BRASH Syndrome: A Case Report and Literature Review

Author Info

Steven Imburgio Anmol Johal Ndausung Udongwo Anton Mararenko Anas Alrefaee Joseph Heaton

Corresponding Author

Steven Imburgio
Jersey Shore University Medical Center, Department of Medicine, Neptune City, New Jersey, USA

A B S T R A C T

BRASH syndrome is a newly coined diagnosis consisting of the clinical pentad of bradycardia, renal failure, atrioventricular (AV) nodal blockade, shock, and hyperkalemia. It is a rare syndrome with just under 50 reported cases. This case report and literature review present a case of BRASH syndrome, refractory to pharmaceutical measures, and subsequent literature review to assess treatment decisions and overall outcomes. The consensus from the literature supports the use of advanced interventions in most cases, including transcutaneous or transvenous pacing, hemodialysis, and adrenergic support. The early recognition and initiation of treatment in this patient demographic are paramount to reducing possible multi-system organ damage and mortality. This case report and literature review aim to improve patient outcomes and help further elucidate a protocol for treating BRASH syndrome.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Thu 01, Sep 2022
Accepted: Tue 20, Sep 2022
Published: Fri 30, Sep 2022

Copyright

© 2023 Steven Imburgio. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2022.03.05