id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-10566	Genc, Sinan; Erdurmus, Omer Yusuf; Erhan, Abdullah; Oguz, Ahmet Burak; Koca, Ayca; Eneyli, Muge Gunalp; Polat, Onur	A case of unstable bradycardia requiring comprehensive management in the emergency department: BRASH syndrome	2022	3	.pdf	application/pdf	2025	112	53	It is predicted that BRASH syndrome cases will be seen more frequent- ly due to both the increasing use of drugs that are blamed in the eti- ology and the increasing elderly population. This syndrome can lead to bradycardia and various Ecg findings regardless of the degree of hyperkalemia.4 Patients in BRASH syndrome case reports generally presented at the emergency department with complaints of shortness of breath, discomfort, dizziness, syncope, fatigue, and weakness, and these symptoms are strongly thought to be caused by hypotension, shock, and bradycardia due to the mechanism of the syndrome.3 Decompensated heart failure findings, such as pretibial edema, jugular venous blood flow, exertional dyspnea, orthopnea, cyanotic appearance, hypoxia, and a prolonged capillary refill time, are often seen upon physical examination.9 Early diagnosis and initiation of correct treatment by emer- gency physicians are crucial in BRASH syndrome.10 It is important to determine this clinical situation, since atropine and pacemaker applications, included in the standard bradycardia algorithms, may not be effective in the treatment of patients with BRASH syn- drome.11 In the treatment steps, the AV nodal blocker drug should be stopped first.1 In patients with high levels of hyperkalemia, IV calcium, which provides cardiac stabilization, should be initiated together with treatments that lower potassium levels (e.g., albuterol and	cache/ecj-10566.pdf	txt/ecj-10566.txt