{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:04:36Z","timestamp":1784307876930,"version":"3.55.0"},"reference-count":6,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>BRASH syndrome is a life\u2010threatening 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 \u201cvicious cycle\u201d of worsening bradycardia and renal dysfunction. We present the case of an 83\u2010year\u2010old female with a history of chronic kidney disease and heart failure, who was admitted with severe bradycardia (31\u2009bpm), hyperkalemia (6.9\u2009mg\/dL), and shock. Her condition was refractory to standard bradycardia treatment but improved significantly following emergent hemodialysis.<\/jats:p>","DOI":"10.1002\/ccr3.72833","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:51:21Z","timestamp":1780098681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>BRASH<\/scp>\n                    Syndrome"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4848-2437","authenticated-orcid":false,"given":"Sowdo Nur","family":"Iyow","sequence":"first","affiliation":[{"name":"Emergency Medicine Department Mogadishu Somali T\u00fcrkiye Training and Research Hospital  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6954-160X","authenticated-orcid":false,"given":"Abdisamad Mohamed","family":"Adam","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Mogadishu Somali T\u00fcrkiye Training and Research Hospital  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1603-1333","authenticated-orcid":false,"given":"Hassan Adan Ali","family":"Adan","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department Mogadishu Somali T\u00fcrkiye Training and Research Hospital  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6741-2902","authenticated-orcid":false,"given":"Abdulkadir","family":"Sa\u011fd\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Eski\u015fehir \u015eehir Hastanesi  Eski\u015fehir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2812-7683","authenticated-orcid":false,"given":"Ahmed Yusuf","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Research Department Banadir Dialysis Center  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"BRASH Syndrome: Bradycardia, Renal Failure, AV Blocker, Shock, and Hyperkalemia","author":"Farkas J.","year":"2016"},{"key":"e_1_2_12_3_1","article-title":"Bradycardia, Renal Failure, AV\u2010Nodal Blockers, Shock, and Hyperkalemia (BRASH)\u2014A New Clinical Syndrome","volume":"197","author":"Golchin K.","year":"2018","journal-title":"American Journal of Respiratory and Critical Care Medicine"},{"key":"e_1_2_12_4_1","article-title":"BRASH Syndrome: A Case Report","volume":"23","author":"Bailuni Neto J. J.","year":"2022","journal-title":"American Journal of Case Reports"},{"key":"e_1_2_12_5_1","article-title":"Bradycardia, Renal Failure, Atrioventricular Nodal Blockade, Shock, and Hyperkalemia (BRASH) Syndrome as a Presentation of Coronavirus Disease 2019","volume":"12","author":"Prabhu V.","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2020.05.001"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(86)90688-1"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72833","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72833","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72833","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:21:31Z","timestamp":1784305291000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/ccr3.72833"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72833","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]},"assertion":[{"value":"2026-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72833"}}