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Case Reports
. 2013 Dec;65(6):703-4.
doi: 10.1016/j.ihj.2013.10.005. Epub 2013 Nov 14.

A tale of early Reel syndrome caused by an over-enthusiastic masseuse

Harinder K Bali  1 , Kapil K Chattree  2 , Surinder K Bali  3 , Hiteshi K C Chauhan  4 , Chandra P Shukla  4
Affiliations
Case Reports

A tale of early Reel syndrome caused by an over-enthusiastic masseuse

Harinder K Bali et al. Indian Heart J. 2013 Dec.

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.

Keywords: Diaphragmatic pacing; Dislodged leads; Reel syndrome.

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Figures

Fig. 1
Fig. 1
On fluoroscopy leads seen coiled transversely around rotated pulse generator with lead tips in right subclavian vein.
Fig. 2
Fig. 2
The ‘twisted’ leads.
See this image and copyright information in PMC

References

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    1. Vural A., Agacdiken A., Ural D. Reel syndrome and pulsatile liver in a patient with a dual-chamber pacemaker. Jpn Heart J. 2004;45:1037–1042. - PubMed
    1. Gasparini M., Regoli F., Ceriotti C. Hiccups and dysphonic metallic voice: a unique presentation of twiddler syndrome. Circulation. 2008;114:e534–e535. - PubMed

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