{"id":3529,"date":"2025-10-08T18:16:53","date_gmt":"2025-10-08T18:16:53","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=3529"},"modified":"2025-11-09T12:15:12","modified_gmt":"2025-11-09T12:15:12","slug":"left-ventricular-pacing-biotronik","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/biotronik\/left-ventricular-pacing-biotronik\/","title":{"rendered":"Stimulation ventriculaire gauche"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3529\" class=\"elementor elementor-3529\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8214208 e-con-full e-flex e-con e-parent\" data-id=\"8214208\" 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-4c09a45 elementor-widget elementor-widget-heading\" data-id=\"4c09a45\" 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 - Left ventricular pacing<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-94b6b8b elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"94b6b8b\" 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__94b6b8b\" 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__94b6b8b\" 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__94b6b8b\" 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 class=\"elementor-element elementor-element-851742b elementor-widget elementor-widget-heading\" data-id=\"851742b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Unipolar lead<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ea24c1 elementor-widget elementor-widget-text-editor\" data-id=\"1ea24c1\" 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 single electrode of a unipolar probe is called the LV tip. If a unipolar left ventricular probe is implanted, two configurations can be programmed on pacemakers or defibrillators: LV tip\/lead and LV tip\/proximal RV. It should be noted that for pacemakers or defibrillators in the Ilesto range, the proximal RV corresponds to the ring of the RV lead (proximal electrode), whereas for the new range of defibrillators, the RV electrode corresponds to the coil of the RV lead (the same applies to bipolar and quadripolar configurations).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-888dd82 elementor-widget elementor-widget-heading\" data-id=\"888dd82\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Bipolar lead<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa0bc2d elementor-widget elementor-widget-text-editor\" data-id=\"fa0bc2d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div id=\"\" class=\"specificity-data-para-container\"><div class=\"paragraph paragraph--type--para-specificity-data paragraph--view-mode--default\"><p>The two electrodes are called the LV tip and LV ring. If a bipolar left ventricular probe is implanted, five programming options are available on triple-chamber defibrillators (shown in the following figure).<\/p><p>It should be noted that for triple-chamber pacemakers, one additional configuration (six in total) can be added: LV ring\/lead.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9982272 elementor-widget elementor-widget-image\" data-id=\"9982272\" 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\/2025\/11\/specificites_image_1.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"specificites_image_1\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NDQzMywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMTFcL3NwZWNpZmljaXRlc19pbWFnZV8xLnBuZyJ9\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"488\" height=\"365\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_1.png\" class=\"attachment-large size-large wp-image-4433\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_1.png 488w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_1-300x224.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_1-16x12.png 16w\" sizes=\"(max-width: 488px) 100vw, 488px\" \/>\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-8204691 elementor-widget elementor-widget-text-editor\" data-id=\"8204691\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div id=\"\" class=\"specificity-data-para-container\"><div class=\"paragraph paragraph--type--para-specificity-data paragraph--view-mode--default\"><p>Available configurations for a triple-chamber defibrillator<\/p><p><strong>Quadripolar probe<\/strong><\/p><p>Twelve different configurations are available.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abfdece elementor-widget elementor-widget-image\" data-id=\"abfdece\" 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\/2025\/11\/specificites_image_2.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"specificites_image_2\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NDQzNCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMTFcL3NwZWNpZmljaXRlc19pbWFnZV8yLnBuZyJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"605\" height=\"290\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_2.png\" class=\"attachment-large size-large wp-image-4434\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_2.png 605w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_2-300x144.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_2-18x9.png 18w\" sizes=\"(max-width: 605px) 100vw, 605px\" \/>\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-5f6bc8b elementor-widget elementor-widget-heading\" data-id=\"5f6bc8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Automatic LV threshold<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de6009b elementor-widget elementor-widget-text-editor\" data-id=\"de6009b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div id=\"\" class=\"specificity-data-para-container\"><div class=\"paragraph paragraph--type--para-specificity-data paragraph--view-mode--default\"><p>The threshold measurement is based on the analysis of the evoked response, but there is no cycle-by-cycle control of the capture. The threshold is measured once a day, at the programmed time (default 2:00 AM). Threshold assessment starts at the programmed start amplitude (default 3.0 V) with a decrease in amplitude in steps of 0.6 V and then in steps of 0.1 V. During threshold measurement, the VV delay is programmed to 50 ms (left pre-excitation). When a loss of left ventricular capture is diagnosed, right pacing occurs at the end of the VV delay (to avoid the absence of ventricular capture on one cycle in dependent patients).<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b37c07 elementor-widget elementor-widget-image\" data-id=\"4b37c07\" 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\/2025\/11\/specificites_image_3.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"specificites_image_3\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NDQzNSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMTFcL3NwZWNpZmljaXRlc19pbWFnZV8zLnBuZyJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"605\" height=\"301\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_3.png\" class=\"attachment-large size-large wp-image-4435\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_3.png 605w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_3-300x149.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_3-18x9.png 18w\" sizes=\"(max-width: 605px) 100vw, 605px\" \/>\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-4daa498 elementor-widget elementor-widget-text-editor\" data-id=\"4daa498\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div id=\"\" class=\"specificity-data-para-container\"><div class=\"paragraph paragraph--type--para-specificity-data paragraph--view-mode--default\"><p>Once the VG stimulation threshold has been determined, a margin is programmed for the next 24 hours.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f0cc09 elementor-widget elementor-widget-image\" data-id=\"0f0cc09\" 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\/2025\/11\/specificites_image_4.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"specificites_image_4\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NDQzNiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMTFcL3NwZWNpZmljaXRlc19pbWFnZV80LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"448\" height=\"301\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_4.png\" class=\"attachment-large size-large wp-image-4436\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_4.png 448w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_4-300x202.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/11\/specificites_image_4-18x12.png 18w\" sizes=\"(max-width: 448px) 100vw, 448px\" \/>\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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Biotronik &#8211; Left ventricular pacing Content Unipolar lead The single electrode of a unipolar probe is called the LV tip. If a unipolar left ventricular probe is implanted, two configurations can be programmed on pacemakers or defibrillators: LV tip\/lead and LV tip\/proximal RV. It should be noted that for pacemakers or defibrillators in the Ilesto [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":55,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3529","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 CRT Left Ventricular Pacing | Cardiocases<\/title>\n<meta name=\"description\" content=\"Biotronik CRT left ventricular pacing \u2014 LV output, programming &amp; real ECG tracings. 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