Acute kidney injury secondary to overtreatment of hypertension in an elderly patient undergoing combined cardiovascular surgery: A case report.

Abstract

The present case report describes the case of a 76-year-old diabetic female patient operated on for ischemic heart disease and aortic valve stenosis. The patient suffered from acute kidney injury related to hypotension secondary to the use of anti-hypertensive drugs. The present case report also discusses the need for greater caution in treating hypertension in elderly patients with diabetes and cardiovascular disease, drawing on the available literature. Patients should be encouraged to measure their blood pressure at home, and written blood pressure target values should be provided to both the patient and their caregivers. It is important to note that hypotension, similar to hypertension, may lead to complications such as falls, acute kidney injury and hospitalization. Furthermore, the adverse events that develop following simultaneous coronary artery bypass graft and surgical aortic valve replacement surgery in the elderly are discussed in an aim to provide further insight on this matter.