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2023, Number 1

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Med Int Mex 2023; 39 (1)

Reel’s syndrome, early failure technique pacemaker

Sánchez-Escobedo Y, Rojel-Martínez U
Full text How to cite this article

Language: Spanish
References: 9
Page: 208-212
PDF size: 320.84 Kb.


Key words:

Pacemaker dysfunction, Rotation.

ABSTRACT

Background: Reel’s syndrome is a rare disease with unknown etiology, which is due to the rotation of the pacemaker generator in its transverse axis with subsequent winding of the leads causing early failure in the stimulation of a low-energy heart device.
Clinical case: A 60-year-old patient with a dual-chamber pacemaker with early failure of his device who presented recently-onset diaphragmatic stimulation, and whose exploration showed pacing failure confirmed with chest X-ray, it showed ascent of atrial and ventricular electrodes different from the initial position that the patient presented. In the control Reel’s syndrome was subsequently diagnosed.
Conclusions: The incidence of presentation is low and poor described, what has been reported so far is specified in high-energy devices and with multiple risk factors that promote the appearance of early failure of cardiac pacing.


REFERENCES

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  2. Guevara-Valdivia ME, Leal-Ortiz GE, Bonilla-Morales I.Disfunción del marcapasos por síndrome de reel. Rev MedInst Mex Seguro Soc 2012; 50 (2): 209-212.

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  4. Morales JL, Nava S, Márquez MF, González J, Gómez-FloresJ, Colín L, Martínez-Ríos MA, Iturralde P. Idiopathic leadmigration: Concept and variants of an uncommon causeof cardiac implantable electronic device dysfunction. JACCClin Electrophysiol 2017; 3 (11): 1321-1329. doi: 10.1016/j.jacep.2017.02.015.

  5. Alvarez-Acosta L, Romero-Garrido R, Farrais-Villalba M,Hernández-Alfonso J. Reel syndrome: a rare cause ofpacemarker malfunction. BMJ Case Report 2014. DOI:10.1136/bcr-2014-204545.

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  7. Mohammad R, Pervaiz A, Mufti M, Khan K, Syedm S, etal. Reel síndrome: an atypical cause for inappropriateshocks in a patient with automated implatable cardioverterdesfibrillator (AICD). Cureus 2018. DOI: 10.7759/cureus.2237.

  8. Gul EE, Glover B, Barachuk A. Unusual lead helix damage dueto ‘Selective’ Reel syndrome. Indian Pacing Electrophysiology J2017; 17 (1): 18-19. https://doi.org/10.1016/j.ipej.2017.01.006.

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Med Int Mex. 2023;39