
TS.$BS.$PHẠM$THÁI$SƠN$
(VIỆN$TIM$MẠCH$VIỆT$NAM)$$$
Đà$Nẵng,$ngày$07$tháng$10$năm$2018$
Trung$tâm$Hội$nghị$Quốc$tế$ARIYANA$

SỬ#DỤNG#CHỐNG#ĐÔNG#Ở#NGƯỜI##
BỆNH$VAN$TIM$1,2,3$$$
1. Bệnh#VHL#do#thấp,#nhịp#xoang,#NT#<55mm:#không#dùng#thuốc#chống#ngưng#
tập#TC#hay#VKA#(IITC).#
2. Bệnh#VHL#do#thấp,#nhịp#xoang,#NT#>=55mm:#dùng#VKA#với#INR=2T3#(IITC).#
3. Bệnh#VHL#do#thấp#có#HK#NT:#dùng#VKA#với#INR=2T3#(ITA)#
4. Bệnh#VHL#do#thấp#có#AF#hoặc#tắc#mạch#hệ#thống:#dùng#VKA#với#INR=2T3#(ITA)#
5. BN#c/b#nong#van#2#lá#bằng#bóng#có#HKNT#trên#TEE:#dùng#VKA#với#INR=2,5T3,5#
cho#đến#khi#KT#lại#bằng#TEE#thấy#hết#HKNT.#
#
1. Richard# P.# Whitlock# et# al.# AnRthromboRc$ and$ ThrombolyRc$ Therapy$ for$ Valvular$ Disease.$ AnRthromboRc$ Therapy$ and$
PrevenRon$ of$ Thrombosis,$ 9th$ ed:$ ACCP$ EvidenceaBased$ Clinical$ PracRce$ Guidelines.# CHEST# 2012;# 141(2)# (Suppl):e576S–
e600S#.#
2. Helmut#Baumgartner#et#al.#2017$ESC/EACTS$Guidelines$for$the$management$of$valvular$heart$disease.$The$Task$Force$for$the$
Management$ of$ Valvular$ Heart$ Disease$ of$ the$ ESC/$ EACTS.# European# Heart# Journal# (2017)# 38,# 2739–2791.# doi:10.1093/
eurheartj/ehx391#
3. Rick#A.#Nishimura#et#al.#2017$AHA/ACC$focused$update$of$the$2014$AHA/ACC$guideline$for$the$management$of$paRents$with$
valvular$heart$disease.#JACC.#Vol.#70,#No.#2,#2017.#July#11,#2017:252T89.#h{p://dx.doi.org/#10.1016/#j.jacc.#2017.03.011###

CÁC$LOẠI$VAN$TIM$NHÂN$TẠO$1,2$$
1. William# A.# Zoghbi# et# al.# RecommendaRons$ for$ EvaluaRon$ of$ ProstheRc$ Valves$ With$
Echocardiography$ and$ Doppler$ Ultrasound.# Journal# of# the# American# Society# of#
Echocardiography.#September#2009.#Volume#22#Number#9.#doi:10.1016/j.echo.2009.07.013##
2. Jan#Dominik#&#Pavel#Zacek.#Heart$Valve$SurgeryaAn$Illustrated$Guide.#Springer#Heidelberg#
Dordrecht#London#New#York.#©#SpringerTVerlag#Berlin#Heidelberg#2010##

VAN$NHÂN$TẠO$SINH$HỌC$1$$
Van$nhân$tạo$sinh$học$$
EdwardsaPrima$$
Van$nhân$tạo$sinh$học$$
Shelhigh$SuperStentless$$
Van$nhân$tạo$sinh$học$$
không$có$khung$$(stentless)$$$$
1. Jan# Dominik#&#Pavel# Zacek.# Heart$ Valve$ SurgeryaAn$ Illustrated$ Guide.# Springer#
Heidelberg#Dordrecht#London#New#York.#©#SpringerTVerlag#Berlin#Heidelberg#2010##

VAN$NHÂN$TẠO$
SINH$HỌC$1$
(valve$in$valve)$$
1. Jan#Dominik#&#Pavel#Zacek.#Heart$Valve$SurgeryaAn$Illustrated$Guide.#Springer#Heidelberg#
Dordrecht#London#New#York.#©#SpringerTVerlag#Berlin#Heidelberg#2010##

