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Challenges in the Management of Bradycardia, Renal Failure, Atrioventricular Blockade, Shock, and Hyperkalemia (BRASH) Syndrome in an Elderly Patient: A Case Report

Year: 2025

Type: article

Abstract: This case report describes the clinical course of a 77-year-old woman with a complex medical history, including atrial fibrillation, hypertension, coronary artery disease, heart failure, and cognitive impairment. Despite multiple hospitalizations and interventions, her condition deteriorated, ultimately leading to death. The patient's most recent hospitalization was for the management of bradycardia, renal failure, atrioventricular node blocker, shock, and hyperkalemia (BRASH) syndrome. Aggressive medical interventions, including pressor support and non-invasive ventilation, were unable to stabilize her condition. This case highlights the challenges associated with managing elderly patients with multiple comorbidities, particularly when faced with severe bradycardia and hypotension.

Source: Cureus

DOI: 10.7759/cureus.82364

Authors: Marwa Morgom, Moayad A Elgassim, Sujood F Awadelseed, Leena Saeed

Institution: Hamad Medical Corporation

Language: English

Topic: Cardiac electrophysiology and arrhythmias

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409505576