BRASH Syndrome: A Rare Clinical Phenomenon
Roma, Nicholas ; Padala, Vikram ; Pattoli, Megan ; Desai, Spandan ; Krinock, Matthew ; Durkin, Matthew ; Field, Patrick ; Sheikh, Tarick
Roma, Nicholas
Padala, Vikram
Pattoli, Megan
Desai, Spandan
Krinock, Matthew
Durkin, Matthew
Field, Patrick
Sheikh, Tarick
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Journal article
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2024-04-01
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https://doi.org/10.1016/j.cjco.2024.03.013
Abstract
Bradycardia, renal failure, atrioventricular nodal blockade, shock, and hyperkalemia (BRASH) syndrome is a rare medical phenomenon, with only approximately 70 reported cases, carrying a mortality of 5.7%.1,2 Presentation is variable, but it can range from asymptomatic bradycardia to multisystem organ failure.3 The unique pathophysiology of BRASH syndrome involves synergy between atrioventricular nodal blocking agents and hyperkalemia, leading to severe bradycardia and renal malperfusion. Here, we present a case of a 66-year-old female patient who was found to fit the clinical picture of BRASH syndrome, in whom the prompt diagnosis and intervention led to a positive outcome.
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Nicholas Roma, Vikram Padala, Megan Pattoli, Spandan Desai, Matthew Krinock, Matthew Durkin, Patrick Field, Tarick Sheikh, BRASH Syndrome: A Rare Clinical Phenomenon, CJC Open, Volume 6, Issue 6, 2024, Pages 840-842, ISSN 2589-790X, https://doi.org/10.1016/j.cjco.2024.03.013. (https://www.sciencedirect.com/science/article/pii/S2589790X24001458)
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Elsevier
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CJC open, Vol. 6, Iss. 6
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