NHỮNG TÌNH HUỐNG ĐẶC
BIỆT TRONG LÂM SÀNG
| 1
Khoa Y - ĐHQG TPHCM
Ths.BS.Trần Lê Vy
Bệnh sử:
Đau ngực điển hình > 1 năm khởi phát
khi gắng sức nhẹ
CASE 1
2
Nữ
80 tuổi
Lý do khám
Đau ngực T
Nữ
80 tuổi
Tiền căn
- Bố: NMCT năm 60 tuổi
- Bệnh Crohn ổn định
-ĐTĐ 2, A1c: 7%, điều trị Metformin
- Tăng huyết áp 10 năm, điều trị với BB,
ACEI
- RLLP: TC 180, HDL 70, LDL 92, TG 91, điều
trị Atorvastatin
- HTL 20 gói.năm đã bỏ 5 năm
•SH: Mạch: 58, HA: 140/70, NT: 12
•TMCN (-)
•Mỏm tim không lớn, dấu nảy trước ngực (-), Harzer (-)
•T1 rõ, T2 tách đôi sinh lý, click nhẹ tâm thu và đến sớm
hơn vs NP Valsalva
•Phổi không ran
Khám
3
Case 1: ECG
4
Câu hỏi
•Cần làm gì tiếp theo?
18
![Điện Tâm Đồ: Bài giảng lớp kỹ năng đọc [chuẩn nhất]](https://cdn.tailieu.vn/images/document/thumbnail/2026/20260204/hoaphuong0906/135x160/63751770260074.jpg)
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