Emergent hemodialysis significantly improved the condition of an 83-year-old female with BRASH syndrome refractory to standard bradycardia treatment.
Case Report (n=1)
Emergent hemodialysis can be an effective treatment for BRASH syndrome refractory to standard bradycardia therapies.
ABSTRACT BRASH syndrome is a life‐threatening clinical entity characterized by Bradycardia, Renal failure, Atrioventricular (AV) blockade, Shock, and Hyperkalemia. This syndrome is often triggered in patients on AV nodal blocking agents who develop acute kidney injury, leading to a “vicious cycle” of worsening bradycardia and renal dysfunction. We present the case of an 83‐year‐old female with a history of chronic kidney disease and heart failure, who was admitted with severe bradycardia (31 bpm), hyperkalemia (6.9 mg/dL), and shock. Her condition was refractory to standard bradycardia treatment but improved significantly following emergent hemodialysis.
Iyow et al. (2026) conducted a case report in BRASH syndrome (n=1). Emergent hemodialysis vs. Standard bradycardia treatment was evaluated on Clinical improvement. Emergent hemodialysis significantly improved the condition of an 83-year-old female with BRASH syndrome refractory to standard bradycardia treatment.