Figure 1.
Sinus rhythm with nonspecific T wave abnormalities.
Figure 2.
Narrow-complex bradycardia.
Figure 3.
The vicious cycle of BRASH syndrome. AVNB: atrioventricular nodal blocker
Table 1.
Previously reported cases of BRASH syndrome. AKI: acute kidney injury; CKD: chronic kidney disease; AVNB: atrioventricular nodal blocker
| REFERENCE | CR* (MG/DL) | AKI† OR CKD‡ | AVNB§ USED | POTASSIUM LEVEL (MEQ/L) | SEVERITY OF BRADYCARDIA (BEATS/MIN) | RECOVERY TIME (HRS) |
|---|---|---|---|---|---|---|
| 1 | 3.3 | AKI | Carvedilol | 8.6 | 20 to 30s | 24 |
| 2 | NA# | NA | Metoprolol | 7.4 | 40 | 24 |
| 3 | 6.11 | CKD | Diltiazem and Sotalol | 8.6 | 35 | 24 |
| 4 | NA | AKI on CKD 4 | Beta blocker (name not mentioned) | 7.1 | 30s | 24 |
| 5 | 4.38 | CKD 4 | Metoprolol | 6.6 | 17 to 30s | 24 |
| 6a | 3.05 | AKI on CKD | Verapamil | 5.6 | 48 | 36 |
| 6b | 1.79 | AKI on CKD | Verapamil | 5.5 | 44 | NA |
| 7 | NA | CKD | Metoprolol | 7.4 | 40 | 24 |
| 8 | 3.01 | AKI on CKD | Carvedilol, verapamil | 6.5 | 33 | 1 |
| Our Case | 13.5 | CKD 5 | Diltiazem | 5.4 | 30 to 40 | 24 |