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

av nodal blockers bradycardia brash syndrome hyperkalemia shock

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
13 Feb 2020
Historique:
entrez: 24 3 2020
pubmed: 24 3 2020
medline: 24 3 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 32201662
doi: 10.7759/cureus.6985
pmc: PMC7075507
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e6985

Informations de copyright

Copyright © 2020, Sattar et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Am J Med. 2009 Jul;122(7):636-8
pubmed: 19559165
Kardiol Pol. 2010 Sep;68(9):1043-5; discussion 1046
pubmed: 20859899
Clin J Am Soc Nephrol. 2008 Mar;3(2):324-30
pubmed: 18235147
J Emerg Med. 2019 Aug;57(2):e41-e44
pubmed: 31155316
Conn Med. 2013 Sep;77(8):491-3
pubmed: 24156179
J Clin Pharm Ther. 2012 Dec;37(6):726-8
pubmed: 22568727
Cardiovasc Res. 1977 Sep;11(5):409-18
pubmed: 589632
Heart Int. 2011;6(2):e12
pubmed: 22049311

Auteurs

Yasar Sattar (Y)

Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, USA.

Syeda Beenish Bareeqa (SB)

Internal Medicine, Jinnah Medical and Dental College, Karachi, PAK.

Hiba Rauf (H)

Internal Medicine, Dow Medical College, Karachi, PAK.

Waqas Ullah (W)

Internal Medicine, Abington Hospital-Jefferson Health, Abington, USA.

M Chadi Alraies (MC)

Cardiology, Detroit Medical Center, Detroit, USA.

Classifications MeSH