The BRASH Syndrome is an acronym for its key features. Deterioration in renal function sets off a cascade of events.

Key features:

(B) bradycardia

(R) renal failure

(A) AV node blocker (verapamil, diltiazem, carvedilol, other)

(S) shock

(H) hyperkalemia


Findings on the ECG may incldue:

(1) sinus bradycardia

(2) peaked T waves

(3) AV block (RBBB, other)

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