Iatrogenia farmacológica en el paciente cardiorrenal. A propósito de un caso

ResumenPresentamos el caso de una paciente de 75 años, con insuficiencia renal crónica, fibrilación auricular, diabetes mellitus e hipertensión arterial, con ingresos hospitalarios repetidos para control de episodios de fibrilación auricular rápida, mal tolerados, con hipotensión y disnea. De la evolución clínica se deduce iatrogenia farmacológica y se discute la importancia de ésta en la práctica clínica general.

A case is presented of a 75 year-old patient with chronic kidney failure, atrial fibrillation, diabetes mellitus, and hypertension. She had regularly been admitted to hospital due to episodes of rapid atrial fibrillation that were not well tolerated in relation to the concomitant hypotension and dyspnea. An adverse drug reaction was deduced from the clinical course, and the relative importance of this in daily medical practice is emphasized.