o ph\u00ec c\u00f3 li\u00ean quan nh\u1eefng b\u1ea5t th\u01b0\u1eddng trong vi m\u1ea1ch v\u00e0nh, m\u1ed9t y\u1ebfu t\u1ed1 ch\u00ednh \u0111i\u1ec1u ch\u1ec9nh l\u01b0u l\u01b0\u1ee3ng m\u1ea1ch v\u00e0nh. B\u1ec7nh vi m\u1ea1ch v\u00e0nh c\u00f3 li\u00ean quan r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 v\u00e0 c\u00f3 th\u1ec3 do t\u00e1i c\u1ea5u tr\u00fac m\u1ea1ch m\u00e1u nh\u1ecf; b\u1ec7nh vi m\u1ea1ch c\u00f3 li\u00ean quan \u0111\u1ed9c l\u1eadp v\u1edbi BMI cao h\u01a1n v\u00e0 cung c\u1ea5p ti\u00ean l\u01b0\u1ee3ng \u0111\u1ed9c l\u1eadp nguy c\u01a1 tim m\u1ea1ch \u1edf ng\u01b0\u1eddi b\u00e9o ph\u00ec.<\/p>\n
B\u00ean c\u1ea1nh b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u00e9o ph\u00ec c\u00f3 li\u00ean quan v\u1edbi suy tim. Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 x\u00e1c \u0111\u1ecbnh b\u00e9o ph\u00ec l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh g\u00e2y t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i, l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 cho ti\u1ebfn tri\u1ec3n suy tim. Ngo\u00e0i ra, b\u00e9o ph\u00ec c\u00f2n t\u00e1c d\u1ee5ng l\u00ean c\u1ea3 ch\u1ee9c n\u0103ng t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i. Nghi\u00ean c\u1ee9u Framingham tr\u00ean 5.881 ng\u01b0\u1eddi ghi nh\u1eadn t\u1ef7 l\u1ec7 suy tim t\u0103ng 5% \u1edf nam gi\u1edbi, 7% \u1edf n\u1eef gi\u1edbi \u0111\u1ed1i v\u1edbi m\u1ed7i 1 \u0111\u01a1n v\u1ecb BMI t\u0103ng sau hi\u1ec7u ch\u1ec9nh y\u1ebfu t\u1ed1 r\u1ee7i ro kh\u00e1c. B\u00e9o ph\u00ec n\u1ed9i t\u1ea1ng c\u00f3 t\u00e1c \u0111\u1ed9ng c\u1ee5c b\u1ed9 l\u00ean c\u01a1 tim, bao g\u1ed3m g\u00e2y ph\u00ec \u0111\u1ea1i t\u1ebf b\u00e0o c\u01a1 tim, x\u01a1 h\u00f3a c\u01a1 tim v\u00e0 k\u00edch ho\u1ea1t ph\u1ea3n \u1ee9ng vi\u00eam li\u00ean quan th\u00e2m nhi\u1ec5m \u0111\u1ea1i th\u1ef1c b\u00e0o v\u00e0 cytokine. T\u00edch t\u1ee5 ch\u1ea5t b\u00e9o \u1edf n\u1ed9i t\u1ea1ng v\u00e0 c\u00e1c v\u1ecb tr\u00ed nh\u01b0 m\u00e0ng ngo\u00e0i tim, gan d\u1eabn \u0111\u1ebfn th\u1ec3 t\u00edch m\u00e1u l\u01b0u th\u00f4ng cao h\u01a1n v\u00e0 k\u00edch ho\u1ea1t c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y vi\u00eam to\u00e0n th\u00e2n, l\u00e0m t\u0103ng th\u1ec3 t\u00edch nh\u00e1t b\u00f3p, c\u0103ng th\u00e0nh tim, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim, d\u1eabn \u0111\u1ebfn ph\u00ec \u0111\u1ea1i \u0111\u1ed3ng t\u00e2m th\u1ea5t tr\u00e1i, t\u00e1i t\u1ea1o th\u1ea5t tr\u00e1i v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 suy tim t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng. C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y c\u0169ng g\u1ee3i \u00fd r\u1eb1ng ch\u1ec9 s\u1ed1 BMI cao c\u00f3 li\u00ean quan ch\u1eb7t v\u1edbi nguy c\u01a1 suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n h\u01a1n s\u01a1 v\u1edbi suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m.<\/p>\n
M\u1ed1i li\u00ean quan gi\u1eefa b\u00e9o ph\u00ec v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u0169ng \u0111\u01b0\u1ee3c nh\u1ea5n m\u1ea1nh, \u0111\u1eb7c bi\u1ec7t v\u1edbi \u0111\u1ed9t t\u1eed do tim v\u00e0 rung nh\u0129.<\/p>\n
C\u00f3 m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa b\u00e9o ph\u00ec v\u00e0 \u0111\u1ed9t t\u1eed do tim. M\u1ed7i l\u1ea7n t\u0103ng 5 \u0111\u01a1n v\u1ecb BMI s\u1ebd l\u00e0m t\u0103ng 16% nguy c\u01a1 m\u1eafc \u0111\u1ed9t t\u1eed do tim, v\u00e0 b\u00e9o ph\u00ec \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 nguy\u00ean nh\u00e2n kh\u00f4ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a \u0111\u1ed9t t\u1eed do tim. C\u01a1 ch\u1ebf c\u00f3 th\u1ec3 g\u1ed3m ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i, k\u00e9o d\u00e0i kho\u1ea3ng QT, ngo\u1ea1i t\u00e2m thu th\u1ea5t, v\u00e0 r\u1ed1i lo\u1ea1n t\u1ef1 \u0111\u1ed9ng t\u00ednh. C\u1ea3 b\u00e9o ph\u00ec nh\u1eb9 v\u00e0 n\u1eb7ng \u0111\u1ec1u \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o c\u00f3 li\u00ean quan nguy c\u01a1 cao nh\u1ecbp nhanh th\u1ea5t\/ rung th\u1ea5t v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n th\u1ebf mu\u1ed9n.<\/p>\n
C\u00e1c \u01b0\u1edbc t\u00ednh cho th\u1ea5y b\u00e9o ph\u00ec c\u00f3 th\u1ec3 chi\u1ebfm 1\/5 c\u00e1c tr\u01b0\u1eddng h\u1ee3p rung nh\u0129. T\u0103ng c\u00e2n v\u00e0 ch\u1ec9 s\u1ed1 BMI \u1edf tu\u1ed5i trung ni\u00ean cao c\u00f3 m\u1ed1i li\u00ean quan bi\u1ebfn c\u1ed1 rung nh\u0129 v\u1ec1 sau. M\u1ed7i 5 \u0111\u01a1n v\u1ecb BMI t\u0103ng g\u00e2y nguy c\u01a1 t\u0103ng rung nh\u0129 kho\u1ea3ng 29%. Th\u1eeba c\u00e2n v\u00e0 b\u00e9o ph\u00ec l\u00e0m t\u0103ng nguy c\u01a1 rung nh\u0129 qua nhi\u1ec1u c\u01a1 ch\u1ebf g\u1ed3m t\u00e1i \u0111\u1ecbnh d\u1ea1ng c\u1ea5u tr\u00fac v\u00e0 \u0111i\u1ec7n h\u1ecdc, g\u00f3p ph\u1ea7n ph\u00e1t tri\u1ec3n ch\u1ea5t n\u1ec1n g\u00e2y lo\u1ea1n nh\u1ecbp tim.<\/p>\n
\u0110i\u1ec1u tr\u1ecb b\u00e9o ph\u00ec quan tr\u1ecdng nh\u1ea5t l\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng. \u0110\u1eb7c bi\u1ec7t v\u1edbi m\u1ee1 n\u1ed9i t\u1ea1ng, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u00f3 hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng th\u1eadm ch\u00ed hi\u1ec7u qu\u1ea3 h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng thu\u1ed1c. C\u00e1c nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng t\u1eadp th\u1ec3 d\u1ee5c 3 \u2013 5 bu\u1ed5i m\u1ed7i tu\u1ea7n trong 12 \u2013 52 tu\u1ea7n l\u00e0m gi\u1ea3m m\u1ee1 n\u1ed9i t\u1ea1ng so v\u1edbi nh\u00f3m kh\u00f4ng t\u1eadp. C\u00e1c khuy\u1ebfn c\u00e1o hi\u1ec7n t\u1ea1i v\u1ec1 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t l\u00e0 c\u1ea7n 150 ph\u00fat\/ tu\u1ea7n \u0111\u1ec3 gi\u00fap gi\u1ea3m m\u1ee1 n\u1ed9i t\u1ea1ng, t\u1eadp c\u01b0\u1eddng \u0111\u1ed9 cao kh\u00f4ng v\u01b0\u1ee3t tr\u1ed9i h\u01a1n t\u1eadp luy\u1ec7n v\u1edbi c\u01b0\u1eddng \u0111\u1ed9 v\u1eeba ph\u1ea3i. Ngo\u00e0i ra, ch\u1ebf \u0111\u1ed9 \u0103n h\u1ea1n ch\u1ebf calories c\u0169ng cho th\u1ea5y gi\u1ea3m m\u1ee1 trong gan, m\u00e0ng tim.<\/p>\n
T\u00f3m l\u1ea1i, \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tim m\u1ea1ch \u1edf ng\u01b0\u1eddi b\u00e9o ph\u00ec c\u1ea7n xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 chuy\u1ec3n h\u00f3a li\u00ean quan v\u00e0 ph\u00e2n b\u1ed1 m\u1ee1 trong c\u01a1 th\u1ec3. B\u00e9o ph\u00ec n\u00ean \u0111\u01b0\u1ee3c xem l\u00e0 b\u1ec7nh m\u1ea1n t\u00ednh v\u00e0 khi ti\u1ebfp c\u1eadn c\u1ea7n kh\u1ea3o s\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch, \u0111\u1ed3ng th\u1eddi ph\u1ea3i c\u00f3 chi\u1ebfn l\u01b0\u1ee3c ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng.\/.<\/p>\n
Bs. Nguy\u1ec5n Ho\u00e0ng Minh Ph\u01b0\u01a1ng \u2013 B\u1ec7nh vi\u1ec7n Tim m\u1ea1ch An Giang<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" B\u00e9o ph\u00ec theo \u0111\u1ecbnh ngh\u0129a c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi khi c\u00f3 ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI) \u2265 30 kg\/m2, th\u1eeba c\u00e2n khi BMI \u2265 25 kg\/m2 v\u00e0 < 30 kg\/m2. Tuy nhi\u00ean \u1edf Ch\u00e2u \u00c1, bao g\u1ed3m Vi\u1ec7t Nam, \u0111i\u1ec3m c\u1eaft n\u00e0y l\u00e0 24 kg\/m2 \u0111\u1ed1i v\u1edbi th\u1eeba c\u00e2n, 28 kg\/m2 […]<\/p>\n","protected":false},"author":3,"featured_media":22692,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[239],"tags":[],"class_list":["post-22691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-truyen-thong-theo-chu-de"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/22691","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=22691"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/22691\/revisions"}],"predecessor-version":[{"id":22693,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/22691\/revisions\/22693"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/22692"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=22691"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=22691"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=22691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}