{"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":"\t\t<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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Biotronik - Pacing modes<\/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-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__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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">VP suppression (AAI-DDD mode)<\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>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.<\/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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Switch from ADI to DDD<\/strong><\/p><p>There are 3 switching criteria corresponding to the different degrees of atrioventricular block (first-degree AV block, second-degree AV block, third-degree AV block and ventricular pause).<\/p><p>\u00a0<\/p><p>1) second-degree AV block<\/p><p>The pacemaker switches to DDD mode when X (nominal 3, programmable 1-4) out of 8 atrial (spontaneous or paced) events are blocked (not followed by a spontaneous QRS).<\/p><ul><li>the more the value is decreased, the more frequent the switches<\/li><li>the device does not switch to DDD after a single dropped atrial activity when the programming is set to nominal (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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>2) third-degree AV block<\/p><p>The pacemaker switches to DDD mode when 2 consecutive spontaneous or paced atrial activities are blocked (not followed by a spontaneous QRS).<\/p><ul><li>this parameter is not 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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>3) ventricular pause<\/p><p>The pacemaker switches to DDD mode when the interval between 2 sensed ventricular activations exceeds 2 seconds.<\/p><ul><li>this parameter is not 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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Switch from DDD to ADI<\/strong><\/p><p>During the DDD activity, the device systematically scans to determine whether there is an intrinsic ventricular signal (Vs continuity search):<\/p><ul><li>when the device is operating in DDD mode, it searches for the presence of an underlying intrinsic rhythm every 30 seconds and subsequently spaces the latter (1, 2, 4, 8, 16 \u2026 128 minutes, up to 20 hours) if the search is inconclusive (persistence of impaired atrioventricular conduction)<\/li><li>the AV delay is extended to 450 ms for 8 cycles (identical duration for spontaneous or paced atrial activity)<\/li><li>the search is successful and the device switches to ADI mode if the set number of ventricular cycles (nominal value 6) has been sensed consecutively within 8 cycles<\/li><\/ul><p>Search Time Interval Scheme: 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 hr.<\/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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During this search:<\/p><ul style=\"font-size: 16px;\"><li>no blocked P wave<\/li><li>increased risk of PMT<\/li><li>risk of 2\/1 block if the search occurs during exercise<\/li><\/ul><p>\u00a0<\/p><p>To avoid iterative alternations between DDD and ADI mode, the device switches permanently to DDD until 24:00 h of the same day if more than 15 switches\/hour are observed.<\/p><p>\u00a0<\/p><p><strong>Programmable parameters<\/strong><\/p><p>The Vp-Suppression feature provides the following programmability:<\/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-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/cardiocases.com\/wp-content\/uploads\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<table><tbody><tr><td>Parameter<\/td><td>Range<\/td><td>Default<\/td><\/tr><tr><td>Pacing suppression after x consecutive Vs<\/td><td>2..(1)..8<\/td><td>6<\/td><\/tr><tr><td>Pacing support after x \/ 8 cycles without Vs<\/td><td>1..(1)..4<\/td><td>3<\/td><\/tr><\/tbody><\/table><p>\u00a0<\/p><p><strong>Statistics Vp-suppression<\/strong><\/p><p>No EGM is automatically recorded as a result of switching from ADI mode to DDD mode.<\/p><p>Different statistics are available:<\/p><ul><li>240 day trend of duration in ADI(R)<\/li><li>Count of successful switches to the ADI(R)<\/li><li>Count of total Vs searches<\/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-e-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>\n\t\t","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>\n","protected":false},"author":1,"featured_media":0,"parent":55,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-680","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Biotronik 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 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