Open AccessBRASH syndrome: more than just syncope
Author(s) -
Divya Vangipuram,
Kenneth Nugent
Publication year - 2021
Publication title -
the southwest respiratory and critical care chronicles
Language(s) - English
Resource type - Journals
ISSN - 2325-9205
DOI - 10.12746/swrccc.v9i40.827
Subject(s) - bradycardia , medicine , hyperkalemia , anuria , shock (circulatory) , cardiology , blockade , anesthesia , atrioventricular block , blood pressure , heart rate , receptor
The pentad of bradycardia, renal failure, atrioventricular nodal blockade, shock, and hyperkalemia describes the BRASH syndrome, a newly recognized phenomenon in which accumulation of potassium and renally excreted atrioventricular nodal blockers cause a cycle of bradycardia, hypoperfusion, and worsening renal function. Here, we describe a case of BRASH in an elderly woman whose medications had recently changed, and who presented with bradycardia, anuria, and hypotension. Resolution of symptoms occurred over hours after the right treatment was started. Furthermore, we review case reports written in recent years for common BRASH syndrome patient characteristics.