Shah, Parthav and Silangruz, Krixie and Lee, Eric and Nishimura, Yoshito (2022) Two Cases of BRASH Syndrome: A Diagnostic Challenge. European Journal of Case Reports in Internal Medicine, 9 (4). pp. 1-4. ISSN 2284-2594
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Abstract
Bradycardia, renal failure, atrioventricular (AV) nodal blockade, shock, and hyperkalemia (BRASH) syndrome is a relatively new clinical entity. It is often underrecognized, underdiagnosed, and confused with other causes of bradycardia. Treatment of BRASH syndrome differs from the standard bradycardia algorithm in advanced cardiac life support (ACLS), and the cornerstone management remains treating the hyperkalemia, improving renal function by treating the underlying cause, withholding AV nodal blocking agents, and considering dialysis in refractory cases, as any single factor could precipitate the vicious cycle. Here we describe two cases of BRASH syndrome with different clinical presentations that were treated with conservative management: one case in a 77-year-old Japanese woman and the other in an 86-year-old man.
| Item Type: | Article |
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| Uncontrolled Keywords: | BRASH syndrome, bradycardia, renal failure, atrioventricular nodal blocker, shock, hyperkalemia |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 06 May 2022 09:38 |
| Last Modified: | 06 May 2022 09:38 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21862 |
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