Submitting Author(s)

Kelly Schuitema, Rowan University

Date of Presentation

5-4-2023 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

BRASH syndrome is an acronym that stands for bradycardia, renal failure, AV node blocker, shock and hyperkalemia. The syndrome is precipitated by synergism from AV nodal blocking agents and hyperkalemia. The combination of the AV nodal blockade and renal failure leads to a cycle of severe bradycardia and hyperkalemia. We will discuss a case of BRASH syndrome with a 68 year old female who presented with generalized weakness and was found to be hypotensive, bradycardia, in acute renal failure with hyperkalemia likely related to metoprolol and amlodipine use.

Keywords

BRASH Syndrome, Atrioventricular Node, Hyperkalemia, Renal Insufficiency, Bradycardia, Adrenergic beta-1 Receptor Antagonists

Disciplines

Cardiology | Diagnosis | Emergency Medicine | Internal Medicine | Medicine and Health Sciences | Nephrology | Pathological Conditions, Signs and Symptoms | Pharmaceutical Preparations | Physiological Processes | Therapeutics

Document Type

Poster

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May 4th, 12:00 AM

BRASH Syndrome Case Report and Brief Review

BRASH syndrome is an acronym that stands for bradycardia, renal failure, AV node blocker, shock and hyperkalemia. The syndrome is precipitated by synergism from AV nodal blocking agents and hyperkalemia. The combination of the AV nodal blockade and renal failure leads to a cycle of severe bradycardia and hyperkalemia. We will discuss a case of BRASH syndrome with a 68 year old female who presented with generalized weakness and was found to be hypotensive, bradycardia, in acute renal failure with hyperkalemia likely related to metoprolol and amlodipine use.

 

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