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Indian Journal of Emergency Medicine 9(3):p 115-117, July-September 2023. | DOI: 10.21088/ijem.2395.311X.9323.12
Case Report
Brash Syndrome: A Rare Presentation of Hyperkalemia
Kushagra Gupta, Ankur Verma, Sanjay Jaiswal, Meghna Haldar, Wasil Rasool Sheikh, Amit Vishen
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Emergency Medicine 9(3):p 115-117, July-September 2023. | DOI: 10.21088/ijem.2395.311X.9323.12
How Cite This Article:
Gupta K, Verma A, Jaiswal S, Nag A, Das I. BRASH Syndrome: A Rare Presentation of Hyperkalemia. Indian J Emerg Med. 2023;9(3)Timeline
Received : December 20, 2022
Accepted : March 11, 2023
Published : April 09, 2023
Abstract
Brash syndrome stands for Bradycardia, Renal Failure, AV Node Blocker, Shock and Hyperkalaemia, and is a rare complication of patients suffering from chronic kidney disease, who are usually on dialytic support. These patients are usually on AV node blockers (either calcium channel blockers or beta blockers) and renal failure causes the accumulation of these medicines plus hyperkalaemia.1 Here we present a case of a patient who was diagnosed with Brash syndrome, was treated medically and was discharged. The purpose of this article is to highlight BRASH syndrome, recognise it and improve its’s medical management.
References
- 1. Sattar Y, Bareeqa SB, Rauf H, Ullah W, Alraies MC. Bradycardia, Renal Failure, Atrioventricular-nodal Blocker, Shock, and Hyperkalemia Syndrome Diagnosis and Literature Review. Cureus. 2020 Feb 13;12(2):e6985
- 2. Farkas JD, Long B, Koyfman A, Menson K. BRASH Syndrome: Bradycardia, Renal Failure, AV Blockade, Shock, and Hyperkalemia. J Emerg Med. 2020 Aug;59(2):216–23.
- 3. Aziz EF, Javed F, Korniyenko A, Khawaja T, Vasquez L, Khan M, et al. Mild hyperkalemia and low eGFR a tedious recipe for cardiac disaster in the elderly: an unusual reversible cause of syncope and heart block. Heart Int. 2011;6(2):e12.
- 4. Fisch C, Knoebel SB, Feigenbaum H, Greer JJ. Potassium and the monophasic action potential, electrocardiogram, conduction and arrhythmias. Prog Cardiovasc Dis. 1966;8:387–418.
- 5. Ettinger PO, Regan TJ, Oldewurtel HA. Hyperkalemia, cardiac conduction, and the electrocardiogram: a review. Am Heart J. 1974;88(3):360–71.
- 6. Long B, Warix JR, Koyfman A. Controversies in management of hyperkalemia. J Emerg Med. 2018;55(2):192–205.
- 7. Rossignol P, Legrand M, Kosiborod M, Hollenberg SM, Peacock WF, Emmett M, et al. Emergency management of severe hyperkalemia: Guideline for best practice and opportunities for the future. Pharmacol Res. 2016 Nov;113(Pt A):585–91.
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There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects.
Acknowledgements
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Gupta K, Verma A, Jaiswal S, Nag A, Das I. BRASH Syndrome: A Rare Presentation of Hyperkalemia. Indian J Emerg Med. 2023;9(3)
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| December 20, 2022 | March 11, 2023 | April 09, 2023 |
DOI: 10.21088/ijem.2395.311X.9323.12
Keywords
Brash SyndromeAV Node BlockersHyperkalaemiaAV Node BlockersHyperkalaemiaSearch for Similar Articles
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Timeline
| Received | December 20, 2022 |
| Accepted | March 11, 2023 |
| Published | April 09, 2023 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
