title: [Pharmacological iatrogenesis in a cardiac-renal patient: presentation of a case].
abstract: 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.
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Atención Primaria La Gavarra, Barcelona, España. Electronic address: jverdu@ambitcp.catsalut.net.
authors.forename: J
authors.initials: J
authors.lastname: Verdú Solans
authors.forename: I
authors.initials: I
authors.lastname: Ojeda Cuchillero
authors.forename: M
authors.initials: M
authors.lastname: Soler Costa
mesh_terms: D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects; D000959:Antihypertensive Agents / Q000009:adverse effects; D001281:Atrial Fibrillation / Q000150:complications* / Q000188:drug therapy; D048909:Diabetes Complications / Q000150:complications*; D004077:Digoxin / Q000009:adverse effects; D005260:Female; D006801:Humans; D006830:Hydralazine / Q000009:adverse effects; D007004:Hypoglycemic Agents / Q000009:adverse effects; D007049:Iatrogenic Disease; D007676:Kidney Failure, Chronic / Q000150:complications*; D008687:Metformin / Q000009:adverse effects*; D011719:Pyrazines / Q000009:adverse effects; D000068900:Sitagliptin Phosphate; D014230:Triazoles / Q000009:adverse effects
chemical_list: D000889:Anti-Arrhythmia Agents; D000959:Antihypertensive Agents; D007004:Hypoglycemic Agents; D011719:Pyrazines; D014230:Triazoles; D006830:Hydralazine; D004077:Digoxin; D008687:Metformin; D000068900:Sitagliptin Phosphate