{"id":350,"date":"2025-07-14T14:59:53","date_gmt":"2025-07-14T14:59:53","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=350"},"modified":"2026-01-07T09:05:34","modified_gmt":"2026-01-07T09:05:34","slug":"biotronik-pacemakers-in-20-points","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/basic-concepts\/pacemaker\/biotronik-pacemakers-in-20-points\/","title":{"rendered":"Les stimulateurs Biotronik en 20 points"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"350\" class=\"elementor elementor-350\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2404a4e e-con-full e-flex e-con e-parent\" data-id=\"2404a4e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bbd95fa elementor-widget elementor-widget-heading\" data-id=\"bbd95fa\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Les stimulateurs Biotronik en 20 points<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-043679e e-con-full e-flex e-con e-parent\" data-id=\"043679e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-729eb47 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"729eb47\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h3&quot;,&quot;h4&quot;,&quot;h5&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;marker_view&quot;:&quot;bullets&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;,&quot;rendered_tag&quot;:&quot;&lt;svg class=\\&quot;e-font-icon-svg e-fas-circle\\&quot; viewBox=\\&quot;0 0 512 512\\&quot; xmlns=\\&quot;http:\\\/\\\/www.w3.org\\\/2000\\\/svg\\&quot;&gt;&lt;path d=\\&quot;M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\\&quot;&gt;&lt;\\\/path&gt;&lt;\\\/svg&gt;&quot;},&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tG\u00e9n\u00e9ralit\u00e9s\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__729eb47\" aria-expanded=\"true\" aria-label=\"Ouvrir la table des mati\u00e8res\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__729eb47\" aria-expanded=\"true\" aria-label=\"Fermer la table des mati\u00e8res\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__729eb47\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<svg class=\"elementor-toc__spinner eicon-animation-spin e-font-icon-svg e-eicon-loading\" aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69fa32e e-con-full e-flex e-con e-parent\" data-id=\"69fa32e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5d9c75d elementor-widget elementor-widget-heading\" data-id=\"5d9c75d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">1) Volume du boitier<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-be355f9 e-con-full e-flex e-con e-parent\" data-id=\"be355f9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9962f82 elementor-widget elementor-widget-text-editor\" data-id=\"9962f82\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Simple chambre : 11 cm3<\/p><p>Chambre double : 12 cm3<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c30fdc e-con-full e-flex e-con e-parent\" data-id=\"4c30fdc\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-01753b8 elementor-widget elementor-widget-heading\" data-id=\"01753b8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">2) Type de pile<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c618aa9 e-con-full e-flex e-con e-parent\" data-id=\"c618aa9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a0772a elementor-widget elementor-widget-text-editor\" data-id=\"3a0772a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Lithium \/ Dioxyde de Mangan\u00e8se ou Lithium\/ Argent-Oxyde de Vanadium<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-14fab50 e-con-full e-flex e-con e-parent\" data-id=\"14fab50\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-71c88cd elementor-widget elementor-widget-heading\" data-id=\"71c88cd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">3) Crit\u00e8res d'usure et de longueur<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bff07b8 e-con-full e-flex e-con e-parent\" data-id=\"bff07b8\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e7bc0f5 elementor-widget elementor-widget-text-editor\" data-id=\"e7bc0f5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Valeurs exprim\u00e9es: date estim\u00e9e de l'ERI et charge r\u00e9siduelle de la pile en %<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a752988 elementor-widget elementor-widget-image\" data-id=\"a752988\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik1.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_biotronik1\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc1NiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X2Jpb3Ryb25pazEucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"208\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik1.png\" class=\"attachment-large size-large wp-image-6756\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik1.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik1-18x12.png 18w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-281b5da elementor-widget elementor-widget-text-editor\" data-id=\"281b5da\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Fonctionnement en ERI: bascule dans un mode sans stimulation atriale et sans asservissement (ex : DDDR-&gt;VDD), fr\u00e9quence diminu\u00e9e de 11%; la dur\u00e9e de l'ERI dure 6 mois avant le passage en EOS.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-350d044 e-con-full e-flex e-con e-parent\" data-id=\"350d044\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-949ebdc elementor-widget elementor-widget-heading\" data-id=\"949ebdc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">4) Fr\u00e9quence \u00e0 l'aimant<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43b92d2 e-con-full e-flex e-con e-parent\" data-id=\"43b92d2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55ebef4 elementor-widget elementor-widget-text-editor\" data-id=\"55ebef4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>D\u00e9but de vie : 90 bpm<\/p><p>Fin de vie : 80 bpm<\/p><p>Il est possible de programmer 3 options pour la r\u00e9ponse \u00e0 l'aimant : Sync, Async et Auto<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf98641 elementor-widget elementor-widget-image\" data-id=\"cf98641\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik2.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_biotronik2\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc1NSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X2Jpb3Ryb25pazIucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"684\" height=\"142\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik2.png\" class=\"attachment-large size-large wp-image-6755\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik2.png 684w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik2-300x62.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik2-18x4.png 18w\" sizes=\"(max-width: 684px) 100vw, 684px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df42ac7 e-con-full e-flex e-con e-parent\" data-id=\"df42ac7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5574693 elementor-widget elementor-widget-heading\" data-id=\"5574693\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">5) Modes de stimulation traditionnels<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a116f7c e-con-full e-flex e-con e-parent\" data-id=\"a116f7c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a88cf23 elementor-widget elementor-widget-text-editor\" data-id=\"a88cf23\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Tous les modes traditionnels sont disponibles<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-360ceb1 e-con-full e-flex e-con e-parent\" data-id=\"360ceb1\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-925207a elementor-widget elementor-widget-heading\" data-id=\"925207a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">6) Mode sp\u00e9cial pour la conduction spontan\u00e9e : Suppression de la VP<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8adfdcd e-con-full e-flex e-con e-parent\" data-id=\"8adfdcd\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b836427 elementor-widget elementor-widget-text-editor\" data-id=\"b836427\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Crit\u00e8res de commutation ADI(R) \u00e8 DDD(R) : diff\u00e9rents crit\u00e8res induisent une commutation en mode DDD : pause (intervalle de 2 secondes sans VS), BAV III (2 cycles cons\u00e9cutifs sans VS), BAV II (3 cycles (programmable) sur 8 sans VS), BAV I (PR ou AR &gt; 450 ms sur 2 cycles).<\/p><p>Suspension du Vp Suppression pendant 20 heures en cas de nombreuses (15) commutations d\u2019un mode \u00e0 l\u2019autre. Le stimulateur reste en DDD temporairement.<\/p><p>Crit\u00e8res de commutation DDD(R) \u00e8 ADI(R) : quand le stimulateur fonctionne en mode DDD, il recherche la pr\u00e9sence d\u2019un rythme propre sous jacent toutes les 30 secondes puis espace les recherches (toutes les 1, 2, 4, 8, 16\u2026128 minutes, jusqu\u2019\u00e0 20 heures). Pour cela, le stimulateur allonge son d\u00e9lai AV \u00e0 une valeur de 450 ms pendant 8 cycles. Le stimulateur commute en mode ADI si 1 ventricule spontan\u00e9 est d\u00e9tect\u00e9 durant ce d\u00e9lai AV prolong\u00e9 sur au moins 6 de ces 8 cycles.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-13324b4 e-con-full e-flex e-con e-parent\" data-id=\"13324b4\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3cc1795 elementor-widget elementor-widget-heading\" data-id=\"3cc1795\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">7) Mode IRM<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b229041 e-con-full e-flex e-con e-parent\" data-id=\"b229041\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dde5957 elementor-widget elementor-widget-text-editor\" data-id=\"dde5957\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Zone d'exclusion thoracique pour les premiers stimulateurs IRM-compatibles; plus de zone d'exclusion pour la derni\u00e8re g\u00e9n\u00e9ration (plateforme Evia commercialis\u00e9e \u00e0 partir de 2013 associ\u00e9e aux sondes Solia \u00e0 vis);<\/p><p>Choix du mode IRM : DOO, VOO, AOO, OOO ;<\/p><p>N\u00e9cessit\u00e9 de programmer le mode IRM avant et reprogrammer apr\u00e8s examen. Le programmateur reconnait la programmation sp\u00e9cifique IRM et propose automatiquement de transmettre la programmation initiale.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f4b221f e-con-full e-flex e-con e-parent\" data-id=\"f4b221f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f156e68 elementor-widget elementor-widget-heading\" data-id=\"f156e68\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">8) Stimulation ventriculaire : contr\u00f4le de la capture ventriculaire<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1b46fb5 e-con-full e-flex e-con e-parent\" data-id=\"1b46fb5\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e6c023 elementor-widget elementor-widget-text-editor\" data-id=\"2e6c023\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Seuil r\u00e9alis\u00e9 syst\u00e9matiquement tous les jours \u00e0 2h00 (heure et fr\u00e9quence des contr\u00f4les programmables); contr\u00f4le de capture bas\u00e9 sur l'analyse de la r\u00e9ponse \u00e9voqu\u00e9e; v\u00e9rification cycle \u00e0 cycle de la capture; marge de s\u00e9curit\u00e9 programmable (valeur nominale + 0.5 V)<\/p><p>Seuil mesur\u00e9 syst\u00e9matiquement tous les jours \u00e0 2h00 (heure et fr\u00e9quence de contr\u00f4le programmables) ; contr\u00f4le de la capture bas\u00e9 sur l'analyse de la r\u00e9ponse \u00e9voqu\u00e9e ; v\u00e9rification de la capture cycle par cycle ; marge de s\u00e9curit\u00e9 programmable (valeur nominale + 0,5 V).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-101797b elementor-widget elementor-widget-image\" data-id=\"101797b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik4.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_biotronik4\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc1NCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X2Jpb3Ryb25pazQucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"684\" height=\"493\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik4.png\" class=\"attachment-large size-large wp-image-6754\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik4.png 684w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik4-300x216.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik4-18x12.png 18w\" sizes=\"(max-width: 684px) 100vw, 684px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5871cab e-con-full e-flex e-con e-parent\" data-id=\"5871cab\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ff41cf elementor-widget elementor-widget-heading\" data-id=\"5ff41cf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">9) Stimulation auriculaire<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1c38107 e-con-full e-flex e-con e-parent\" data-id=\"1c38107\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-886e55a elementor-widget elementor-widget-text-editor\" data-id=\"886e55a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Contr\u00f4le de capture atriale sur marche: mesure du seuil de stimulation atriale + adaptation de la programmation; contr\u00f4le de capture atriale sur ATM: mesure du seuil de stimulation atriale sans adaptation;<\/p><p>Seuil r\u00e9alis\u00e9 syst\u00e9matiquement tous les jours \u00e0 2h00 du matin; seuil de stimulation atriale bas\u00e9 sur la mise en \u00e9vidence de signaux atriaux d\u00e9tect\u00e9s r\u00e9v\u00e9lateurs de la perte de capture; pas de v\u00e9rification cycle \u00e0 cycle de la capture; adaptation de l'amplitude pour les 24 heures; marge de s\u00e9curit\u00e9 programmable (valeur nominale + 1 V)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4385836 elementor-widget elementor-widget-image\" data-id=\"4385836\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik5.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_biotronik5\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc1MywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X2Jpb3Ryb25pazUucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"686\" height=\"491\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik5.png\" class=\"attachment-large size-large wp-image-6753\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik5.png 686w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik5-300x215.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik5-18x12.png 18w\" sizes=\"(max-width: 686px) 100vw, 686px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ebed824 e-con-full e-flex e-con e-parent\" data-id=\"ebed824\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6131ac8 elementor-widget elementor-widget-heading\" data-id=\"6131ac8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">10) Sensibilit\u00e9 et d\u00e9tection<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-639eb99 e-con-full e-flex e-con e-parent\" data-id=\"639eb99\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c31ee35 elementor-widget elementor-widget-text-editor\" data-id=\"c31ee35\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les sensibilit\u00e9s atriale et ventriculaire peuvent \u00eatre programm\u00e9es \u00e0 une valeur fixe ou avec adaptation automatique (contr\u00f4le de sensibilit\u00e9 automatique). Le contr\u00f4le de sensibilit\u00e9 automatique mesure la taille de l\u2019onde R ou de l\u2019onde P et adapte cycle \u00e0 cycle le seuil de sensibilit\u00e9<\/p><p>La sensibilit\u00e9 automatique maximale est de 2 mV pour le ventricule, de 0.2 mV pour une d\u00e9tection atriale bipolaire et de 0.5 mV pour une d\u00e9tection atriale unipolaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1215910 elementor-widget elementor-widget-image\" data-id=\"1215910\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik6.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_biotronik6\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc1MiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X2Jpb3Ryb25pazYucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"638\" height=\"460\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik6.png\" class=\"attachment-large size-large wp-image-6752\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik6.png 638w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik6-300x216.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_biotronik6-18x12.png 18w\" sizes=\"(max-width: 638px) 100vw, 638px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86cbf29 e-con-full e-flex e-con e-parent\" data-id=\"86cbf29\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2668a38 elementor-widget elementor-widget-heading\" data-id=\"2668a38\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">11) P\u00e9riodes r\u00e9fractaires<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-331b08e e-con-full e-flex e-con e-parent\" data-id=\"331b08e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb14348 elementor-widget elementor-widget-text-editor\" data-id=\"cb14348\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le blanking ventriculaire post-stimulation atriale est programmable entre 30 et 70 ms (valeur nominale 30 ms). A la fin de ce blanking, d\u00e9bute la fen\u00eatre de s\u00e9curit\u00e9 d'une dur\u00e9e non programmable (se termine 100 ms apr\u00e8s la stimulation atriale).<\/p><p>Tout \u00e9v\u00e8nement d\u00e9tect\u00e9 ou stimul\u00e9 dans le ventricule d\u00e9clenche une p\u00e9riode r\u00e9fractaire ventriculaire programmable.<\/p><p>La p\u00e9riode r\u00e9fractaire atriale intervient suite \u00e0 un \u00e9v\u00e8nement atrial stimul\u00e9 ou d\u00e9tect\u00e9 quand il n'est pas en p\u00e9riode r\u00e9fractaire (programmable sur une valeur fixe ou sur Auto).<\/p><p>Le blanking atrial post-ventriculaire  (protection far-field) est programmable. Si un \u00e9v\u00e8nement tombe dans ce blanking, il est not\u00e9 Ars (PFF) mais ne d\u00e9clenche pas de d\u00e9lai AV et n\u2019est pas comptabilis\u00e9 pour le diagnostic des arythmies atriales. La p\u00e9riode r\u00e9fractaire atriale post-ventriculaire (PRAPV) est uniquement d\u00e9clench\u00e9e par une stimulation ventriculaire et pas sur une d\u00e9tection ventriculaire (VS). Elle est \u00e9galement d\u00e9clench\u00e9e par une extrasystole ventriculaire. La PRAPV est programmable sur Auto ou sur une valeur fixe.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1d72f4c e-con-full e-flex e-con e-parent\" data-id=\"1d72f4c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34685e3 elementor-widget elementor-widget-heading\" data-id=\"34685e3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">12) Diagnostic et interruption des tachycardies par r\u00e9entr\u00e9e \u00e9lectronique<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-83e1330 e-con-full e-flex e-con e-parent\" data-id=\"83e1330\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d9ceb07 elementor-widget elementor-widget-text-editor\" data-id=\"d9ceb07\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Une des sp\u00e9cificit\u00e9s des stimulateurs Biotronik est de proposer la mesure du temps de conduction r\u00e9trograde pour adapter la programmation de la PRAPV.<\/p><p>Le dispositif suspecte l\u2019existence d\u2019une TRE si la fr\u00e9quence cardiaque d\u00e9passe 100 battements\/minute, avec une succession de 8 cycles VP-AS cons\u00e9cutifs, si l\u2019intervalle VA (VP-AS) est plus court que l\u2019intervalle VA programm\u00e9 et si les intervalles VA sont stables (+\/-25 ms).<\/p><p>Pour confirmer la TRE, le d\u00e9lai AV est augment\u00e9 ou diminu\u00e9 ; si l\u2019intervalle VA reste constant : TRE; r\u00e9duction de la TRE : allongement de la PRAPV.<\/p><p>Pas d\u2019enregistrement de l\u2019EGM des \u00e9pisodes de TRE dans les m\u00e9moires.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-324b3b1 e-con-full e-flex e-con e-parent\" data-id=\"324b3b1\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-60127ed elementor-widget elementor-widget-heading\" data-id=\"60127ed\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">13) Asservissement<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-42f6f43 e-con-full e-flex e-con e-parent\" data-id=\"42f6f43\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b77fe45 elementor-widget elementor-widget-text-editor\" data-id=\"b77fe45\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L'asservissement de fr\u00e9quence peut s'appuyer sur un acc\u00e9l\u00e9rom\u00e8tre ou sur un mode sp\u00e9cifique d\u00eet CLS (closed loop stimulation); ces 2 capteurs fonctionnent ind\u00e9pendamment et ne peuvent pas \u00eatre programm\u00e9s simultan\u00e9ment. L'asservissement CLS (closed loop stimulation, stimulation en boucle ferm\u00e9e) est bas\u00e9 sur une adaptation de la fr\u00e9quence cardiaque ciblant les variations d'imp\u00e9dance qui suivent la dynamique de contraction myocardique. La stimulation en boucle ferm\u00e9e se calibre et s\u2019adapte automatiquement. Elle permet une adaptation aux efforts physiques mais \u00e9galement aux efforts mentaux.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-97f329f e-con-full e-flex e-con e-parent\" data-id=\"97f329f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e97adf3 elementor-widget elementor-widget-heading\" data-id=\"e97adf3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">14) Fonctionnement du repli sur arythmies atriales<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b095137 e-con-full e-flex e-con e-parent\" data-id=\"b095137\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f354524 elementor-widget elementor-widget-text-editor\" data-id=\"f354524\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L'algorithme de repli utilise une fen\u00eatre roulante de X (programmable entre 3 et 8, valeur nominale 5) cycles sur 8 sup\u00e9rieurs \u00e0 la fr\u00e9quence d\u2019intervention pour basculer vers un mode asynchrone. L'algorithme utilise \u00e9galement une fen\u00eatre roulante de X (programmable entre 3 et 8, valeur nominale 5) cycles sur 8 inf\u00e9rieurs \u00e0 la fr\u00e9quence d\u2019intervention pour revenir au mode synchrone.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f60c96c e-con-full e-flex e-con e-parent\" data-id=\"f60c96c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a5d4152 elementor-widget elementor-widget-heading\" data-id=\"a5d4152\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">15) Gestion flutter 2\/1<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fef69d3 e-con-full e-flex e-con e-parent\" data-id=\"fef69d3\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b55b530 elementor-widget elementor-widget-text-editor\" data-id=\"b55b530\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019algorithme de protection 2:1 lock in (allongement du d\u00e9lai AV pour mettre en \u00e9vidence une activit\u00e9 atriale cach\u00e9e dans la protection far-field)  permet la commutation quand une activit\u00e9 atriale sur deux tombe dans la protection atriale far-field post stimulation ventriculaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51dc513 e-con-full e-flex e-con e-parent\" data-id=\"51dc513\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3c1dfe9 elementor-widget elementor-widget-heading\" data-id=\"3c1dfe9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">16) Pr\u00e9vention des arythmies atriales<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7f9bd4c e-con-full e-flex e-con e-parent\" data-id=\"7f9bd4c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d0efe6 elementor-widget elementor-widget-text-editor\" data-id=\"7d0efe6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>2 algorithmes sont disponibles: l'overdrive auriculaire qui permet d'augmenter la fr\u00e9quence atriale de stimulation pour \u00ab overdriver \u00bb l\u2019activation spontan\u00e9e atriale; la stabilisation de fr\u00e9quence qui permet une r\u00e9duction de  la variabilit\u00e9 des cycles RR en augmentant le pourcentage de stimulation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-be366c8 e-con-full e-flex e-con e-parent\" data-id=\"be366c8\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-320b630 elementor-widget elementor-widget-heading\" data-id=\"320b630\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">17) Communication sans fil<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-871ecf7 e-con-full e-flex e-con e-parent\" data-id=\"871ecf7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d8748d5 elementor-widget elementor-widget-text-editor\" data-id=\"d8748d5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Technologie non disponible sur les plateformes actuelles<\/p><p>Technologie disponible sur la prochaine g\u00e9n\u00e9ration<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2e64d00 e-con-full e-flex e-con e-parent\" data-id=\"2e64d00\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2065373 elementor-widget elementor-widget-heading\" data-id=\"2065373\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">18) Dur\u00e9e des m\u00e9moires<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d7bd98c e-con-full e-flex e-con e-parent\" data-id=\"d7bd98c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b8db796 elementor-widget elementor-widget-text-editor\" data-id=\"b8db796\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Dur\u00e9e maximale d'enregistrement des EGMs: 20 \u00e9pisodes de 10 secondes<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a84efd9 e-con-full e-flex e-con e-parent\" data-id=\"a84efd9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-68062bb elementor-widget elementor-widget-heading\" data-id=\"68062bb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">19) Suivi par t\u00e9l\u00e9m\u00e9decine<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20317ca e-con-full e-flex e-con e-parent\" data-id=\"20317ca\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4428b11 elementor-widget elementor-widget-text-editor\" data-id=\"4428b11\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Syst\u00e8me automatique sans intervention du patient; GPRS int\u00e9gr\u00e9; transmissions quotidiennes de toutes les mesures effectu\u00e9es dans la nuit, des r\u00e9glages, des tendances sur le long terme; notifications des \u00e9v\u00e9nements en moins de 24 heures (charge atriale, \u00e9pisode de fr\u00e9quence ventriculaire \u00e9lev\u00e9, imp\u00e9dance hors norme \u2026); EGMs p\u00e9riodiques de 30 secondes; iEGMs d\u2019arythmie (FA, TV, \u2026) envoy\u00e9s \u00e0 distance, disponibles sur la prochaine g\u00e9n\u00e9ration.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-178bbd7 e-con-full e-flex e-con e-parent\" data-id=\"178bbd7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b1cb68c elementor-widget elementor-widget-heading\" data-id=\"b1cb68c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">20) Autres sp\u00e9cificit\u00e9s<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cc0b8d7 e-con-full e-flex e-con e-parent\" data-id=\"cc0b8d7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-30fe19e elementor-widget elementor-widget-text-editor\" data-id=\"30fe19e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Exp\u00e9rience exceptionnelle dans le domaine de la t\u00e9l\u00e9m\u00e9decine<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Biotronik pacemakers in 20 points Content 1) Case volume Single chamber: 11 cm3 Double chamber: 12 cm3 2) Battery type Lithium\/Manganese Dioxide or Lithium\/Silver\/Vanadium Oxide 3) Wear and length criteria Values shown: estimated ERI date and residual battery charge in %. ERI operation: switch to a mode without atrial pacing or servo control (e.g. DDDR-&gt;VDD), [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":21,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-350","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Biotronik Pacemaker: 20 Key Points | ECG &amp; Programming | Cardiocases<\/title>\n<meta name=\"description\" content=\"Complete Biotronik pacemaker reference \u2014 20 key points covering algorithms, home monitoring, ECG tracings &amp; device programming. 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