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[Cardiac pacemaker dysfunction due to rotation of the battery (reel syndrome)]. | LitMetric
Reel syndrome is characterized by the rotation of permanent pacemaker generator on its transverse axis and electrode catheters curl around it, so this causes displacement of the electrodes with the loss of atrial and ventricular pacing. It can cause severe symptoms due to dysfunction of the pacemaker. We present three patient cases who after the placement of pacemaker attended by dysfunction of the displacement of the electrodes their clinical pictures were compatible with Reel syndrome.
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Twiddler syndrome is a rare entity in which patient manipulation causes lead dislocation with lead retraction. Reel syndrome, on the other hand, is observed after external manipulation, intentional or unintentional, in which the leads move along their transverse axis and is considered a variant of Twiddler syndrome. We present the clinical case of a 91-year-old female who, after pacemaker implantation, presented with dizziness and chest discomfort following constant manipulation of the pacemaker, resulting in complete retraction of the lead tip into the pouch, which is unusual in the literature to date.
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