title: A tale of early Reel syndrome caused by an over-enthusiastic masseuse.
abstract: Twiddler syndrome is a form of pacemaker lead dislocation caused by the coiling of the pacemaker leads due to pulse generator rotation on its long axis. Similar to Twiddler syndrome, Reel syndrome occurs due to rotation of the pulse generator on its transverse axis, leading to lead dislocation or fracture, followed by clinical symptoms of dislodged leads. We report a case of 75 years old woman with Reel syndrome presenting with syncope.
authors.affiliation: Director Cardiology, Dept. of Cardiology, Fortis Hospital, Sector 62, Phase VIII, Mohali 160062, Punjab, India. Electronic address: hkbalipgi@gmail.com.
authors.forename: Harinder K
authors.initials: HK
authors.lastname: Bali
authors.affiliation: Associate Consultant, Dept. of Cardiology, Fortis Hospital, Mohali, India.
authors.forename: Kapil K
authors.initials: KK
authors.lastname: Chattree
authors.affiliation: Associate Professor, Dept. of Medicine, Medical College, Jammu, India.
authors.forename: Surinder K
authors.initials: SK
authors.lastname: Bali
authors.affiliation: Dept. of Cardiology, Fortis Hospital, Mohali, India.
authors.forename: Hiteshi K C
authors.initials: HK
authors.lastname: Chauhan
authors.affiliation: Dept. of Cardiology, Fortis Hospital, Mohali, India.
authors.forename: Chandra P
authors.initials: CP
authors.lastname: Shukla
mesh_terms: D000368:Aged; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects / Q000379:methods; D020878:Device Removal / Q000379:methods*; D004562:Electrocardiography / Q000379:methods; D004567:Electrodes, Implanted / Q000009:adverse effects; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology / Q000628:therapy; D006801:Humans; D026201:Musculoskeletal Manipulations / Q000009:adverse effects* / Q000379:methods; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011475:Prosthesis Failure / Q000209:etiology*; D019233:Retreatment / Q000379:methods; D018570:Risk Assessment; D012804:Sick Sinus Syndrome / Q000175:diagnosis / Q000628:therapy*; D013575:Syncope / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome
keywords: Diaphragmatic pacing; Dislodged leads; Reel syndrome