{"id":3653,"date":"2025-10-08T19:01:53","date_gmt":"2025-10-08T19:01:53","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=3653"},"modified":"2025-11-17T20:41:21","modified_gmt":"2025-11-17T20:41:21","slug":"programming-during-exercise-boston-scientific","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/boston-scientific\/programming-during-exercise-boston-scientific\/","title":{"rendered":"Programming during exercise Boston Scientific"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3653\" class=\"elementor elementor-3653\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75e24c5 e-con-full e-flex e-con e-parent\" data-id=\"75e24c5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-34eb36d elementor-widget elementor-widget-heading\" data-id=\"34eb36d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 2rem\">Boston Scientific - <\/span>Programming during exercise<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8831839 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"8831839\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h3&quot;,&quot;h4&quot;,&quot;h5&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;marker_view&quot;:&quot;bullets&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;,&quot;rendered_tag&quot;:&quot;&lt;svg class=\\&quot;e-font-icon-svg e-fas-circle\\&quot; viewBox=\\&quot;0 0 512 512\\&quot; xmlns=\\&quot;http:\\\/\\\/www.w3.org\\\/2000\\\/svg\\&quot;&gt;&lt;path d=\\&quot;M256 8C119 8 8 119 8 256s111 248 248 248 248-111 248-248S393 8 256 8z\\&quot;&gt;&lt;\\\/path&gt;&lt;\\\/svg&gt;&quot;},&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tContent\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__8831839\" 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__8831839\" 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__8831839\" 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-571777d elementor-widget elementor-widget-heading\" data-id=\"571777d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Rate-adaptive pacing<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5d8d3b elementor-widget elementor-widget-text-editor\" data-id=\"a5d8d3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>2 sensors are available: accelerom<\/strong><strong>eter (G) and minute ventilation (MV):\u00a0<\/strong><\/p><p><strong>1. Accelerometer<\/strong><\/p><p>Adaptive Rate Pacing with Accelerometer Sensor provides an increase in heart rate by detecting body movement associated with physical activity. The accelerometer is a mass suspended from the integrated circuit in a\u00a0<em>diving board\u00a0<\/em>orientation along the X-axis.<\/p><ul><li>the accelerometer sensor measures the amplitude (force of motion) and frequency of body motion<\/li><li>the movement of the accelerometer within the PG is then converted to an electrical signal which is used by the sensor circuitry to determine rate changes above the lower rate limit<\/li><li>the sensor responds to activity in the frequency range of 1-10 Hz where physiologic activity signals predominantly occur<\/li><\/ul><p><em>Activity threshold<\/em><\/p><p>Determines the minimum amount of activity needed to cause an increase in the sensor-driven pacing rate.<\/p><ul><li>a lower setting requires less motion to increase the pacing rate<\/li><li>a higher setting requires more motion to increase the pacing rate<\/li><li>for example, programming from the Medium setting to the Low setting would allow a lower amount of activity to cause a sensor-driven rate increase<\/li><li>the Activity Threshold should be set low enough to allow a rate increase with minor activity such as walking but be high enough to prevent rate increases due to lower intensity motion<\/li><\/ul><p><em>Reaction time<\/em><\/p><p>Determines how quickly the pacing rate will rise to a new level once an increase in activity above the Activity Threshold is detected.<\/p><ul><li>the value selected indicates the time required to increase the pacing rate from the lower rate limit to the maximal sensor rate at a maximum level of activity<\/li><li>the rate will increase in steps and the device will pace for multiple cycles at each step before increasing to the next higher rate to avoid abrupt increases in the pacing rate<\/li><li>shorter reaction times result in faster increases in the pacing rate<\/li><li>longer reaction times result in slower increases in the pacing rate<\/li><\/ul><p><strong>\u00a0<\/strong><\/p><p><em>Response factor<\/em><\/p><p>Determines the aggressiveness of the sensor at all levels of activity and functions independently from the reaction time and recovery time parameters.<\/p><ul><li>a high response factor setting will require less activity to reach the maximum sensor rate and a low response factor setting will require more activity to reach the maximum sensor rate<\/li><li>each value increase in the response factor setting will result in a 10-15 beat per minute increase in heart rate at a given activity level<\/li><li>if programmed too low, there will be an insufficient increase in heart rate with activity<\/li><li>if programmed too high, the patient may reach the MSR at moderate levels of activity<\/li><li>reprogramming the maximum sensor rate or lower rate limit does not change the slope (overall aggressiveness) of the response factor<\/li><\/ul><p><em>Revovery time<\/em><\/p><p>Determines how quickly the pacing rate will decrease to a new level once a decrease in activity is detected.<\/p><ul><li>the value selected indicates the time required to decrease the pacing rate from the maximum sensor rate to the lower rate limit in the absence of activity<\/li><li>the rate will decrease in steps and the device will pace for multiple cycles at each step before decreasing to the next lower rate to avoid abrupt decreases in the pacing rate<\/li><li>shorter recovery times result in faster decreases in pacing rate and longer recovery times result in slower decreases in the pacing rate<\/li><li>the recovery time is also applied when returning to the lower rate limit after temporarily pacing at a higher temporary lower rate limit<\/li><\/ul><p><strong>2. Minute ventilation (MV)<\/strong><\/p><p>The pulse generator uses transthoracic impedance to measure minute ventilation (MV), which is the product of respiration rate and tidal volume. Based on the MV measurement, the pulse generator calculates the sensor-indicated rate.<\/p><ul><li>transthoracic impedance increases on inspiration as the lungs fill with air (since air has high impedance) and decreases on expiration<\/li><li>to measure the respiratory changes in impedance, a current (I) is driven between the RA Ring and Can and the voltage (V) is measured from the RA Tip to Can<\/li><li>R (impedance) = V (voltage) \/ I (current)<\/li><li>the relationship between the detected increase in MV and the resulting increase in the sensor-indicated rate is established by the MV Response Factor<\/li><li>the Ventilatory Threshold is a physiologic term describing the point during exercise when the breathing rate increases faster than the heart rate (sometimes referred to as Anaerobic or Lactate Threshold)<\/li><li>the Response Factor controls the MV rate response for sensor rates between the lower rate limit and the Ventilatory Threshold<\/li><li>the Ventilatory Threshold Response Factor controls the MV rate response when the sensor rate is above the Ventilatory Threshold<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Boston Scientific &#8211; Programming during exercise Content Rate-adaptive pacing 2 sensors are available: accelerometer (G) and minute ventilation (MV):\u00a0 1. Accelerometer Adaptive Rate Pacing with Accelerometer Sensor provides an increase in heart rate by detecting body movement associated with physical activity. The accelerometer is a mass suspended from the integrated circuit in a\u00a0diving board\u00a0orientation along [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":51,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3653","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Boston Scientific Pacemaker Exercise Programming | Cardiocases<\/title>\n<meta name=\"description\" content=\"Programming during exercise Boston Scientific\" \/>\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\/boston-scientific\/programming-during-exercise-boston-scientific\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Boston Scientific Pacemaker Exercise Programming | Cardiocases\" \/>\n<meta property=\"og:description\" content=\"Programming during exercise Boston Scientific\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/boston-scientific\/programming-during-exercise-boston-scientific\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiocases\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-17T20:41:21+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/pacing-defibrillation\\\/devices-per-company\\\/boston-scientific\\\/programming-during-exercise-boston-scientific\\\/\",\"url\":\"https:\\\/\\\/cardiocases.com\\\/pacing-defibrillation\\\/devices-per-company\\\/boston-scientific\\\/programming-during-exercise-boston-scientific\\\/\",\"name\":\"Boston Scientific Pacemaker Exercise Programming | Cardiocases\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#website\"},\"datePublished\":\"2025-10-08T19:01:53+00:00\",\"dateModified\":\"2025-11-17T20:41:21+00:00\",\"description\":\"Programming during exercise Boston Scientific\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/pacing-defibrillation\\\/devices-per-company\\\/boston-scientific\\\/programming-during-exercise-boston-scientific\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/cardiocases.com\\\/pacing-defibrillation\\\/devices-per-company\\\/boston-scientific\\\/programming-during-exercise-boston-scientific\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/pacing-defibrillation\\\/devices-per-company\\\/boston-scientific\\\/programming-during-exercise-boston-scientific\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/cardiocases.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pacing &amp; 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