College
Rowan-Virtua School of Osteopathic Medicine
Keywords
BRASH Syndrome, Atrioventricular Node, Hyperkalemia, Renal Insufficiency, Bradycardia, Adrenergic beta-1 Receptor Antagonists
Date of Presentation
5-4-2023 12:00 AM
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.
Disciplines
Cardiology | Diagnosis | Emergency Medicine | Internal Medicine | Medicine and Health Sciences | Nephrology | Pathological Conditions, Signs and Symptoms | Pharmaceutical Preparations | Physiological Processes | Therapeutics
Included in
Cardiology Commons, Diagnosis Commons, Emergency Medicine Commons, Internal Medicine Commons, Nephrology Commons, Pathological Conditions, Signs and Symptoms Commons, Pharmaceutical Preparations Commons, Physiological Processes Commons, Therapeutics Commons
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.
