Twiddler syndrome is a form of pacemaker lead dislocation caused by the coiling of the pacemaker leads due to Dishwasher Lower Tray 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 Bread by clinical symptoms of dislodged leads.We report a case of 75 years old woman with Reel syndrome presenting with syncope.