Iatrogenia em cardiologia

Abstract

The word iatrogeny derives from the Greek and concerns any disorder caused to the patient by inaproppriate medical practice. Unfortunately, the rise of an iatrogenic disease is related to the daily handline of cardiac disease. There are two types of iatrogeny: that caused by a medical action and omission iatrogeny, caused by the lack of a medical action. Iatrogeny occurs in all steps of medical practice starting with the patient-doctor relationship including diagnosis treatment and finally prevention of diseases. This article makes a brief commentary about iatrogenic heart disease and mentions some examples of it.

Iatrogenic disease in the elderly: risk factors, consequences, and prevention

“…The term “elderly” comes from the Anglo-Saxon word “eld”, which forms the root of words that convey wisdom accrued from age and experience 2. The word “iatrogeny” derives from Greek and refers to any pathologic alteration caused to a patient by the inappropriate practice of health professionals, which results in harmful consequences for the patient’s health 3. According to the World Health Organisation, iatrogenic disease may be defined as adverse drug reactions or complications induced by nondrug medical interventions 4.…”

“…Iatrogenic disease is an important cause of both death and illness among older people, and occurs in all aspects of medical practice, starting with the patient-doctor relationship, and including diagnosis, treatment, and, finally, prevention of disease 3. This article reviews the epidemiology, risk factors, consequences, and prevention of iatrogenic disease in the elderly.…”

Beers AGS 2019 criteria in very old hospitalized patients

“…This constitutes, thus, a curious situation, in which the PIM not only is contraindicated due to a greater probability of adverse events but also for the possibility of not being absorbed in this route of administration. The association of such details is worthy of mention due to the false sense of correct prescription to very old patients with overlapping iatrogenesis, i.e., from the medication (PIM) and the procedure (feeding tubes) 21 .…”

Cardiogeriatric, the Future's Cardiology?

“…Despite the increased risk of the medical procedures performed on this age group, the benefits are also greater. Furthermore, we should avoid what we call omission iatrogeny 13 , 14 , which is the failure to perform a certain treatment whose benefits have been demonstrated.…”