• Curēus · Feb 2020

    Case Reports

    Bradycardia, Renal Failure, Atrioventricular-nodal Blocker, Shock, and Hyperkalemia Syndrome Diagnosis and Literature Review.

    • Yasar Sattar, Syeda Beenish Bareeqa, Hiba Rauf, Waqas Ullah, and M Chadi Alraies.
    • Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, USA.
    • Cureus. 2020 Feb 13; 12 (2): e6985.

    AbstractThe combination of bradycardia, renal failure, atrioventricular (AV)-nodal blocker medications, shock, and hyperkalemia (BRASH) is a new syndrome that is a consequence of a positive loop of bradycardia due to AV-nodal blockers and hyperkalemia secondary to renal insufficiency. We present a case of BRASH syndrome in which the patient on chronic AV-nodal blockers presented with bradycardia, hypotension, underlying kidney dysfunction, and hyperkalemia. The patient was medically managed and discharged upon clinical improvement. The purpose of this report is to highlight the rare cases of BRASH syndrome and improve its management.Copyright © 2020, Sattar et al.

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