{"id":350,"date":"2025-07-14T14:59:53","date_gmt":"2025-07-14T14:59:53","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=350"},"modified":"2026-06-30T15:42:35","modified_gmt":"2026-06-30T15:42:35","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":"\t\t<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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Biotronik pacemakers in 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-e-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-e-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\tContent\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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">1) Case volume<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Single chamber: 11 cm3<\/p><p>Double chamber: 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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">2) Battery type<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Lithium\/Manganese Dioxide or Lithium\/Silver\/Vanadium Oxide<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">3) Wear and length criteria<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Values shown: estimated ERI date and residual battery charge in %.<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>ERI operation: switch to a mode without atrial pacing or servo control (e.g. DDDR-&gt;VDD), frequency reduced by 11%; ERI lasts 6 months before switching to 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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">4) Magnet Frequency<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Early life: 90 bpm<\/p><p>End of life: 80 bpm<\/p><p>3 options for magnet response can be programmed: Sync, Async and 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-e-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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">5) Traditional stimulation modes<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>All traditional modes are available.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">6) Special mode for spontaneous conduction: VP suppression<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>ADI(R) \u00e8 DDD(R) switching criteria: various criteria lead to switching to DDD mode: pause (2 second interval without VS), AVB III (2 consecutive cycles without VS), AVB\u00a0II (3 (programmable) cycles out of 8 without VS), AVB\u00a0I (PR or AR &gt; 450 ms over 2 cycles).<\/p><p>Suspension of Vp Suppression for 20 hours in the event of numerous (15) switches from one mode to another. The stimulator remains in DDD temporarily.<\/p><p>DDD(R) \u00e8 ADI(R) switching criteria: when the stimulator is operating in DDD mode, it searches for the presence of an underlying clean rhythm every 30 seconds, then intervals the search (every 1, 2, 4, 8, 16&#8230;128 minutes, up to 20 hours). To do this, the stimulator extends its AV delay to a value of 450 ms for 8 cycles. The stimulator switches to ADI mode if 1 spontaneous ventricle is detected during this extended AV delay on at least 6 of these 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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">7) MRI mode<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Thoracic exclusion zone for the first MRI-compatible stimulators; no exclusion zone for the latest generation (Evia platform marketed from 2013 combined with Solia screw probes);<\/p><p>Choice of MRI mode: DOO, VOO, AOO, OOO;<\/p><p>MRI mode must be programmed before and reprogrammed after examination. The programmer recognizes the MRI-specific programming and automatically proposes to transmit the initial programming.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">8) Ventricular stimulation: ventricular capture control<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>On-run ventricular capture control: ventricular stimulation threshold measurement + programming adaptation with cycle-by-cycle control; ATM ventricular capture control: ventricular stimulation threshold measurement without adaptation;<\/p><p>Threshold systematically measured every day at 2:00 a.m. (programmable control time and frequency); capture control based on evoked response analysis; cycle-by-cycle capture verification; programmable safety margin (nominal value + 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-e-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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">9) Atrial stimulation: no automatic measurement of atrial threshold<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Atrial capture control on walk: measurement of atrial stimulation threshold + adaptation of programming; atrial capture control on ATM: measurement of atrial stimulation threshold without adaptation;<\/p><p>Threshold performed systematically every day at 2:00 a.m.; atrial stimulation threshold based on detected atrial signals indicative of loss of capture; no cycle-by-cycle verification of capture; amplitude adaptation for 24 hours; programmable safety margin (nominal value + 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-e-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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">10) Sensitivity and detection<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Atrial and ventricular sensitivities can be programmed to a fixed value or with automatic adaptation (automatic sensitivity control). Automatic sensitivity control measures the size of the R or P wave and adapts the sensitivity threshold cycle by cycle.<\/p><p>The maximum automatic sensitivity is 2 mV for ventricular detection, 0.2 mV for bipolar atrial detection and 0.5 mV for unipolar atrial detection.<\/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-e-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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">11) Refractory periods<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Post-atrial stimulation ventricular blanking is programmable between 30 and 70 ms (nominal value 30 ms). At the end of this blanking period, the non-programmable safety window begins (ending 100 ms after atrial pacing).<\/p><p>Any event detected or stimulated in the ventricle triggers a programmable ventricular refractory period.<\/p><p>The atrial refractory period occurs following a stimulated or detected atrial event when not in refractory period (programmable to a fixed value or Auto).<\/p><p>Post-ventricular atrial blanking (far-field protection) is programmable. If an event falls within this blanking, it is noted Ars (FFP) but does not trigger an AV delay and is not counted for the diagnosis of atrial arrhythmias. The Post-Ventricular Atrial Refractory Period (PVARP) is triggered only by ventricular pacing and not by ventricular sensing (VS). It is also triggered by ventricular extrasystole. PVARP can be set to Auto or to a fixed value.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">12) Diagnosis and interruption of pacemaker mediated tachycardias<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>One of the special features of Biotronik pacemakers is the ability to measure retrograde conduction time to adapt PVARP programming.<\/p><p>The device suspects the existence of an RTC if the heart rate exceeds 100 beats\/minute, with a succession of 8 consecutive VP-AS cycles, if the VA interval (VP-AS) is shorter than the programmed VA interval, and if the VA intervals are stable (+\/-25 ms).<\/p><p>To confirm the PMT, the AV delay is increased or decreased; if the VA interval remains constant : PMT; reduction of PMT: lengthening of PVARP.<\/p><p>No EGM recording of PMT episodes in memory.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">13) Rate modulation<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Rate control can be based on an accelerometer or on a specific mode known as CLS (closed loop stimulation); these 2 sensors operate independently and cannot be programmed simultaneously. CLS (closed loop stimulation) is based on heart rate adaptation targeting impedance variations that follow the dynamics of myocardial contraction. Closed-loop stimulation calibrates and adapts automatically. It enables adaptation to both physical and mental effort.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">14) Mode switch for atrial arrhythmias<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The fallback algorithm uses a rolling window of X (programmable between 3 and 8, nominal value 5) cycles out of 8 above the intervention frequency to switch to asynchronous mode. The algorithm also uses a rolling window of X (programmable between 3 and 8, nominal value 5) cycles out of 8 below the intervention frequency to return to synchronous mode.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">15) Flutter management<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The 2:1 lock in protection algorithm (lengthening the AV delay to reveal atrial activity hidden in far-field protection) enables switching when every other atrial activity falls into far-field atrial protection post ventricular pacing.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">16) Atrial arrhythmia prevention<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>2 algorithms are available: atrial overdrive, which increases the atrial pacing frequency to \u201coverdrive\u201d spontaneous atrial activation; frequency stabilization, which reduces RR cycle variability by increasing the pacing percentage.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">17) Wireless communication<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Technology not available on current platforms<\/p><p>Technology available on next-generation platforms<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">18) Memory duration<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Maximum EGM recording time: 20 x 10-second episodes<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">19) Telemonitoring<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Automatic system without patient intervention; integrated GPRS; daily transmissions of all overnight measurements, settings, long-term trends; event notifications within 24 hours (atrial load, high ventricular rate episode, out-of-range impedance &#8230;); periodic 30-second EGMs; remotely sent arrhythmia iEGMs (AF, VT, &#8230;), available on next generation.<\/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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">20) Other features<\/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-e-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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Exceptional experience in telemedicine<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","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>\n","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 v28.0 - 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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