{"id":356,"date":"2025-07-14T15:01:16","date_gmt":"2025-07-14T15:01:16","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=356"},"modified":"2026-01-07T09:13:26","modified_gmt":"2026-01-07T09:13:26","slug":"medtronic-pacemakers-in-20-points","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/basic-concepts\/pacemaker\/medtronic-pacemakers-in-20-points\/","title":{"rendered":"Les stimulateurs Medtronic en 20 points"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"356\" class=\"elementor elementor-356\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51f7f1f e-con-full e-flex e-con e-parent\" data-id=\"51f7f1f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-389986f elementor-widget elementor-widget-heading\" data-id=\"389986f\" 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 Medtronic en 20 points<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d694c9f e-con-full e-flex e-con e-parent\" data-id=\"d694c9f\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8e4375a elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"8e4375a\" 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__8e4375a\" 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__8e4375a\" 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__8e4375a\" 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-7fd9533 e-con-full e-flex e-con e-parent\" data-id=\"7fd9533\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-852a29c elementor-widget elementor-widget-heading\" data-id=\"852a29c\" 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-4994cbe e-con-full e-flex e-con e-parent\" data-id=\"4994cbe\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-288b136 elementor-widget elementor-widget-text-editor\" data-id=\"288b136\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Simple chambre Advisa : volume  11,9 cm3<\/p><p>Chambre double Advisa : volume 12,7 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-5e4b354 e-con-full e-flex e-con e-parent\" data-id=\"5e4b354\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-884d6ea elementor-widget elementor-widget-heading\" data-id=\"884d6ea\" 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-656712d e-con-full e-flex e-con e-parent\" data-id=\"656712d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b74c2ac elementor-widget elementor-widget-text-editor\" data-id=\"b74c2ac\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Oxyde de vanadium-lithium-argent avec monofluorure de carbone<\/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-6d5a94d e-con-full e-flex e-con e-parent\" data-id=\"6d5a94d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-47877d7 elementor-widget elementor-widget-heading\" data-id=\"47877d7\" 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-1206cb8 e-con-full e-flex e-con e-parent\" data-id=\"1206cb8\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f8aaa6 elementor-widget elementor-widget-text-editor\" data-id=\"8f8aaa6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Dans l\u2019Aper\u00e7u rapide, la premi\u00e8re valeur indiqu\u00e9e est celle de la long\u00e9vit\u00e9 r\u00e9siduelle. La valeur moyenne est indiqu\u00e9e ainsi que la valeur minimum.  La double fl\u00e8che permet d\u2019obtenir d\u2019autres indications telles que la tension de pile, et les estimations de la long\u00e9vit\u00e9 (moyenne, minimum et maximum) et l\u2019indicateur de remplacement. Une explication des estimations de la long\u00e9vit\u00e9 r\u00e9siduelle est \u00e9galement disponible.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f873336 elementor-widget elementor-widget-image\" data-id=\"f873336\" 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_medtronic1.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_medtronic1\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc3MCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X21lZHRyb25pYzEucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"682\" height=\"157\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic1.png\" class=\"attachment-large size-large wp-image-6770\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic1.png 682w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic1-300x69.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic1-18x4.png 18w\" sizes=\"(max-width: 682px) 100vw, 682px\" \/>\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-88e16f7 elementor-widget elementor-widget-text-editor\" data-id=\"88e16f7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les indicateurs de remplacement sont les suivants :<\/p><ul><li>date recommand\u00e9e de remplacement (RRT) : 3 mesures automatiques quotidiennes cons\u00e9cutives \u2264 2,83 V. Lorsque le dispositif atteint la RRT, il continue \u00e0 fonctionner avec ses param\u00e8tres programm\u00e9s. Cependant, la mise en place d\u2019un aimant au-dessus du dispositif d\u00e9clenche la stimulation asynchrone \u00e0 65 min-1 plut\u00f4t qu\u2019\u00e0 85 min-1.<\/li><li>indicateur de remplacement (ERI) : 3 mois apr\u00e8s la RRT. Lorsque le dispositif atteint l\u2019ERI, il change automatiquement plusieurs param\u00e8tres : mode de stimulation : VVI, fr\u00e9quence minimale : 65 min-1, hyst\u00e9r\u00e9sis simple chambre : Arr\u00eat, fonction Sommeil : Arr\u00eat, stabilisation du rythme ventriculaire : Arr\u00eat, d\u00e9tection TA\/FA : Arr\u00eat (th\u00e9rapies indisponibles), EGM avant le d\u00e9but de l\u2019arythmie : Arr\u00eat<\/li><\/ul><p>\u00a0<\/p><p>Remarque : apr\u00e8s le passage en ERI, tous les param\u00e8tres de stimulation peuvent \u00eatre programm\u00e9s, y compris le mode et la fr\u00e9quence. La reprogrammation des param\u00e8tres de stimulation risque de r\u00e9duire la dur\u00e9e de la p\u00e9riode entre ERI et 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-93b7556 e-con-full e-flex e-con e-parent\" data-id=\"93b7556\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0c623ee elementor-widget elementor-widget-heading\" data-id=\"0c623ee\" 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-c865265 e-con-full e-flex e-con e-parent\" data-id=\"c865265\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15cd531 elementor-widget elementor-widget-text-editor\" data-id=\"15cd531\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le mode de stimulation est DOO lorsque le mode de stimulation programm\u00e9 est un mode double chambre ou MVP (AAIRDDDR, AAIDDD), VOO lorsque le mode de stimulation programm\u00e9 est un mode ventriculaire simple chambre, et AOO lorsque le mode de stimulation programm\u00e9 est un mode atrial simple chambre.<\/p><p>La fr\u00e9quence de stimulation est de 85 min-1 (700 ms) si les conditions du dispositif sont normales et de 65 min-1 (920 ms) si un indicateur RRT (date recommand\u00e9e de remplacement) ou une r\u00e9initialisation \u00e9lectrique s\u2019est produit.<\/p><p>Remarque : ce mode n\u2019entre pas en application si la t\u00e9l\u00e9m\u00e9trie entre le dispositif et le programmateur est \u00e9tablie ou si la fonction IRM SureScan est programm\u00e9e sur Marche.<\/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-574e862 e-con-full e-flex e-con e-parent\" data-id=\"574e862\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-81210ba elementor-widget elementor-widget-heading\" data-id=\"81210ba\" 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-75db47e e-con-full e-flex e-con e-parent\" data-id=\"75db47e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-175f707 elementor-widget elementor-widget-text-editor\" data-id=\"175f707\" 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 sauf les modes trigg\u00e9s et le mode VDD.<\/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-5ac5442 e-con-full e-flex e-con e-parent\" data-id=\"5ac5442\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e8bd56 elementor-widget elementor-widget-heading\" data-id=\"5e8bd56\" 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 : Stimulation ventriculaire dirig\u00e9e (mode MVP ou AAI(R)-DDD(R) )<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7ad8352 e-con-full e-flex e-con e-parent\" data-id=\"7ad8352\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e94a63 elementor-widget elementor-widget-text-editor\" data-id=\"4e94a63\" 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) : si une seule onde P bloqu\u00e9e, le dispositif reste en mode ADI(R) et fournit une impulsion de stimulation ventriculaire de secours 80 ms apr\u00e8s l'intervalle d'\u00e9chappement auriculaire. Si 2 ondes P bloqu\u00e9es sur 4, le dispositif commute en mode DDD(R).).<\/p><p>Crit\u00e8res de commutation DDD(R) \u00e8 ADI(R) : quand le stimulateur fonctionne en mode DDD(R), il recherche la pr\u00e9sence d\u2019un rythme propre sous jacent toutes les 1 minute puis 2, 4, 8...minutes jusqu'\u00e0 un maximum de 16 heures. Pour cela, le dispositif passe en mode de stimulation ADI(R) pendant un cycle (possibilit\u00e9 onde P bloqu\u00e9e). Si l\u2019activation auriculaire est conduite, il reste en mode de stimulation ADI(R), sinon (onde P bloqu\u00e9e) il repasse en mode DDD(R).<\/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-aefcf59 e-con-full e-flex e-con e-parent\" data-id=\"aefcf59\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-03f668e elementor-widget elementor-widget-heading\" data-id=\"03f668e\" 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-0b5d13a e-con-full e-flex e-con e-parent\" data-id=\"0b5d13a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3958269 elementor-widget elementor-widget-text-editor\" data-id=\"3958269\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Mode IRM Surescan; les param\u00e8tres programmables sont le mode (ODO, VOO, DOO), la fr\u00e9quence, le d\u00e9lai AV, les amplitudes de stimulation et les dur\u00e9es d'impulsion; programmation indispensable avant l'IRM et reprogrammation apr\u00e8s; IRM corps entier sans zone d'exclusion;<\/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-52b6402 e-con-full e-flex e-con e-parent\" data-id=\"52b6402\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-33068fc elementor-widget elementor-widget-heading\" data-id=\"33068fc\" 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<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-92b3ca4 e-con-full e-flex e-con e-parent\" data-id=\"92b3ca4\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b983183 elementor-widget elementor-widget-text-editor\" data-id=\"b983183\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Contr\u00f4le de seuil ventriculaire droit sur dynamique: mesure quotidienne du seuil de stimulation ventriculaire + adaptation de la programmation pour les 24 heures; contr\u00f4le de capture ventriculaire sur moniteur: mesure du seuil de stimulation ventriculaire sans adaptation.<\/p><p>Seuil r\u00e9alis\u00e9 syst\u00e9matiquement toutes les 24 heures \u00e0 1h00 du matin; seuil de stimulation bas\u00e9 sur l'analyse de la r\u00e9ponse \u00e9voqu\u00e9e; une seule mesure quotidienne avec adaptation pour les 24 heures; amplitude cible en multipliant la marge de s\u00e9curit\u00e9 en amplitude VD par le seuil d\u2019amplitude mesur\u00e9 \u00e0 une dur\u00e9e d\u2019impulsion de 0,4 ms dans une plage de sortie d\u00e9finie par une limite inf\u00e9rieure programmable (param\u00e8tre Amplitude minimale ajust\u00e9e) et la limite de seuil sup\u00e9rieure de 5,0 V et 1,0 ms. La dur\u00e9e d\u2019impulsion minimale pour le contr\u00f4le du seuil ventriculaire est 0,4 ms.<\/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-4e2dcd8 e-con-full e-flex e-con e-parent\" data-id=\"4e2dcd8\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ccbaac2 elementor-widget elementor-widget-heading\" data-id=\"ccbaac2\" 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-b4c9d3d e-con-full e-flex e-con e-parent\" data-id=\"b4c9d3d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a75c381 elementor-widget elementor-widget-text-editor\" data-id=\"a75c381\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Contr\u00f4le du seuil atrial sur dynamique: mesure quotidienne du seuil de stimulation atriale + adaptation de la programmation pour les 24 heures; contr\u00f4le de capture atriale sur moniteur: mesure du seuil de stimulation atriale sans adaptation.<\/p><p>Seuil r\u00e9alis\u00e9 syst\u00e9matiquement toutes les 24 heures \u00e0 1h00; mesure de seuil bas\u00e9e sur la synchronisation des ondes P et R d\u00e9tect\u00e9es (2 m\u00e9thodes en fonction de la pr\u00e9sence ou de l'absence de conduction auriculo-ventriculaire); une seule mesure quotidienne avec adaptation pour les 24 heures; amplitude cible en multipliant la marge de s\u00e9curit\u00e9 en amplitude OD par le seuil mesur\u00e9 \u00e0 une dur\u00e9e d\u2019impulsion de 0,4 ms dans une plage de sortie d\u00e9finie par une limite inf\u00e9rieure programmable (param\u00e8tre Amplitude minimale ajust\u00e9e) et la limite de seuil sup\u00e9rieure de 5,0 V et 1,0 ms. La dur\u00e9e d\u2019impulsion minimale pour le contr\u00f4le du seuil atriale est 0,4 ms.<\/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-b418be1 e-con-full e-flex e-con e-parent\" data-id=\"b418be1\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d9d2d12 elementor-widget elementor-widget-heading\" data-id=\"d9d2d12\" 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-693aac9 e-con-full e-flex e-con e-parent\" data-id=\"693aac9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-897ee98 elementor-widget elementor-widget-text-editor\" data-id=\"897ee98\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pour les stimulateurs les plus r\u00e9cents, la d\u00e9tection est forc\u00e9ment automatique si elle est programm\u00e9 en bipolaire (fixe si unipolaire). Apr\u00e8s une d\u00e9tection ventriculaire, la valeur du seuil s\u2019ajuste \u00e0 75% de l\u2019onde R (maximum 8 x la valeur programm\u00e9e) puis suit une d\u00e9croissance dans le temps (450 ms) pour atteindre la sensibilit\u00e9 programm\u00e9e (exemple : 0,9 mV). Apr\u00e8s une d\u00e9tection auriculaire, la valeur du seuil s\u2019ajuste \u00e0 75% de l\u2019onde P (maximum 8 x valeur programm\u00e9e) puis suit une d\u00e9croissance dans le temps (200 ms) pour atteindre la sensibilit\u00e9 programm\u00e9e (exemple : 0,3 mV).<\/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-494579c e-con-full e-flex e-con e-parent\" data-id=\"494579c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ac621fb elementor-widget elementor-widget-heading\" data-id=\"ac621fb\" 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-8d7e643 e-con-full e-flex e-con e-parent\" data-id=\"8d7e643\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d884e74 elementor-widget elementor-widget-text-editor\" data-id=\"d884e74\" 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 non programmable. La fen\u00eatre de s\u00e9curit\u00e9 dure jusqu\u2019\u00e0 110 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 de blanking non programmable.<\/p><p>Si le stimulateur est programm\u00e9 sur un mode MVP, et fonctionne en mode AAI, la p\u00e9riode r\u00e9fractaire atriale post-stimulation atriale est automatiquement ajust\u00e9e \u00e0 75% du cycle cardiaque jusqu\u2019\u00e0 un maximum de 600 ms.<\/p><p>Pour les stimulateurs les plus r\u00e9cents, la m\u00e9thode du blanking atrial post-ventriculaire peut \u00eatre programm\u00e9e sur absolue (blanking traditionnel), partielle (marqueur Ab compt\u00e9 pour le diagnostic des arythmies) ou partielle + (baisse temporaire de la sensibilit\u00e9, marqueur Ab compt\u00e9 pour le diagnostic des arythmies).<\/p><p>La PRAPV peut \u00eatre programm\u00e9e sur une valeur fixe ou sur automatique.<\/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-f872275 e-con-full e-flex e-con e-parent\" data-id=\"f872275\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4060422 elementor-widget elementor-widget-heading\" data-id=\"4060422\" 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-2a21918 e-con-full e-flex e-con e-parent\" data-id=\"2a21918\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eefc98b elementor-widget elementor-widget-text-editor\" data-id=\"eefc98b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019algorithme d\u2019intervention sur les TRE est sur OFF en nominal. Il doit donc \u00eatre programm\u00e9 syst\u00e9matiquement.<\/p><p>Le stimulateur d\u00e9finit l\u2019apparition d\u2019une TRE lorsqu\u2019il d\u00e9tecte une neuvi\u00e8me stimulation ventriculaire \u00e0 la suite de huit intervalles VA cons\u00e9cutifs  avec un intervalle VA inf\u00e9rieur \u00e0 400 ms. L\u2019analyse du capteur permet de diff\u00e9rentier les tachycardies sinusales.<\/p><p>La TRE est stopp\u00e9e en allongeant la PRAPV \u00e0 400 ms.<\/p><p>Apr\u00e8s une intervention, la fonction d\u2019intervention anti-TRE est automatiquement suspendue pendant 90 secondes.<\/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-3be1969 e-con-full e-flex e-con e-parent\" data-id=\"3be1969\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31e3ac5 elementor-widget elementor-widget-heading\" data-id=\"31e3ac5\" 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-fe8f33d e-con-full e-flex e-con e-parent\" data-id=\"fe8f33d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c97460 elementor-widget elementor-widget-text-editor\" data-id=\"4c97460\" 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 est bas\u00e9 sur les donn\u00e9es fournies par un acc\u00e9l\u00e9rom\u00e8tre.<\/p><p>Un contr\u00f4le ind\u00e9pendant de l\u2019asservissement est assur\u00e9 dans deux gammes de fr\u00e9quences : AQ (activit\u00e9 quotidienne) et effort intense. Le syst\u00e8me d\u2019optimisation agit sur la pente r\u00e9glant la relation lin\u00e9aire dans les deux gammes de fr\u00e9quence.<\/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-46f5ef7 e-con-full e-flex e-con e-parent\" data-id=\"46f5ef7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-65e6c07 elementor-widget elementor-widget-heading\" data-id=\"65e6c07\" 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-534a525 e-con-full e-flex e-con e-parent\" data-id=\"534a525\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-706f9fc elementor-widget elementor-widget-text-editor\" data-id=\"706f9fc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le stimulateur commute en mode DDIR (mode non programmable) si la valeur m\u00e9diane des 12 intervalles atriaux d\u00e9tect\u00e9s les plus r\u00e9cents est plus courte que l\u2019intervalle TA\/FA programm\u00e9 et si le compteur d\u2019\u00e9vidence de FA (2 signaux auriculaires d\u00e9tect\u00e9s entre 2 signaux ventriculaires) est sup\u00e9rieur ou \u00e9gal \u00e0 3.<\/p><p>L\u2019arr\u00eat de l\u2019\u00e9pisode et le retour \u00e0 un mode synchrone surviennent \u00e0 la suite de l\u2019identification d\u2019un rythme sinusal normal (ou rythme stimul\u00e9 normal) pendant 5 intervalles ventriculaires cons\u00e9cutifs ou si l\u2019intervalle atrial m\u00e9dian est sup\u00e9rieur \u00e0 l\u2019intervalle de d\u00e9tection de TA\/FA ou si le compteur de TA\/FA est inf\u00e9rieur \u00e0 27 pendant 3 minutes.<\/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-fe085a9 e-con-full e-flex e-con e-parent\" data-id=\"fe085a9\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63d9a3e elementor-widget elementor-widget-heading\" data-id=\"63d9a3e\" 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-42ff409 e-con-full e-flex e-con e-parent\" data-id=\"42ff409\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a31d55 elementor-widget elementor-widget-text-editor\" data-id=\"0a31d55\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L'algorithme de recherche du flutter masqu\u00e9 recherche la pr\u00e9sence d'un signal atrial non vu car tombant dans le blanking atrial post-stimulation ventriculaire en allongeant la PRAPV sur un cycle (pas de stimulation ventriculaire et mise en \u00e9vidence de l\u2019activit\u00e9 atriale cach\u00e9e).<\/p><p>Les sp\u00e9cificit\u00e9s du blanking sur les nouvelles plateformes (signal comptabilis\u00e9 pour le diagnostic des arythmies) limitent l\u2019int\u00e9r\u00eat de ce type d\u2019algorithme.<\/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-36c4e1b e-con-full e-flex e-con e-parent\" data-id=\"36c4e1b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-acd2ff4 elementor-widget elementor-widget-heading\" data-id=\"acd2ff4\" 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-da39e09 e-con-full e-flex e-con e-parent\" data-id=\"da39e09\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9a60725 elementor-widget elementor-widget-text-editor\" data-id=\"9a60725\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>5 algorithmes sont disponibles<\/p><p>Stimulation atriale non-comp\u00e9titive : \u00e9viter le d\u00e9clenchement d\u2019une arythmie atriale par une stimulation au cours de la p\u00e9riode r\u00e9fractaire relative de l\u2019oreillette.<\/p><p>Pr\u00e9f\u00e9rence de stimulation atriale : augmentation de la fr\u00e9quence de stimulation pour \u00ab overdriver \u00bb l\u2019activation spontan\u00e9e atriale.<\/p><p>Stabilisation du rythme atrial : augmentation de la fr\u00e9quence de stimulation \u00e0 la suite d'une ESA afin d'\u00e9viter la succession cycle court, cycle long.<\/p><p>Stimulation rapide post-commutation de mode : stimulation atriale rapide juste apr\u00e8s un \u00e9pisode de commutation de mode.<\/p><p>R\u00e9ponse \u00e0 une FA conduite : 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-115717c e-con-full e-flex e-con e-parent\" data-id=\"115717c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05ef00c elementor-widget elementor-widget-heading\" data-id=\"05ef00c\" 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-5587624 e-con-full e-flex e-con e-parent\" data-id=\"5587624\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a799725 elementor-widget elementor-widget-text-editor\" data-id=\"a799725\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Technologie actuellement non disponible<\/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-509c405 e-con-full e-flex e-con e-parent\" data-id=\"509c405\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b822398 elementor-widget elementor-widget-heading\" data-id=\"b822398\" 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-05f9db2 e-con-full e-flex e-con e-parent\" data-id=\"05f9db2\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-98614ff elementor-widget elementor-widget-text-editor\" data-id=\"98614ff\" 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 : 24,5 minutes (5 min \u00e9pisodes TV, 2 min TVNS, 8,25 min \u00e9pisodes TA\/FA trait\u00e9s, 3 min \u00e9pisodes TA\/FA enregistr\u00e9s, 2 min doubles tachycardies, 2,5min \u00e9pisodes supraventriculaires, 1,75 min activation patient).<\/p><p>Il existe \u00e9galement une m\u00e9moire flashback : enregistrement des 2000 intervalles atriaux et ventriculaires pr\u00e9c\u00e9dents les \u00e9pisodes de tachyarythmies ou la plus r\u00e9cente interrogatit.<\/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-4269db7 e-con-full e-flex e-con e-parent\" data-id=\"4269db7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-13e841b elementor-widget elementor-widget-heading\" data-id=\"13e841b\" 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-c2d02ab e-con-full e-flex e-con e-parent\" data-id=\"c2d02ab\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4be2f21 elementor-widget elementor-widget-text-editor\" data-id=\"4be2f21\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pas de transmission automatique ou sur alertes. Une transmission manuelle est possible<\/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-678d1d5 e-con-full e-flex e-con e-parent\" data-id=\"678d1d5\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ad50af6 elementor-widget elementor-widget-heading\" data-id=\"ad50af6\" 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-7390b14 e-con-full e-flex e-con e-parent\" data-id=\"7390b14\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-24bab61 elementor-widget elementor-widget-text-editor\" data-id=\"24bab61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Possibilit\u00e9 de programmer des th\u00e9rapies pour traiter les \u00e9pisodes d'arythmie atriale ;<\/p><p>L\u2019appareil peut d\u00e9livrer jusqu\u2019\u00e0 3 th\u00e9rapies SAT afin de traiter la TA\/FA ou un \u00e9pisode rapide TA\/FA. Ces th\u00e9rapies correspondent au Burst + ou \u00e0 Ramp, chacun avec un nombre programmable de s\u00e9quences. Toutes les th\u00e9rapies SAT sont d\u00e9livr\u00e9es en mode AOO, cependant, la stimulation en VVI\/VOO est disponible lorsque les th\u00e9rapies atriales SAT sont d\u00e9livr\u00e9es.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9294a48 elementor-widget elementor-widget-image\" data-id=\"9294a48\" 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_medtronic2.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_medtronic2\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc2OSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X21lZHRyb25pYzIucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"696\" height=\"857\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic2.png\" class=\"attachment-large size-large wp-image-6769\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic2.png 696w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic2-244x300.png 244w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic2-10x12.png 10w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/>\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-1ef2c29 elementor-widget elementor-widget-image\" data-id=\"1ef2c29\" 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_medtronic3.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_medtronic3\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6Njc2OCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X21lZHRyb25pYzMucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"642\" height=\"303\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic3.png\" class=\"attachment-large size-large wp-image-6768\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic3.png 642w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic3-300x142.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_medtronic3-18x8.png 18w\" sizes=\"(max-width: 642px) 100vw, 642px\" \/>\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>","protected":false},"excerpt":{"rendered":"<p>Medtronic pacemakers in 20 points Content 1) Case volume Advisa single chamber: volume 11.9 cm3 Advisa double chamber: volume 12.7 cm3 2) Battery type Vanadium-lithium oxide silver with carbon monofluoride 3) Wear and length criteria In the Quick Overview, the first value shown is the residual life. The average value is shown, as well as [&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-356","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>Medtronic Pacemaker: 20 Key Points | Cardiocases<\/title>\n<meta name=\"description\" content=\"Essential Medtronic pacemaker reference \u2014 20 key points on pacing modes, algorithms &amp; ECG tracings. 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