{"id":3621,"date":"2025-10-08T18:51:33","date_gmt":"2025-10-08T18:51:33","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=3621"},"modified":"2026-03-28T12:58:01","modified_gmt":"2026-03-28T12:58:01","slug":"pacing-detection-abbott","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/abbott\/pacing-detection-abbott\/","title":{"rendered":"Pacing \/ Detection Abbott"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3621\" class=\"elementor elementor-3621\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bfa46cf e-con-full e-flex e-con e-parent\" data-id=\"bfa46cf\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-649c5ac elementor-widget elementor-widget-heading\" data-id=\"649c5ac\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Abbott - Stimulation \/ D\u00e9tection<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10ae079 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"10ae079\" 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__10ae079\" 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__10ae079\" 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__10ae079\" 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-8b48f7f elementor-widget elementor-widget-heading\" data-id=\"8b48f7f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Stimulation atriale<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3461e0d elementor-widget elementor-widget-text-editor\" data-id=\"3461e0d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Principes de fonctionnement<\/strong><\/p><ul><li>Confirmation ACap activ\u00e9e : le seuil de stimulation atriale est mesur\u00e9 et m\u00e9moris\u00e9 automatiquement sur la courbe + adaptation automatique de la programmation ;<\/li><li>Confirmation ACap sur le moniteur : le seuil de stimulation auriculaire est mesur\u00e9 et m\u00e9moris\u00e9 automatiquement sans adaptation automatique de la programmation.<\/li><li>seuil mesur\u00e9 syst\u00e9matiquement toutes les 8 ou 24 heures, selon le param\u00e9trage de l'intervalle de recherche<\/li><li>contr\u00f4le de capture bas\u00e9 sur l'analyse de la morphologie de la r\u00e9ponse \u00e9voqu\u00e9e atriale<\/li><li>pas de contr\u00f4le et d'adaptation de la capture d'un cycle \u00e0 l'autre pendant 8 heures<\/li><li>marge de s\u00e9curit\u00e9 variable en fonction du seuil : si seuil \u2264 1,5V, marge \u00e0 + 1,0V ; si seuil entre 1,625V et 2,25V, marge \u00e0 + 1,5V ; si seuil entre 2,375V et 3,0V, marge \u00e0 + 2,0V ; si seuil &gt; 3V, amplitude \u00e0 5V<\/li><li>amplitude maximale pouvant \u00eatre d\u00e9livr\u00e9e: 5 V pour dur\u00e9e d'impulsion programm\u00e9e<\/li><\/ul><p>\u00a0<\/p><p><strong>Acap Confirmer en pratique<\/strong><\/p><p>Le contr\u00f4le du seuil auriculaire est bas\u00e9 sur l'analyse de la morphologie de la r\u00e9ponse \u00e9voqu\u00e9e auriculaire, mais sans surveillance ni v\u00e9rification de la capture cycle par cycle. Le dispositif enregistre la morphologie de l'\u00e9chec de la capture. La morphologie se compose de points de mesure \u00e9chantillonn\u00e9s entre le premier stimulus et le stimulus de secours de 5 V (30 ms apr\u00e8s le premier) et de points de mesure suivant le stimulus de secours. Le mod\u00e8le de perte de capture est mis \u00e0 jour avant chaque mesure de seuil pendant le test de configuration.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99240c6 elementor-widget elementor-widget-image\" data-id=\"99240c6\" 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_situation_stimulation_a10.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation_a10\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwNiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbl9hMTAucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"684\" height=\"318\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a10.png\" class=\"attachment-large size-large wp-image-6606\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a10.png 684w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a10-300x139.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a10-18x8.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 class=\"elementor-element elementor-element-59d79d1 elementor-widget elementor-widget-text-editor\" data-id=\"59d79d1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pendant le test de configuration, qui est une condition pr\u00e9alable essentielle \u00e0 la mesure du seuil, trois paires de stimuli sont d\u00e9livr\u00e9es pour tester la morphologie de la r\u00e9ponse \u00e9voqu\u00e9e (RE) :<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78c87f8 elementor-widget elementor-widget-image\" data-id=\"78c87f8\" 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_situation_stimulation_a11.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation_a11\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwNSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbl9hMTEucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"651\" height=\"307\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a11.png\" class=\"attachment-large size-large wp-image-6605\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a11.png 651w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a11-300x141.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a11-18x8.png 18w\" sizes=\"(max-width: 651px) 100vw, 651px\" \/>\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-395ab61 elementor-widget elementor-widget-text-editor\" data-id=\"395ab61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Acap Confirm utilise un score pour diff\u00e9rencier la morphologie de perte de capture de la morphologie de capture. Si le score de capture est tr\u00e8s diff\u00e9rent du score de perte de capture, la configuration est recommand\u00e9e et le seuil de stimulation est automatiquement mesur\u00e9.<\/p><p>Tests 2 and 3 are used to update the loss-of-capture model. The ER morphology model for loss of capture is continuously updated.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a46d8cf elementor-widget elementor-widget-image\" data-id=\"a46d8cf\" 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_situation_stimulation_a12.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation_a12\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwNCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbl9hMTIucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"694\" height=\"343\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a12.png\" class=\"attachment-large size-large wp-image-6604\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a12.png 694w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a12-300x148.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a12-18x9.png 18w\" sizes=\"(max-width: 694px) 100vw, 694px\" \/>\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-17f8c6a elementor-widget elementor-widget-image\" data-id=\"17f8c6a\" 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_situation_stimulation_a13.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation_a13\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwMywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbl9hMTMucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"710\" height=\"411\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a13.png\" class=\"attachment-large size-large wp-image-6603\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a13.png 710w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a13-300x174.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a13-18x10.png 18w\" sizes=\"(max-width: 710px) 100vw, 710px\" \/>\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-0c66b18 elementor-widget elementor-widget-text-editor\" data-id=\"0c66b18\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le stimulus de secours de 5 V est d\u00e9livr\u00e9 cycle par cycle pendant le seuil, que le premier stimulus soit captur\u00e9 ou non, afin d'\u00e9valuer le score de morphologie.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5419251 elementor-widget elementor-widget-image\" data-id=\"5419251\" 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_situation_stimulation_a14_0.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation_a14_0\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwMiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbl9hMTRfMC5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"695\" height=\"385\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a14_0.png\" class=\"attachment-large size-large wp-image-6602\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a14_0.png 695w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a14_0-300x166.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a14_0-18x10.png 18w\" sizes=\"(max-width: 695px) 100vw, 695px\" \/>\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-82fb3e1 elementor-widget elementor-widget-text-editor\" data-id=\"82fb3e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Apr\u00e8s une mesure de seuil effectu\u00e9e toutes les 8 ou 24 heures, l'amplitude auriculaire est automatiquement ajust\u00e9e avec la marge suivante :<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9469b0 elementor-widget elementor-widget-image\" data-id=\"c9469b0\" 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_situation_stimulation_a15.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation_a15\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwMSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbl9hMTUucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"619\" height=\"139\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a15.png\" class=\"attachment-large size-large wp-image-6601\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a15.png 619w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a15-300x67.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation_a15-18x4.png 18w\" sizes=\"(max-width: 619px) 100vw, 619px\" \/>\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-ac16751 elementor-widget elementor-widget-text-editor\" data-id=\"ac16751\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Si le seuil de stimulation d\u00e9termin\u00e9 par l\u2019algorithme d\u00e9passe 3,875 V, l\u2019Acap Confirm est d\u00e9sactiv\u00e9e automatiquement et l\u2019amplitude d\u2019impulsion est reprogramm\u00e9e \u00e0 5 V.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78e401c elementor-widget elementor-widget-heading\" data-id=\"78e401c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Stimulation ventriculaire<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6703df2 elementor-widget elementor-widget-text-editor\" data-id=\"6703df2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Principes de fonctionnement<\/strong><\/p><ul><li>Ventricular AutoCapture on : mesure du seuil de stimulation ventriculaire + adaptation de la programmation avec surveillance cycle par cycle ;<\/li><li>seuil mesur\u00e9 syst\u00e9matiquement au moins toutes les huit heures (option de programmation alternative : mesure toutes les 24 heures)<\/li><li>surveillance cycle par cycle de la capture bas\u00e9e sur l'analyse de la r\u00e9ponse \u00e9voqu\u00e9e<\/li><li>marge de s\u00e9curit\u00e9 de 0,25 V<\/li><li>amplitude maximale pouvant \u00eatre d\u00e9livr\u00e9e: 4.5 V pour dur\u00e9e d'impulsion programm\u00e9e<\/li><\/ul><p>\u00a0<\/p><p><strong>L'auto-capture ventriculaire en pratique<\/strong><\/p><p>Le syst\u00e8me de stimulation ventriculaire AutoCapture ajuste automatiquement l'amplitude de l'impulsion ventriculaire du stimulateur au-dessus du seuil du patient mesur\u00e9 r\u00e9guli\u00e8rement (au moins toutes les huit heures) et permet de v\u00e9rifier la capture cycle par cycle.  .<\/p><p>Depuis la plateforme de stimulateurs cardiaques Zephyr (et les gammes suivantes : Accent, Endurity, Assurity), la fonction AutoCapture peut \u00eatre activ\u00e9e quelles que soient les configurations de d\u00e9tection et de stimulation programm\u00e9es : Uni pacing\/d\u00e9tection Uni ; Bi pacing\/d\u00e9tection Bi ; Bi pacing\/d\u00e9tection Uni ; Uni pacing\/d\u00e9tection Bi.<\/p><p>Un test de configuration automatique, permettant de v\u00e9rifier la compatibilit\u00e9 de la sonde en fonction de sa polarisation et de diff\u00e9rencier la capture de l'\u00e9chec de capture, pr\u00e9c\u00e8de la premi\u00e8re demande d'activation. Ce test reste facultatif (mais recommand\u00e9) avant chaque mesure de seuil.<\/p><p>Trois r\u00e9glages de param\u00e8tres AutoCapture V sont disponibles :<\/p><ol><li>Configuration : ce param\u00e8tre est disponible lors de la premi\u00e8re activation. Le programmateur propose alors de lancer le test de configuration, puis le test de stimulation si la capture automatique est recommand\u00e9e ; <\/li><li>On : l'appareil mesure le seuil, ajuste automatiquement l'amplitude de l'impulsion, enregistre la mesure du seuil dans la courbe du seuil et m\u00e9morise l'EGM correspondant au dernier seuil ;<\/li><li>Arr\u00eat : l\u2019appareil ne mesure pas le seuil de stimulation et n\u2019effectue aucun r\u00e9glage automatique de l\u2019amplitude d\u2019impulsion.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5273d6 elementor-widget elementor-widget-image\" data-id=\"d5273d6\" 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_situation_stimulation10.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation10\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjYwMCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjEwLnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"686\" height=\"314\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation10.png\" class=\"attachment-large size-large wp-image-6600\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation10.png 686w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation10-300x137.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation10-18x8.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 class=\"elementor-element elementor-element-e844ef1 elementor-widget elementor-widget-text-editor\" data-id=\"e844ef1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les param\u00e8tres suivants peuvent \u00eatre ajust\u00e9s dans la fen\u00eatre Param\u00e8tres AutoCapture :<\/p><ul><li>the backup pacing configuration, which allows you to program the polarity configuration of the backup pacing to bipolar or unipolar (default value);<\/li><li>l'intervalle de recherche, qui programme la fr\u00e9quence de mesure du seuil \u00e0 8 heures (valeur par d\u00e9faut) ou 24 heures ;<\/li><li>les retards AV stimul\u00e9s\/d\u00e9tect\u00e9s pour AutoCapture\u2122 V, qui programment les param\u00e8tres de retard AV stimul\u00e9 et de retard AV d\u00e9tect\u00e9 utilis\u00e9s lors d'une recherche de seuil \u00e0 50\/25 ms (valeur nominale), 100\/70 ms ou 120\/100 ms. Le r\u00e9glage recommand\u00e9 pour ce param\u00e8tre est 50\/25 pour \u00e9viter les fusions. Les fusions sont plus probables avec des d\u00e9lais plus longs et peuvent entra\u00eener des r\u00e9sultats de recherche de seuil incorrects.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aca855f elementor-widget elementor-widget-image\" data-id=\"aca855f\" 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_situation_stimulation11.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation11\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5OSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjExLnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"693\" height=\"319\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation11.png\" class=\"attachment-large size-large wp-image-6599\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation11.png 693w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation11-300x138.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation11-18x8.png 18w\" sizes=\"(max-width: 693px) 100vw, 693px\" \/>\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-dd363fe elementor-widget elementor-widget-text-editor\" data-id=\"dd363fe\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le syst\u00e8me AutoCaptureTM utilise quatre algorithmes pour contr\u00f4ler la capture cycle par cycle :<\/p><ul><li>v\u00e9rification de la capture<\/li><li>r\u00e9cup\u00e9ration des pertes de capture<\/li><li>\u00e9vitement de la fusion<\/li><li>mesure p\u00e9riodique du seuil de stimulation<\/li><\/ul><p><br \/>1 - V\u00e9rification de la capture<\/p><p>La v\u00e9rification de l'efficacit\u00e9 de la capture est bas\u00e9e sur une analyse de la r\u00e9ponse \u00e9voqu\u00e9e (RE).  Si la configuration de stimulation ventriculaire est programm\u00e9e pour \u00eatre unipolaire, la pente du signal (DMAX) est utilis\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a40a4e elementor-widget elementor-widget-image\" data-id=\"3a40a4e\" 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_situation_stimulation12.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation12\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5OCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjEyLnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"325\" height=\"275\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation12.png\" class=\"attachment-large size-large wp-image-6598\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation12.png 325w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation12-300x254.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation12-14x12.png 14w\" sizes=\"(max-width: 325px) 100vw, 325px\" \/>\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-49928d2 elementor-widget elementor-widget-text-editor\" data-id=\"49928d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pour v\u00e9rifier l'existence de la capture, il y a une phase initiale de suppression de 14 ms suivie d'une fen\u00eatre de 46 ms pour la recherche de la r\u00e9ponse \u00e9voqu\u00e9e. Si le dispositif d\u00e9tecte une r\u00e9ponse \u00e9voqu\u00e9e dans cette fen\u00eatre, la capture est confirm\u00e9e. Si aucun signal de r\u00e9ponse \u00e9voqu\u00e9e n'est d\u00e9tect\u00e9, le dispositif \u00e9met une impulsion de sauvegarde de 5 V dans les 80 \u00e0 100 ms suivant l'impulsion initiale pour assurer la capture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-76fdaa5 elementor-widget elementor-widget-image\" data-id=\"76fdaa5\" 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_situation_stimulation13.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation13\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5NywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjEzLnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"529\" height=\"694\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation13.png\" class=\"attachment-large size-large wp-image-6597\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation13.png 529w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation13-229x300.png 229w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation13-9x12.png 9w\" sizes=\"(max-width: 529px) 100vw, 529px\" \/>\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-e4c605a elementor-widget elementor-widget-text-editor\" data-id=\"e4c605a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A configuration test is required to confirm that the AutoCapture system is working with the implanted probe. This test measures the evoked response and polarization artifact to enable effective capture assessment. It is used to determine an appropriate ER detection sensitivity. If there is sufficient margin between the ER sensitivity and the probe polarization, then AutoCapture will function reliably.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba79d7a elementor-widget elementor-widget-image\" data-id=\"ba79d7a\" 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_situation_stimulation14.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation14\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5NiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjE0LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"401\" height=\"228\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation14.png\" class=\"attachment-large size-large wp-image-6596\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation14.png 401w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation14-300x171.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation14-18x10.png 18w\" sizes=\"(max-width: 401px) 100vw, 401px\" \/>\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-cc28c12 elementor-widget elementor-widget-text-editor\" data-id=\"cc28c12\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\u00c0 la fin du test de configuration, l'appareil indique si la fonction AutoCapture est recommand\u00e9e ou non.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb852a1 elementor-widget elementor-widget-image\" data-id=\"cb852a1\" 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_situation_stimulation15.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation15\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5NSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjE1LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"694\" height=\"320\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation15.png\" class=\"attachment-large size-large wp-image-6595\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation15.png 694w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation15-300x138.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation15-18x8.png 18w\" sizes=\"(max-width: 694px) 100vw, 694px\" \/>\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-32632e5 elementor-widget elementor-widget-text-editor\" data-id=\"32632e5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Il reste la possibilit\u00e9 de changer le mode de d\u00e9tection et de stimulation (gamme Zephyr et sup\u00e9rieure) et\/ou la dur\u00e9e d'impulsion, puis de relancer le test.<\/p><p>2 - R\u00e9cup\u00e9ration apr\u00e8s une perte de capture<\/p><p>Si la v\u00e9rification de la capture confirme deux pertes de capture cons\u00e9cutives, l'appareil lance l'algorithme de r\u00e9cup\u00e9ration en cas de perte de capture. Au cours du cycle suivant, le stimulateur cardiaque d\u00e9livre une impulsion de sauvetage, puis augmente l'amplitude de l'impulsion automatique de 0,25 V et recherche la capture. Si aucune capture n'est confirm\u00e9e, l'appareil augmente l'amplitude de l'impulsion de 0,125 V au cours du cycle suivant et recherche une capture. Lorsque deux captures successives sont confirm\u00e9es \u00e0 la m\u00eame tension, l'appareil commence une recherche de seuil.<\/p><p>Si aucune capture n'est confirm\u00e9e avant que le dispositif n'augmente automatiquement l'amplitude de l'impulsion \u00e0 3,875 V, le dispositif passe en mode haute amplitude : l'amplitude de l'impulsion est r\u00e9gl\u00e9e \u00e0 5 V et la dur\u00e9e de l'impulsion \u00e0 0,5 ms (ou plus si la valeur programm\u00e9e est plus \u00e9lev\u00e9e). Apr\u00e8s 128 cycles, l'appareil commence une recherche de seuil.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-834895d elementor-widget elementor-widget-image\" data-id=\"834895d\" 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_situation_stimulation16.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation16\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5NCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjE2LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"631\" height=\"778\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation16.png\" class=\"attachment-large size-large wp-image-6594\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation16.png 631w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation16-243x300.png 243w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation16-10x12.png 10w\" sizes=\"(max-width: 631px) 100vw, 631px\" \/>\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-00f044c elementor-widget elementor-widget-text-editor\" data-id=\"00f044c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>3 - \u00c9viter les fusions<\/p>\n<p>Les fusions avec AutoCapture doivent \u00eatre \u00e9vit\u00e9es car l'algorithme conclurait qu'il y a eu une perte de capture en raison d'une augmentation du seuil et d\u00e9clencherait son algorithme de r\u00e9cup\u00e9ration de la perte de capture.<\/p>\n<p>In dual-chamber mode, a single absence of ER detection, requiring the delivery of a 5 V rescue pulse, automatically causes the stimulated and detected AV delay to be extended by 100 ms during the next cycle in order to search for spontaneous conduction. As a first step, the algorithm \u201cassumes\u201d that the capture loss is due to fusion and not to a lack of pulse energy. This function acts in a similar way to VIP.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87a4040 elementor-widget elementor-widget-image\" data-id=\"87a4040\" 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_situation_stimulation17.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation17\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5MywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjE3LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"499\" height=\"233\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation17.png\" class=\"attachment-large size-large wp-image-6593\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation17.png 499w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation17-300x140.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation17-18x8.png 18w\" sizes=\"(max-width: 499px) 100vw, 499px\" \/>\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-f0dfad4 elementor-widget elementor-widget-text-editor\" data-id=\"f0dfad4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Si la perte de capture est confirm\u00e9e apr\u00e8s l'allongement du d\u00e9lai AV stimul\u00e9 ou d\u00e9tect\u00e9 (deux cycles cons\u00e9cutifs n\u00e9cessitant la d\u00e9livrance d'une impulsion de s\u00e9curit\u00e9 de 5 V), le stimulateur cardiaque d\u00e9clenche son algorithme de r\u00e9cup\u00e9ration de la capture :<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-251971b elementor-widget elementor-widget-image\" data-id=\"251971b\" 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_situation_stimulation18.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation18\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5MiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjE4LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"487\" height=\"190\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation18.png\" class=\"attachment-large size-large wp-image-6592\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation18.png 487w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation18-300x117.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation18-18x7.png 18w\" sizes=\"(max-width: 487px) 100vw, 487px\" \/>\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-3dfe680 elementor-widget elementor-widget-text-editor\" data-id=\"3dfe680\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>4 - Mesure p\u00e9riodique du seuil de stimulation<\/p><p>Lorsque la recherche automatique du seuil est lanc\u00e9e (toutes les 8 ou 24 heures), l'appareil diminue l'amplitude de l'impulsion de 0,25 V tous les deux cycles. Si cela entra\u00eene une perte de capture, l'appareil \u00e9met une impulsion de secours de 5 V (marge de s\u00e9curit\u00e9) 80 \u00e0 100 ms apr\u00e8s la premi\u00e8re impulsion de test. Si la capture est perdue sur deux cycles cons\u00e9cutifs \u00e0 la m\u00eame amplitude, l'algorithme augmente alors l'amplitude de l'impulsion par paliers de 0,125 V tous les deux cycles. Deux captures cons\u00e9cutives \u00e0 la m\u00eame amplitude doivent \u00eatre confirm\u00e9es pour d\u00e9terminer la nouvelle valeur du seuil de stimulation. Lorsque celle-ci est trouv\u00e9e, l'appareil d\u00e9termine une nouvelle amplitude automatique en ajoutant une marge de travail de 0,25 V.<\/p><p>Si la recherche descendante ne permet pas de d\u00e9terminer une perte de capture au r\u00e9glage d'amplitude d'impulsion le plus bas, c'est-\u00e0-dire 0 V, l'appareil passe en \u201cmode haute amplitude\u201d pendant une p\u00e9riode de 128 cycles cardiaques, puis recommence la recherche de seuil.<\/p><p>Si le seuil de stimulation d\u00e9termin\u00e9 par l'algorithme d\u00e9passe 3,875 V pour une certaine dur\u00e9e d'impulsion, la capture automatique est automatiquement d\u00e9sactiv\u00e9e et l'amplitude de l'impulsion est reprogramm\u00e9e \u00e0 5 V (mode haute amplitude). Un r\u00e9glage de dur\u00e9e d'impulsion plus \u00e9lev\u00e9 peut permettre de r\u00e9activer la capture automatique dans ce cas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-04bac13 elementor-widget elementor-widget-image\" data-id=\"04bac13\" 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_situation_stimulation19.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation19\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5MSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjE5LnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"404\" height=\"404\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation19.png\" class=\"attachment-large size-large wp-image-6591\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation19.png 404w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation19-300x300.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation19-150x150.png 150w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation19-12x12.png 12w\" sizes=\"(max-width: 404px) 100vw, 404px\" \/>\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-0b3417c elementor-widget elementor-widget-text-editor\" data-id=\"0b3417c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La recherche de seuil est r\u00e9p\u00e9t\u00e9e 1) apr\u00e8s chaque op\u00e9ration de r\u00e9cup\u00e9ration de perte de capture 2) automatiquement toutes les 8 heures 3) lorsque la t\u00eate de t\u00e9l\u00e9m\u00e9trie est retir\u00e9e 4) lorsque l'aimant est retir\u00e9 5) lorsque l'op\u00e9rateur effectue le test de seuil du stimulateur via Autocapture\u2122.<\/p><p>Pour \u00e9viter les fusions, le d\u00e9lai AV stimul\u00e9 est programm\u00e9 \u00e0 50 ms et le d\u00e9lai AV d\u00e9tect\u00e9 \u00e0 25 ms. Les valeurs programm\u00e9es sont r\u00e9tablies lorsque la recherche est termin\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce6d044 elementor-widget elementor-widget-image\" data-id=\"ce6d044\" 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_situation_stimulation20.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation20\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU5MCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjIwLnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"671\" height=\"777\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation20.png\" class=\"attachment-large size-large wp-image-6590\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation20.png 671w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation20-259x300.png 259w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation20-10x12.png 10w\" sizes=\"(max-width: 671px) 100vw, 671px\" \/>\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-c29b68a elementor-widget elementor-widget-image\" data-id=\"c29b68a\" 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_situation_stimulation21.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situation_stimulation21\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU4OSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbl9zdGltdWxhdGlvbjIxLnBuZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"730\" height=\"860\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation21.png\" class=\"attachment-large size-large wp-image-6589\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation21.png 730w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation21-255x300.png 255w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situation_stimulation21-10x12.png 10w\" sizes=\"(max-width: 730px) 100vw, 730px\" \/>\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-6354f55 elementor-widget elementor-widget-text-editor\" data-id=\"6354f55\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Ligne de tendance montrant l'\u00e9volution du seuil sur un an<\/p><p>EGM enregistr\u00e9 qui correspond au seuil le plus r\u00e9cent<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70ee61a elementor-widget elementor-widget-heading\" data-id=\"70ee61a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">D\u00e9tection<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-742d0f9 elementor-widget elementor-widget-text-editor\" data-id=\"742d0f9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Apr\u00e8s le filtrage, le signal est \u00e9galement redress\u00e9 num\u00e9riquement. La d\u00e9tection est bas\u00e9e sur un signal monophas\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06e256c elementor-widget elementor-widget-image\" data-id=\"06e256c\" 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_situations_detection8.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situations_detection8\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU4OCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbnNfZGV0ZWN0aW9uOC5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"233\" height=\"251\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection8.png\" class=\"attachment-large size-large wp-image-6588\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection8.png 233w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection8-11x12.png 11w\" sizes=\"(max-width: 233px) 100vw, 233px\" \/>\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-18e251c elementor-widget elementor-widget-text-editor\" data-id=\"18e251c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In bipolar detection, atrial and ventricular sensitivity can be programmed to automatic (AutoSense or SenseAbility) or fixed. However, sensitivity must be fixed if detection is unipolar. When the lead is coded as bipolar, unipolar detection can be programmed either between the distal tip and the pacemaker body or between the ring and the pacemaker body.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5ffd21 elementor-widget elementor-widget-image\" data-id=\"a5ffd21\" 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_situations_detection9.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situations_detection9\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU4NywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbnNfZGV0ZWN0aW9uOS5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"560\" height=\"418\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection9.png\" class=\"attachment-large size-large wp-image-6587\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection9.png 560w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection9-300x224.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection9-16x12.png 16w\" sizes=\"(max-width: 560px) 100vw, 560px\" \/>\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-a41256e elementor-widget elementor-widget-text-editor\" data-id=\"a41256e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le principe du contr\u00f4le automatique de la sensibilit\u00e9 est d'ajuster la sensibilit\u00e9 en fonction de l'amplitude de l'onde P ou de l'onde R pr\u00e9c\u00e9dente, puis d'augmenter la sensibilit\u00e9 au cours du cycle. .<\/p><p>Diff\u00e9rents param\u00e8tres peuvent \u00eatre programm\u00e9s pour optimiser la qualit\u00e9 de la d\u00e9tection : sensibilit\u00e9 maximale, d\u00e9lai d'adaptation (post-stimulation et post-d\u00e9tection), niveau d'adaptation (post-stimulation et post-d\u00e9tection), p\u00e9riode r\u00e9fractaire stimul\u00e9e et d\u00e9tect\u00e9e (post-stimulation et post-d\u00e9tection).<\/p><p>Dans l'exemple de la figure ci-dessous, l'appareil d\u00e9tecte une onde R mesur\u00e9e \u00e0 6 mV. \u00c0 la fin du blanking post-d\u00e9tection, la sensibilit\u00e9 est initialement r\u00e9gl\u00e9e au niveau d'adaptation (dans cet exemple, 50% du signal maximal mesur\u00e9 ; 3 mV). Ce niveau de sensibilit\u00e9 est maintenu pendant le d\u00e9lai d'adaptation (dans cet exemple, pas de d\u00e9lai d'adaptation ; 0 ms). La sensibilit\u00e9 augmente ensuite lin\u00e9airement jusqu'au prochain \u00e9v\u00e9nement d\u00e9tect\u00e9 ou jusqu'\u00e0 la sensibilit\u00e9 maximale (1 mV dans cet exemple).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18c6f14 elementor-widget elementor-widget-image\" data-id=\"18c6f14\" 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_situations_detection10.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situations_detection10\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU4NiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbnNfZGV0ZWN0aW9uMTAucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"453\" height=\"252\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection10.png\" class=\"attachment-large size-large wp-image-6586\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection10.png 453w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection10-300x167.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection10-18x10.png 18w\" sizes=\"(max-width: 453px) 100vw, 453px\" \/>\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-31af1f6 elementor-widget elementor-widget-text-editor\" data-id=\"31af1f6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>1. Suppression apr\u00e8s d\u00e9tection ; 2. onde R d\u00e9tect\u00e9e ; 3. amplitude maximale de l'onde R : 6 mV ; 4. niveau d'adaptation r\u00e9gl\u00e9 sur 50% ; 5. sensibilit\u00e9 \u00e0 3 mV ; 6. onde R \u00e0 4 mV ; 7. niveau d'adaptation r\u00e9gl\u00e9 sur 50% ; 8. sensibilit\u00e9 \u00e0 2 mV ; 9. sensibilit\u00e9 maximale ;\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4cf475a elementor-widget elementor-widget-image\" data-id=\"4cf475a\" 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_situations_detection11.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situations_detection11\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU4NSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbnNfZGV0ZWN0aW9uMTEucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"719\" height=\"302\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection11.png\" class=\"attachment-large size-large wp-image-6585\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection11.png 719w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection11-300x126.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection11-18x8.png 18w\" sizes=\"(max-width: 719px) 100vw, 719px\" \/>\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-147a898 elementor-widget elementor-widget-image\" data-id=\"147a898\" 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_situations_detection12.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"pm_19_situations_detection12\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjU4NCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL3BtXzE5X3NpdHVhdGlvbnNfZGV0ZWN0aW9uMTIucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"686\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection12.png\" class=\"attachment-large size-large wp-image-6584\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection12.png 689w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection12-300x300.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection12-150x150.png 150w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/pm_19_situations_detection12-12x12.png 12w\" sizes=\"(max-width: 689px) 100vw, 689px\" \/>\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-1a8813c elementor-widget elementor-widget-text-editor\" data-id=\"1a8813c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Lorsque le d\u00e9lai de stimulation post-ventriculaire est r\u00e9gl\u00e9 sur Auto, l'appareil ajuste automatiquement le d\u00e9lai utilis\u00e9 apr\u00e8s une stimulation ventriculaire pour compenser le raccourcissement de l'intervalle QT associ\u00e9 \u00e0 des vitesses de stimulation rapides.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Abbott &#8211; Pacing \/ Detection Content Atrial pacing Operating principles ACap Confirm activated: the atrial pacing threshold is measured and stored automatically on the curve + automatic programming adaptation; ACap Confirm on monitor: the atrial pacing threshold is measured and stored automatically without automatic programming adaptation threshold measured systematically every 8 or 24 hours, depending [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":47,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3621","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>Abbott Pacemaker Pacing &amp; Detection | Cardiocases<\/title>\n<meta name=\"description\" content=\"Abbott pacemaker pacing &amp; detection \u2014 output, sensitivity, sensing &amp; ECG tracings. Programming reference for electrophysiologists.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/abbott\/pacing-detection-abbott\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Abbott Pacemaker Pacing &amp; Detection | Cardiocases\" \/>\n<meta property=\"og:description\" content=\"Abbott pacemaker pacing &amp; detection \u2014 output, sensitivity, sensing &amp; ECG tracings. 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