{"id":2990318,"date":"2025-10-11T08:00:06","date_gmt":"2025-10-11T01:00:06","guid":{"rendered":"https:\/\/kill2.mmmaq.com/_res_0\/?p=2990318"},"modified":"2025-10-10T04:47:53","modified_gmt":"2025-10-09T21:47:53","slug":"dung-dong-ho-thong-minh-do-nhip-tim-theo-doi-suc-khoe-tim-mach","status":"publish","type":"post","link":"https:\/\/kill2.mmmaq.com/_res_0\/dung-dong-ho-thong-minh-do-nhip-tim-theo-doi-suc-khoe-tim-mach\/","title":{"rendered":"D\u00f9ng \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh \u0111o nh\u1ecbp tim, theo d\u00f5i s\u1ee9c kh\u1ecfe tim m\u1ea1ch"},"content":{"rendered":"
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\u0110\u1ed3ng h\u1ed3 th\u00f4ng minh ng\u00e0y nay c\u00f3 nhi\u1ec1u ch\u1ee9c n\u0103ng theo d\u00f5i s\u1ee9c kh\u1ecfe tim m\u1ea1ch, v\u00ed d\u1ee5 \u0111o nh\u1ecbp tim, huy\u1ebft \u00e1p, theo d\u00f5i nh\u1ecbp th\u1edf, gi\u1ea5c ng\u1ee7 …<\/p><\/div>\n

Trong b\u1ed1i c\u1ea3nh s\u1ed1 ca m\u1eafc b\u1ec7nh tim m\u1ea1ch v\u00e0 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 kh\u00f4ng ng\u1eebng gia t\u0103ng, nhu c\u1ea7u ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 theo d\u00f5i s\u1ee9c kh\u1ecfe tim m\u1ea1ch tr\u1edf th\u00e0nh \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u. C\u00f4ng ngh\u1ec7 \u0111eo tay, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh t\u00edch h\u1ee3p ch\u1ee9c n\u0103ng theo d\u00f5i tim m\u1ea1ch, \u0111ang m\u1edf ra m\u1ed9t b\u01b0\u1edbc ti\u1ebfn l\u1edbn trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n. Kh\u00f4ng ch\u1ec9 \u0111o nh\u1ecbp tim li\u00ean t\u1ee5c, c\u00e1c thi\u1ebft b\u1ecb n\u00e0y c\u00f2n ph\u00e1t hi\u1ec7n nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, theo d\u00f5i nh\u1ecbp th\u1edf, gi\u1ea5c ng\u1ee7 v\u00e0 g\u1eedi c\u1ea3nh b\u00e1o k\u1ecbp th\u1eddi khi xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u nguy c\u01a1.<\/p>\n

Nh\u1edd \u0111\u00f3, ng\u01b0\u1eddi d\u00f9ng c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng h\u01a1n trong vi\u1ec7c nh\u1eadn di\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 ti\u1ec1m \u1ea9n, gi\u1ea3m r\u1ee7i ro v\u00e0 n\u00e2ng cao kh\u1ea3 n\u0103ng ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5. \u0110\u1ed3ng h\u1ed3 th\u00f4ng minh gi\u1edd \u0111\u00e2y kh\u00f4ng ch\u1ec9 l\u00e0 ph\u1ee5 ki\u1ec7n c\u00f4ng ngh\u1ec7, m\u00e0 tr\u1edf th\u00e0nh \u201cng\u01b0\u1eddi b\u1ea1n \u0111\u1ed3ng h\u00e0nh v\u1edbi s\u1ee9c kh\u1ecfe\u201d, gi\u00fap m\u1ed7i c\u00e1 nh\u00e2n n\u1eafm b\u1eaft d\u1eef li\u1ec7u tim m\u1ea1ch ch\u00ednh x\u00e1c, k\u1ecbp th\u1eddi v\u00e0 t\u1eadn d\u1ee5ng c\u00f4ng ngh\u1ec7 \u0111\u1ec3 b\u1ea3o v\u1ec7 tr\u00e1i tim ngay t\u1eeb nh\u1eefng t\u00edn hi\u1ec7u nh\u1ecf nh\u1ea5t.<\/p>\n

C\u00e1c t\u00ednh n\u0103ng theo d\u00f5i s\u1ee9c kh\u1ecfe tim m\u1ea1ch c\u1ee7a \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh<\/h2>\n

Theo d\u00f5i nh\u1ecbp tim li\u00ean t\u1ee5c<\/h3>\n

Nh\u1ecbp tim khi ngh\u1ec9 ng\u01a1i c\u00f3 th\u1ec3 n\u00f3i l\u00ean r\u1ea5t nhi\u1ec1u \u0111i\u1ec1u v\u1ec1 s\u1ee9c kh\u1ecfe tim m\u1ea1ch c\u1ee7a b\u1ea1n. Nh\u1ecbp tim cao ho\u1eb7c th\u1ea5p li\u00ean t\u1ee5c c\u00f3 th\u1ec3 b\u00e1o hi\u1ec7u: m\u1ea5t n\u01b0\u1edbc, t\u1eadp luy\u1ec7n qu\u00e1 s\u1ee9c, c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch ti\u1ec1m \u1ea9n\u2026 \u0110\u1ed3ng h\u1ed3 th\u00f4ng minh gi\u00fap theo d\u00f5i nh\u1ecbp tim 24\/7, nh\u1eadn bi\u1ebft nh\u1eefng thay \u0111\u1ed5i tr\u01b0\u1edbc khi tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n.<\/p>\n

Ch\u1ee9c n\u0103ng ECG (\u0111i\u1ec7n t\u00e2m \u0111\u1ed3)<\/h3>\n

Nhi\u1ec1u m\u1eabu \u0111\u1ed3ng h\u1ed3 cao c\u1ea5p nh\u01b0 Apple Watch c\u00f3 th\u1ec3 ghi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u01a1n d\u1eabn (single-lead ECG) trong 30 gi\u00e2y. T\u00ednh n\u0103ng n\u00e0y ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a rung nh\u0129 (AFib) \u2013 m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u1ec1 nh\u1ecbp tim ph\u1ed5 bi\u1ebfn l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5. Ngay c\u1ea3 khi ng\u01b0\u1eddi d\u00f9ng kh\u00f4ng ch\u1ee7 \u0111\u1ed9ng ghi ECG, thi\u1ebft b\u1ecb s\u1ebd theo d\u00f5i nh\u1ecbp tim qua c\u1ea3m bi\u1ebfn nh\u1ecbp tim quang h\u1ecdc (PPG) v\u00e0 c\u1ea3nh b\u00e1o khi ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 k\u1ecbp th\u1eddi \u0111i kh\u00e1m.<\/p>\n

Nhi\u1ec1u ng\u01b0\u1eddi \u1edf Anh \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng h\u1ecd nh\u1eadn \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o s\u1edbm v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch nh\u01b0 rung nh\u0129 t\u1eeb \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh \u2013 th\u1eadm ch\u00ed tr\u01b0\u1edbc khi c\u00e1c tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n. \u0110i\u1ec1u n\u00e0y gi\u00fap h\u1ecd c\u00f3 s\u1ef1 chu\u1ea9n b\u1ecb t\u1ed1t h\u01a1n \u0111\u1ec3 nh\u1eadn t\u01b0 v\u1ea5n y t\u1ebf v\u00e0 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n

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B\u1ea1n c\u00f3 th\u1ec3 \u0111o ECG b\u1ea5t c\u1ee9 l\u00fac n\u00e0o, khi nh\u00ecn v\u00e0o ECG, b\u00e1c s\u0129 c\u00f3 th\u1ec3 n\u1eafm th\u00f4ng tin chuy\u00ean s\u00e2u v\u1ec1 nh\u1ecbp tim v\u00e0 t\u00ecm ki\u1ebfm nh\u1eefng \u0111i\u1ec3m b\u1ea5t th\u01b0\u1eddng<\/p><\/div>\n

Gi\u00e1m s\u00e1t bi\u1ebfn thi\u00ean nh\u1ecbp tim (HRV) li\u00ean t\u1ee5c<\/h3>\n

HRV \u0111o l\u01b0\u1eddng kho\u1ea3ng th\u1eddi gian lu\u00f4n thay \u0111\u1ed5i gi\u1eefa m\u1ed7i nh\u1ecbp tim. M\u1eb7c d\u00f9 kh\u00f4ng mang t\u00ednh ch\u1ea9n \u0111o\u00e1n, HRV th\u1ea5p c\u00f3 th\u1ec3 b\u00e1o hi\u1ec7u t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng cao, m\u1ec7t m\u1ecfi qu\u00e1 m\u1ee9c ho\u1eb7c ph\u1ee5c h\u1ed3i k\u00e9m \u2212 nh\u1eefng y\u1ebfu t\u1ed1 kh\u00f4ng t\u1ed1t cho tim m\u1ea1ch. \u0110\u1ed9 bi\u1ebfn thi\u00ean nh\u1ecbp tim thay \u0111\u1ed5i theo t\u1eebng ng\u00e0y, \u0111\u1ed3ng h\u1ed3 c\u00f3 tr\u1ea1ng th\u00e1i HRV s\u1ebd ghi l\u1ea1i ch\u1ec9 s\u1ed1 n\u00e0y m\u1ed7i \u0111\u00eam trong 3 tu\u1ea7n v\u00e0 sau \u0111\u00f3 t\u1ea1o ra m\u1ed9t thang \u0111o h\u1ee3p l\u00fd.<\/p>\n

Kh\u00f4ng ch\u1ec9 cung c\u1ea5p gi\u00e1 tr\u1ecb HRV c\u1ee7a \u0111\u00eam h\u00f4m tr\u01b0\u1edbc m\u00e0 c\u00f2n ph\u00e2n lo\u1ea1i tr\u1ea1ng th\u00e1i \u0111\u1ec3 c\u00f3 c\u00e1i nh\u00ecn to\u00e0n di\u1ec7n h\u01a1n v\u1ec1 m\u1ee9c \u0111\u1ed9 c\u00e2n b\u1eb1ng trong cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ea1n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi \u0111eo thi\u1ebft b\u1ecb bi\u1ebft khi n\u00e0o c\u1ea7n ch\u1eadm l\u1ea1i v\u00e0 ngh\u1ec9 ng\u01a1i.<\/p>\n

Ph\u1ea3n h\u1ed3i t\u1ee9c th\u00ec, th\u00fac \u0111\u1ea9y th\u00f3i quen t\u1ed1t<\/h3>\n

\u0110\u1ed3ng h\u1ed3 th\u00f4ng minh ph\u1ea3n \u00e1nh nh\u1ecbp tim, ho\u1ea1t \u0111\u1ed9ng, gi\u1edd ng\u1ee7… theo th\u1eddi gian th\u1ef1c, gi\u00fap ng\u01b0\u1eddi d\u00f9ng nh\u1eadn th\u1ee9c r\u00f5 t\u00e1c \u0111\u1ed9ng c\u1ee7a h\u00e0nh vi v\u00e0 \u0111i\u1ec1u ch\u1ec9nh h\u1ee3p l\u00fd. Vi\u1ec7c th\u1ea5y nh\u1ecbp tim t\u0103ng v\u1ecdt sau m\u1ed9t cu\u1ed9c h\u1ecdp c\u0103ng th\u1eb3ng ho\u1eb7c gi\u1ea3m xu\u1ed1ng sau khi \u0111i b\u1ed9 nhanh, t\u1ea1o ra ph\u1ea3n h\u1ed3i t\u1ee9c th\u00ec. Th\u00f4ng tin chi ti\u1ebft n\u00e0y gi\u00fap ng\u01b0\u1eddi d\u00f9ng \u0111\u01b0a ra nh\u1eefng l\u1ef1a ch\u1ecdn s\u00e1ng su\u1ed1t h\u01a1n v\u1ec1: ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, t\u1eadp th\u1ec3 d\u1ee5c, ng\u1ee7, qu\u1ea3n l\u00fd c\u0103ng th\u1eb3ng.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u theo d\u00f5i h\u01a1n 93.000 ng\u01b0\u1eddi cho th\u1ea5y d\u00f9ng thi\u1ebft b\u1ecb \u0111eo gi\u00fap t\u0103ng th\u00eam g\u1ea7n 1.300 b\u01b0\u1edbc\/ng\u00e0y v\u00e0 \u0111\u00e1p \u1ee9ng ch\u1ec9 ti\u00eau v\u1eadn \u0111\u1ed9ng 150 ph\u00fat\/tu\u1ea7n gi\u00fap gi\u1ea3m 18% nguy c\u01a1 AFib ho\u1eb7c \u0111\u1ed9t qu\u1ef5 trong 5 n\u0103m.<\/p>\n

Theo d\u00f5i gi\u1ea5c ng\u1ee7, n\u1ed3ng \u0111\u1ed9 \u00f4xy trong m\u00e1u<\/h3>\n

M\u1ee9c \u00f4-xy trong m\u00e1u th\u1ec3 hi\u1ec7n t\u1ec9 l\u1ec7 ph\u1ea7n tr\u0103m \u00f4xy m\u00e0 c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u v\u1eadn chuy\u1ec3n t\u1eeb ph\u1ed5i \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn c\u00f2n l\u1ea1i c\u1ee7a c\u01a1 th\u1ec3. Vi\u1ec7c bi\u1ebft m\u00e1u th\u1ef1c hi\u1ec7n t\u1ed1t ch\u1ee9c n\u0103ng quan tr\u1ecdng n\u00e0y nh\u01b0 th\u1ebf n\u00e0o c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n hi\u1ec3u r\u00f5 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3. Ph\u1ea7n l\u1edbn m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 m\u1ee9c \u00f4-xy trong m\u00e1u t\u1eeb 95\u2212100%. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi v\u1eabn s\u1ed1ng b\u00ecnh th\u01b0\u1eddng v\u1edbi m\u1ee9c \u00f4-xy trong m\u00e1u d\u01b0\u1edbi 95%. M\u1ee9c \u00f4xy n\u00e0y c\u00f3 th\u1ec3 th\u1ea5p h\u01a1n m\u1ed9t ch\u00fat khi ng\u1ee7, v\u00e0 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi d\u00f9ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng d\u01b0\u1edbi 95%.<\/p>\n

H\u1ea7u h\u1ebft \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh tr\u00ean th\u1ecb tr\u01b0\u1eddng \u0111\u1ec1u tuy\u00ean b\u1ed1 c\u00f3 th\u1ec3 theo d\u00f5i c\u00e1c giai \u0111o\u1ea1n v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7, trong khi m\u1ed9t s\u1ed1 kh\u00e1c c\u00f2n theo d\u00f5i \u0111\u1ed9 b\u00e3o h\u00f2a \u00f4-xy trong m\u00e1u, t\u1eeb \u0111\u00f3 ph\u00e1t hi\u1ec7n nguy c\u01a1 ng\u01b0ng th\u1edf khi ng\u1ee7 (sleep apnoea). Li\u1ec7u \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ea1n m\u1eafc ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 v\u00e0 gi\u00fap b\u1ea1n kh\u00f4ng ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m gi\u1ea5c ng\u1ee7 kh\u00f4ng?<\/p>\n\"\"\n

N\u0103m 2024, C\u1ee5c Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3 (FDA) \u0111\u00e3 ph\u00ea duy\u1ec7t c\u00e1c phi\u00ean b\u1ea3n c\u1eadp nh\u1eadt t\u00ednh n\u0103ng c\u1ea3nh b\u00e1o ng\u01b0ng th\u1edf khi ng\u1ee7 c\u1ee7a Samsung v\u00e0 Apple. Tr\u00ean \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh c\u1ee7a c\u1ea3 hai c\u00f4ng ty, FDA ch\u00ednh th\u1ee9c c\u00f4ng nh\u1eadn ch\u00fang l\u00e0 thi\u1ebft b\u1ecb y t\u1ebf. Tuy nhi\u00ean, nh\u1eefng thi\u1ebft b\u1ecb n\u00e0y ch\u1ec9 thi\u1ebft k\u1ebf \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7. N\u1ebfu \u0111\u1ed3ng h\u1ed3 hi\u1ec3n th\u1ecb m\u1ee9c \u0111\u1ed9 gi\u1ea3m b\u00e3o h\u00f2a \u00f4-xy, \u0111i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n n\u00ean th\u1ef1c hi\u1ec7n nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 ph\u00f9 h\u1ee3p c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. D\u00f9 v\u1eady, \u0111\u1ed9 ch\u00ednh x\u00e1c v\u1eabn c\u00f2n m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf.<\/p>\n

T\u00f3m l\u1ea1i, s\u1ef1 gia t\u0103ng c\u00e1c b\u1ec7nh tim m\u1ea1ch v\u00e0 \u0111\u1ed9t qu\u1ef5 \u0111\u1eb7t ra nhu c\u1ea7u c\u1ea5p thi\u1ebft v\u1ec1 gi\u00e1m s\u00e1t s\u1ee9c kh\u1ecfe tim m\u1ea1ch hi\u1ec7u qu\u1ea3 v\u00e0 k\u1ecbp th\u1eddi. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi t\u1eebng b\u1ecb \u0111au tim ho\u1eb7c ph\u1eabu thu\u1eadt tim, thi\u1ebft b\u1ecb \u0111eo c\u00f3 th\u1ec3 gi\u00fap theo d\u00f5i qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c v\u00e0 gi\u1ea3m b\u1edbt lo l\u1eafng khi kh\u00f4ng bi\u1ebft tim m\u00ecnh ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o m\u1ed7i ng\u00e0y. Trong b\u1ed1i c\u1ea3nh \u0111\u00f3, \u0111\u1ed3ng h\u1ed3 th\u00f4ng minh h\u1ed7 tr\u1ee3 tim m\u1ea1ch n\u1ed5i l\u00ean nh\u01b0 c\u00f4ng c\u1ee5 \u0111\u1ed9t ph\u00e1, k\u1ebft h\u1ee3p c\u1ea3m bi\u1ebfn ch\u00ednh x\u00e1c v\u1edbi kh\u1ea3 n\u0103ng theo d\u00f5i li\u00ean t\u1ee5c v\u00e0 ph\u1ea3n h\u1ed3i ngay l\u1eadp t\u1ee9c.<\/p>\n

D\u0129 nhi\u00ean, c\u00e1c thi\u1ebft b\u1ecb n\u00e0y kh\u00f4ng thay th\u1ebf b\u00e1c s\u0129 chuy\u00ean khoa v\u00e0 kh\u00f4ng d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n tr\u1ef1c ti\u1ebfp. Ch\u00fang l\u00e0 c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3, gi\u00fap ch\u1ee7 \u0111\u1ed9ng theo d\u00f5i, c\u1ea3nh gi\u00e1c h\u01a1n v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng v\u00e0 h\u1ee3p t\u00e1c ch\u1eb7t ch\u1ebd v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe tim m\u1ea1ch.<\/p>\n

THEO D\u00d5I S\u1ee8C KH\u1eceE:<\/h4>\n