Article Per Year (5 Year)
p-Index From 2020 - 2025
0.23
P-Index
This Author published in this journals
All Journal Heart Science Journal
Irnizarifka
Unknown Affiliation
Health Professions Immunology & microbiology Medicine & Pharmacology

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
A rare case of reel syndrome: The unexpected permanent pacemaker event Irmansyah, Yos Akbar; Irnizarifka
Heart Science Journal Vol. 6 No. 4 (2025): The Pursuit of Precision: Navigating Risks, Refining Diagnosis, and Securing Lo
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.04.16

Abstract

BACKGROUND: "Reel syndrome" is a rare complication that occurs after implantation, affecting up to 1.7% of patients with large generator pockets. This condition generally manifests 4–6 weeks post-implantation. CASE ILLUSTRATION: A 64-year-old woman presented unexpectedly with exertional dyspnea and mild fatigue over the past two days. She has a history of pacemaker installation from one month ago. The ECG demonstrated loss of capture, and pacemaker interrogation showed increased capture thresholds with normal impedance. A chest X-ray revealed a ventricular lead coil encircling the generator with lead dislodgment. Reel syndrome is defined by the torsion of the pulse generator along its transverse axis, leading to the coiling of the pacemaker leads around it, which typically protects both the generator and the leads from damage. Symptoms remain asymptomatic until lead dysfunction occurs due to lead malposition. We suggest appropriate diagnostic assessments, such as chest X-rays and ECGs, for prompt identification. The older population has been recognized as a considerable risk factor for this "event." CONCLUSION: Upon confirmation, reel syndromes require immediate intervention. Effective implantation techniques and information for patients and caregivers are essential in alleviating these issues.
Co-Authors Irmansyah, Yos Akbar