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Case Reports
. 2020 Feb 13;12(2):e6985.
doi: 10.7759/cureus.6985.

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

Yasar Sattar  1 , Syeda Beenish Bareeqa  2 , Hiba Rauf  3 , Waqas Ullah  4 , M Chadi Alraies  5
Affiliations
Case Reports

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

Yasar Sattar et al. Cureus. .

Abstract

The 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.

Keywords: av nodal blockers; bradycardia; brash syndrome; hyperkalemia; shock.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Electrocardiogram showing sinus bradycardia with an expected rate of 55 bpm
See this image and copyright information in PMC

References

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