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

Harinder K Bali; Kapil K Chattree; Surinder K Bali; Hiteshi K C Chauhan; Chandra P Shukla

doi:10.1016/j.ihj.2013.10.005

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

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

Authors

Harinder K Bali¹, Kapil K Chattree², Surinder K Bali³, Hiteshi K C Chauhan⁴, Chandra P Shukla⁴

Affiliations

¹ Director Cardiology, Dept. of Cardiology, Fortis Hospital, Sector 62, Phase VIII, Mohali 160062, Punjab, India. Electronic address: hkbalipgi@gmail.com.
² Associate Consultant, Dept. of Cardiology, Fortis Hospital, Mohali, India.
³ Associate Professor, Dept. of Medicine, Medical College, Jammu, India.
⁴ Dept. of Cardiology, Fortis Hospital, Mohali, India.

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.

Publication types

Case Reports

MeSH terms

Aged
Cardiac Pacing, Artificial / adverse effects
Cardiac Pacing, Artificial / methods
Device Removal / methods*
Electrocardiography / methods
Electrodes, Implanted / adverse effects
Female
Fluoroscopy / methods
Follow-Up Studies
Foreign-Body Migration / etiology
Foreign-Body Migration / therapy
Humans
Musculoskeletal Manipulations / adverse effects*
Musculoskeletal Manipulations / methods
Pacemaker, Artificial / adverse effects*
Prosthesis Failure / etiology*
Retreatment / methods
Risk Assessment
Sick Sinus Syndrome / diagnosis
Sick Sinus Syndrome / therapy*
Syncope / diagnosis
Syncope / etiology*
Syndrome