{"id":680,"date":"2025-07-31T14:07:36","date_gmt":"2025-07-31T14:07:36","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=680"},"modified":"2026-01-02T10:35:02","modified_gmt":"2026-01-02T10:35:02","slug":"pacing-modes-biotronik","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/","title":{"rendered":"Pacing modes Biotronik"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"680\" class=\"elementor elementor-680\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-11cf068 e-con-full e-flex e-con e-parent\" data-id=\"11cf068\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bb80f51 elementor-widget elementor-widget-heading\" data-id=\"bb80f51\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Biotronik - Modes de stimulation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84fa1a5 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"84fa1a5\" 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__84fa1a5\" 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__84fa1a5\" 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__84fa1a5\" 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-8498197 elementor-widget elementor-widget-heading\" data-id=\"8498197\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Algorithme Vp suppression ou mode DDD-ADI<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9981bd elementor-widget elementor-widget-text-editor\" data-id=\"e9981bd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Le mode AAI-DDD - suppression Vp (Biotronik) a \u00e9t\u00e9 con\u00e7u pour permettre une stimulation en mode ADI avec un contr\u00f4le permanent de la conduction auriculo-ventriculaire et une commutation en mode DDD lorsque le stimulateur cardiaque d\u00e9tecte une alt\u00e9ration de la conduction.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fac53d1 elementor-widget elementor-widget-image\" data-id=\"fac53d1\" 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\/VP1.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP1\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUyMiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQMS5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"528\" height=\"269\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png\" class=\"attachment-large size-large wp-image-6522\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png 528w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1-300x153.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1-18x9.png 18w\" sizes=\"(max-width: 528px) 100vw, 528px\" \/>\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-25e3c8f elementor-widget elementor-widget-text-editor\" data-id=\"25e3c8f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Passer de l'ADI au DDD<\/strong><\/p><p>Il existe trois crit\u00e8res de commutation correspondant aux diff\u00e9rents degr\u00e9s de bloc auriculo-ventriculaire (bloc AV du premier degr\u00e9, bloc AV du deuxi\u00e8me degr\u00e9, bloc AV du troisi\u00e8me degr\u00e9 et pause ventriculaire).<\/p><p>\u00a0<\/p><p>1) bloc AV du second degr\u00e9<\/p><p>Le stimulateur passe en mode DDD lorsque X (nominal 3, programmable 1-4) des 8 \u00e9v\u00e9nements auriculaires (spontan\u00e9s ou stimul\u00e9s) sont bloqu\u00e9s (non suivis d'un QRS spontan\u00e9).<\/p><ul><li>plus la valeur est r\u00e9duite, plus les commutations sont fr\u00e9quentes<\/li><li>le dispositif ne passe pas en mode DDD apr\u00e8s une seule activit\u00e9 auriculaire interrompue lorsque la programmation est r\u00e9gl\u00e9e sur la valeur nominale (3)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a581c2f elementor-widget elementor-widget-image\" data-id=\"a581c2f\" 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\/VP2.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP2\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUzMCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQMi5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"609\" height=\"148\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP2.jpg\" class=\"attachment-large size-large wp-image-6530\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP2.jpg 609w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP2-300x73.jpg 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP2-18x4.jpg 18w\" sizes=\"(max-width: 609px) 100vw, 609px\" \/>\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-741551e elementor-widget elementor-widget-text-editor\" data-id=\"741551e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>2) bloc AV du troisi\u00e8me degr\u00e9<\/p><p>Le stimulateur passe en mode DDD lorsque 2 activit\u00e9s auriculaires spontan\u00e9es ou stimul\u00e9es cons\u00e9cutives sont bloqu\u00e9es (non suivies d'un QRS spontan\u00e9).<\/p><ul><li>ce param\u00e8tre n'est pas programmable<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67847c7 elementor-widget elementor-widget-image\" data-id=\"67847c7\" 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\/VP3.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP3\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUyOCwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQMy5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"594\" height=\"168\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP3.jpg\" class=\"attachment-large size-large wp-image-6528\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP3.jpg 594w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP3-300x85.jpg 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP3-18x5.jpg 18w\" sizes=\"(max-width: 594px) 100vw, 594px\" \/>\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-bd6f84b elementor-widget elementor-widget-text-editor\" data-id=\"bd6f84b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>3) pause ventriculaire<\/p><p>Le stimulateur passe en mode DDD lorsque l'intervalle entre deux activations ventriculaires d\u00e9tect\u00e9es d\u00e9passe 2 secondes.<\/p><ul><li>ce param\u00e8tre n'est pas programmable<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53ec66b elementor-widget elementor-widget-image\" data-id=\"53ec66b\" 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\/VP4.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP4\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUyOSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQNC5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"154\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP4.jpg\" class=\"attachment-large size-large wp-image-6529\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP4.jpg 610w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP4-300x76.jpg 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP4-18x5.jpg 18w\" sizes=\"(max-width: 610px) 100vw, 610px\" \/>\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-e6365c2 elementor-widget elementor-widget-text-editor\" data-id=\"e6365c2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Passer de DDD \u00e0 ADI<\/strong><\/p><p>Pendant l'activit\u00e9 DDD, l'appareil effectue un balayage syst\u00e9matique pour d\u00e9terminer s'il existe un signal ventriculaire intrins\u00e8que (recherche de continuit\u00e9 Vs) :<\/p><ul><li>lorsque le dispositif fonctionne en mode DDD, il recherche la pr\u00e9sence d'un rythme intrins\u00e8que sous-jacent toutes les 30 secondes et espace ensuite ce dernier (1, 2, 4, 8, 16 ... 128 minutes, jusqu'\u00e0 20 heures) si la recherche n'est pas concluante (persistance d'une alt\u00e9ration de la conduction auriculo-ventriculaire)<\/li><li>le d\u00e9lai AV est port\u00e9 \u00e0 450 ms pour 8 cycles (dur\u00e9e identique pour l'activit\u00e9 auriculaire spontan\u00e9e ou stimul\u00e9e)<\/li><li>la recherche est r\u00e9ussie et l'appareil passe en mode ADI si le nombre d\u00e9fini de cycles ventriculaires (valeur nominale 6) a \u00e9t\u00e9 d\u00e9tect\u00e9 cons\u00e9cutivement en l'espace de 8 cycles<\/li><\/ul><p>Intervalle de temps de recherche : 30 sec. &gt; 1 min. &gt; 2 min. &gt; 4 min. &gt; 8 min. &gt; 16 min. &gt; 32 min. &gt; 64 min. &gt; 128 min. &gt; 20 heures.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-caf195f elementor-widget elementor-widget-image\" data-id=\"caf195f\" 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\/VP5.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP5\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUyNywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQNS5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"234\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP5.png\" class=\"attachment-large size-large wp-image-6527\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP5.png 959w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP5-300x88.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP5-768x224.png 768w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP5-18x5.png 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\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-652e2ec elementor-widget elementor-widget-image\" data-id=\"652e2ec\" 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\/VP6.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP6\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUyNiwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQNi5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"402\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP6.png\" class=\"attachment-large size-large wp-image-6526\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP6.png 996w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP6-300x151.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP6-768x386.png 768w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP6-18x9.png 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\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-cd43389 elementor-widget elementor-widget-text-editor\" data-id=\"cd43389\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Au cours de cette recherche :<\/p><ul style=\"font-size: 16px;\"><li>pas d'onde P bloqu\u00e9e<\/li><li>risque accru de TMS<\/li><li>risque de blocage 2\/1 si la recherche a lieu pendant l'exercice<\/li><\/ul><p>\u00a0<\/p><p>Pour \u00e9viter les alternances it\u00e9ratives entre le mode DDD et le mode ADI, l'appareil passe en permanence au mode DDD jusqu'\u00e0 24h00 du m\u00eame jour si plus de 15 commutations\/heure sont observ\u00e9es.<\/p><p>\u00a0<\/p><p><strong>Param\u00e8tres programmables<\/strong><\/p><p>La fonction Vp-Suppression offre les possibilit\u00e9s de programmation suivantes :<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ac3252 elementor-widget elementor-widget-image\" data-id=\"6ac3252\" 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\/VP7.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"VP7\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjUyNSwidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL1ZQNy5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP7.jpg\" class=\"attachment-large size-large wp-image-6525\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP7.jpg 800w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP7-300x225.jpg 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP7-768x576.jpg 768w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP7-16x12.jpg 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\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-6c7eee0 elementor-widget elementor-widget-text-editor\" data-id=\"6c7eee0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<table><tbody><tr><td>Param\u00e8tres<\/td><td>Gamme<\/td><td>D\u00e9faut<\/td><\/tr><tr><td>Suppression de la stimulation apr\u00e8s x Vs cons\u00e9cutives<\/td><td>2..(1)..8<\/td><td>6<\/td><\/tr><tr><td>Support de stimulation apr\u00e8s x \/ 8 cycles sans Vs<\/td><td>1..(1)..4<\/td><td>3<\/td><\/tr><\/tbody><\/table><p>\u00a0<\/p><p><strong>Statistiques Suppression Vp<\/strong><\/p><p>Aucune EGM n'est automatiquement enregistr\u00e9e lors du passage du mode ADI au mode DDD.<\/p><p>Diff\u00e9rentes statistiques sont disponibles :<\/p><ul><li>Tendance de la dur\u00e9e de 240 jours dans la DJA(R)<\/li><li>Nombre de commutations r\u00e9ussies vers l'ADI(R)<\/li><li>Nombre total de recherches Vs<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73460d3 elementor-widget elementor-widget-image\" data-id=\"73460d3\" 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<img loading=\"lazy\" decoding=\"async\" width=\"637\" height=\"371\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP9.png\" class=\"attachment-large size-large wp-image-6523\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP9.png 637w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP9-300x175.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP9-18x10.png 18w\" sizes=\"(max-width: 637px) 100vw, 637px\" \/>\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>Biotronik &#8211; Pacing modes Content VP suppression (AAI-DDD mode) The AAI-DDD mode \u2013 Vp suppression (Biotronik) has been designed to allow pacing in ADI mode with permanent monitoring of atrioventricular conduction and switching to DDD mode when the pacemaker detects an alteration in conduction. Switch from ADI to DDD There are 3 switching criteria corresponding [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":55,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-680","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>Biotronik Pacemaker Pacing Modes | DDD VVI | Cardiocases<\/title>\n<meta name=\"description\" content=\"Biotronik pacemaker pacing modes \u2014 DDD, VVI, AAI, DDDR &amp; device-specific algorithms with ECG tracings.\" \/>\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\/biotronik\/pacing-modes-biotronik\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Biotronik Pacemaker Pacing Modes | DDD VVI | Cardiocases\" \/>\n<meta property=\"og:description\" content=\"Biotronik pacemaker pacing modes \u2014 DDD, VVI, AAI, DDDR &amp; device-specific algorithms with ECG tracings.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiocases\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-02T10:35:02+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png\" \/>\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=\"2 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\/biotronik\/pacing-modes-biotronik\/\",\"url\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/\",\"name\":\"Biotronik Pacemaker Pacing Modes | DDD VVI | Cardiocases\",\"isPartOf\":{\"@id\":\"https:\/\/cardiocases.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png\",\"datePublished\":\"2025-07-31T14:07:36+00:00\",\"dateModified\":\"2026-01-02T10:35:02+00:00\",\"description\":\"Biotronik pacemaker pacing modes \u2014 DDD, VVI, AAI, DDDR & device-specific algorithms with ECG tracings.\",\"breadcrumb\":{\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#primaryimage\",\"url\":\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png\",\"contentUrl\":\"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cardiocases.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pacing &amp; Defibrillation\",\"item\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Devices per company\",\"item\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Biotronik\",\"item\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Pacing modes Biotronik\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cardiocases.com\/#website\",\"url\":\"https:\/\/cardiocases.com\/\",\"name\":\"Cardiocases\",\"description\":\"Real cardiac device traces, pacemaker &amp; ICD learning \u2014 built by electrophysiologists\",\"publisher\":{\"@id\":\"https:\/\/cardiocases.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/cardiocases.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/cardiocases.com\/#organization\",\"name\":\"Cardiocases\",\"url\":\"https:\/\/cardiocases.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/cardiocases.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/07\/cardiocases_logo.png\",\"contentUrl\":\"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/07\/cardiocases_logo.png\",\"width\":1755,\"height\":499,\"caption\":\"Cardiocases\"},\"image\":{\"@id\":\"https:\/\/cardiocases.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.linkedin.com\/company\/cardiocases\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Biotronik Pacemaker Pacing Modes | DDD VVI | Cardiocases","description":"Biotronik pacemaker pacing modes \u2014 DDD, VVI, AAI, DDDR & device-specific algorithms with ECG tracings.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/","og_locale":"fr_FR","og_type":"article","og_title":"Biotronik Pacemaker Pacing Modes | DDD VVI | Cardiocases","og_description":"Biotronik pacemaker pacing modes \u2014 DDD, VVI, AAI, DDDR & device-specific algorithms with ECG tracings.","og_url":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/","og_site_name":"Cardiocases","article_modified_time":"2026-01-02T10:35:02+00:00","og_image":[{"url":"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/","url":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/","name":"Biotronik Pacemaker Pacing Modes | DDD VVI | Cardiocases","isPartOf":{"@id":"https:\/\/cardiocases.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#primaryimage"},"image":{"@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#primaryimage"},"thumbnailUrl":"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png","datePublished":"2025-07-31T14:07:36+00:00","dateModified":"2026-01-02T10:35:02+00:00","description":"Biotronik pacemaker pacing modes \u2014 DDD, VVI, AAI, DDDR & device-specific algorithms with ECG tracings.","breadcrumb":{"@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#primaryimage","url":"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png","contentUrl":"http:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/VP1.png"},{"@type":"BreadcrumbList","@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/pacing-modes-biotronik\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/cardiocases.com\/"},{"@type":"ListItem","position":2,"name":"Pacing &amp; Defibrillation","item":"https:\/\/cardiocases.com\/pacing-defibrillation\/"},{"@type":"ListItem","position":3,"name":"Devices per company","item":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/"},{"@type":"ListItem","position":4,"name":"Biotronik","item":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/biotronik\/"},{"@type":"ListItem","position":5,"name":"Pacing modes Biotronik"}]},{"@type":"WebSite","@id":"https:\/\/cardiocases.com\/#website","url":"https:\/\/cardiocases.com\/","name":"Cardiocases","description":"Real cardiac device traces, pacemaker &amp; ICD learning \u2014 built by electrophysiologists","publisher":{"@id":"https:\/\/cardiocases.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cardiocases.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/cardiocases.com\/#organization","name":"Cardiocases","url":"https:\/\/cardiocases.com\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cardiocases.com\/#\/schema\/logo\/image\/","url":"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/07\/cardiocases_logo.png","contentUrl":"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/07\/cardiocases_logo.png","width":1755,"height":499,"caption":"Cardiocases"},"image":{"@id":"https:\/\/cardiocases.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.linkedin.com\/company\/cardiocases\/"]}]}},"_links":{"self":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/680","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/comments?post=680"}],"version-history":[{"count":0,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/680\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/55"}],"wp:attachment":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/media?parent=680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}