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.