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Được viết: Thứ sáu, 29-05-2015

Nguyễn Thị Hoa: Tôi 27 tuổi, nữ hay bị đau nhói ngực, có phải bị đau tim không? có phải là bị bệnh động mạch vành không?

Đau ngực là một trong những lý do khiến bệnh nhân nữ trẻ tuổi phải đến khám bác sĩ tim mạch nhiều nhất. Và một quan điểm phổ biến của đại đa số người dân cho rằng đau ngực là do bệnh tim mạch, là do nhồi máu cơ tim. Chính điều này làm cho bệnh nhân rất lo lắng.

Tuy nhiên, chứng cứ khoa học đã khẳng định rõ ràng rằng bệnh mạch vành hoặc nhồi máu cơ tim rất hiếm khi gặp ở bệnh nhân nữ trẻ tuổi. Do Estrogen là hormon sinh dục nữ có tác dụng chống lại sự hình thành và phát triển của mảng xơ vữa trong lòng mạch vành là nguyên nhân gây ra nhồi máu cơ tim. Khi mãn kinh, lượng hormon này giảm xuống và lúc này nguy cơ tim mạch và bệnh mạch vành tăng lên đáng kể. Các nguyên nhân gây ra đau ngực hay gặp ở lứa tuổi của bạn có thể là: bệnh van tim do thấp, hẹp van hai lá, viêm màng ngoài tim. Nhồi máu phổi hay gặp ở những bệnh nhân dùng thuốc tránh thai. Các nguyên nhân không phải tim mạch như viêm phổi, viêm màng phổi, trào ngược dạ dày thực quản, viêm sụn sườn, đau dây thần kinh liên sườn, bệnh zona. Một nguyên nhân nữa cũng hay gặp trong xã hội hiện đại là do lo lắng, căng thẳng, stress. Bạn cần phải đi khám để được chẩn đoán và điều trị đúng bệnh.


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