急诊科需要综合治疗的不稳定型心动过缓一例:BRASH综合征

IF 0.4 Q4 EMERGENCY MEDICINE Emergency Care Journal Pub Date : 2022-09-27 DOI:10.4081/ecj.2022.10566
S. Genç, Omer Yusuf Erdurmus, Abdullah Erhan, Ahmet Burak Oğuz, A. Koca, Müge Günalp Eneyli, O. Polat
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引用次数: 0

摘要

心动过缓、肾功能衰竭、房室(AV)结阻滞剂药物使用、休克和高钾血症(BRASH)综合征是一种常见于急诊服务的临床症状,但诊断意识较低。在该综合征的病例中,其原因被确定为肾衰竭引起的高钾血症和使用房室结阻滞剂药物的协同作用。诊断为BRASH综合征的患者的共同特征是钾水平中度升高和症状性心动过缓,并伴有各种ECG表现(如结缔性心动过缓、房室传导阻滞和窦性心动过缓)。这些发现在诊断过程中是非常重要的。在本病例报告中,我们旨在揭示BRASH综合征的诊断要点,心电图表现和治疗方法。
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A case of unstable bradycardia requiring comprehensive management in the emergency department: BRASH syndrome
Bradycardia, renal failure, Atrioventricular (AV) nodal Blocker Drug Use, Shock, and Hyperkalemia (BRASH) syndrome is a clinical condition frequently seen in emergency services but with low diagnostic awareness. In cases of the syndrome, its cause was determined to be the synergistic effect of hyperkalemia due to renal failure and the use of AV nodal blocker drugs. The common features of patients diagnosed with BRASH syndrome are moderately elevated potassium levels and symptomatic bradycardia with various ECG findings (such as junctional bradycardia, atrioventricular block, and sinus bradycardia). Detection of these findings is very important in the diagnosis process. In this case report, we aimed to reveal the important points in the diagnosis of BRASH syndrome, ECG findings, and treatment approach.
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来源期刊
Emergency Care Journal
Emergency Care Journal EMERGENCY MEDICINE-
CiteScore
0.10
自引率
60.00%
发文量
29
审稿时长
10 weeks
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