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Revista Médica Sinergia

2022, Number 03

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Revista Médica Sinergia 2022; 7 (03)

BRASH syndrome

Orozco GR, Acuña NIM, Chacón ÁS

Language: Spanish
References: 20
Page:
PDF size: 200.52 Kb.


ABSTRACT

BRASH syndrome arises from a synergistic phenomenon that triggers a vicious cycle which involves the interaction between bradycardia, renal failure, atrial ventricular conduction blocking drugs, shock, and hyperkalemia. Due to being a recently described pathology, its identification usually goes unnoticed, interpreting it as another condition, giving rise to the implementation of therapeutic models not based on the underlying pathophysiology resulting in an increase in the morbidity and mortality of the patient. The therapeutic approach involves basic supportive therapy for the management of hyperkalemia, bradycardia, and resuscitation with fluid therapy. Basic measures are usually enough to break the vicious cycle. Providing a discussion of the pathophysiological model improves the understanding and recognition of this pathology, optimizing the prognosis of patients who suffer from it.


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