BRASH Syndrome with Hyperkalemia: An Under-Recognized

Methodist Debakey Cardiovasc J · Jul 2020

Case Reports

BRASH Syndrome with Hyperkalemia: An Under-Recognized Clinical Condition.

BRASH syndrome is characterized by bradycardia, renal failure, use of an atrioventricular nodal blocker (AVNB), shock, and hyperkalemia. These symptoms represent an ongoing vicious cycle in a patient with a low glomerular filtration rate taking an AVNB. Decreased clearance of the medication and hyperkalemia associated with renal failure synergize to cause bradycardia and hypoperfusion. This reaction causes renal function to worsen, thereby perpetuating the cycle of BRASH syndrome.

keep going… or not…
- Abdul Wahab Arif, Muhammad Shahzeb Khan, Abdallah Masri, Benjamin Mba, Talha AyubMuhammadMRUSH UNIVERSITY MEDICAL CENTER, CHICAGO, ILLINOIS., and Rami Doukky.
- COOK COUNTY HOSPITAL, CHICAGO, ILLINOIS.
- Methodist Debakey Cardiovasc J. 2020 Jul 1; 16 (3): 241-244.
AbstractBRASH syndrome is characterized by bradycardia, renal failure, use of an atrioventricular nodal blocker (AVNB), shock, and hyperkalemia. These symptoms represent an ongoing vicious cycle in a patient with a low glomerular filtration rate taking an AVNB. Decreased clearance of the medication and hyperkalemia associated with renal failure synergize to cause bradycardia and hypoperfusion. This reaction causes renal function to worsen, thereby perpetuating the cycle of BRASH syndrome.© 2020 Houston Methodist Hospital Houston, Texas.

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BRASH Syndrome with Hyperkalemia: An Under-Recognized Clinical Condition.

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