{"id":756,"date":"2025-07-31T14:16:41","date_gmt":"2025-07-31T14:16:41","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=756"},"modified":"2025-11-08T21:29:17","modified_gmt":"2025-11-08T21:29:17","slug":"management-of-atrial-arrhythmias-medtronic-crt","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/","title":{"rendered":"Management of atrial arrhythmias Medtronic CRT"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"756\" class=\"elementor elementor-756\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9cd7a8e e-con-full e-flex e-con e-parent\" data-id=\"9cd7a8e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-971eca7 e-con-full e-flex e-con e-child\" data-id=\"971eca7\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ae57d elementor-widget elementor-widget-heading\" data-id=\"e5ae57d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Medtronic - Gestion des arythmies auriculaires<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-512c744 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"512c744\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h3&quot;,&quot;h4&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__512c744\" 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__512c744\" 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__512c744\" 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-c4b1e4e elementor-widget elementor-widget-heading\" data-id=\"c4b1e4e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Fibrillation auriculaire<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30243d4 elementor-widget elementor-widget-text-editor\" data-id=\"30243d4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La fibrillation auriculaire est probablement la cause la plus fr\u00e9quente de la perte prolong\u00e9e de la stimulation biventriculaire chez les patients CRT dont la conduction auriculo-ventriculaire est pr\u00e9serv\u00e9e. Ces \u00e9pisodes sont r\u00e9guli\u00e8rement associ\u00e9s \u00e0 une d\u00e9t\u00e9rioration rapide de l'h\u00e9modynamique par plusieurs m\u00e9canismes combin\u00e9s : augmentation de la fr\u00e9quence cardiaque, rythme ventriculaire irr\u00e9gulier avec diastole courte et trouble du remplissage du ventricule gauche, perte de la systole auriculaire et perte de la resynchronisation biventriculaire. Lorsque les arythmies auriculaires ne peuvent \u00eatre contr\u00f4l\u00e9es efficacement par le traitement antiarythmique, une proc\u00e9dure d'isolation des veines pulmonaires doit \u00eatre envisag\u00e9e. L'effet combin\u00e9 de l'ablation et de la resynchronisation peut entra\u00eener une am\u00e9lioration significative de la symptomatologie du patient et une r\u00e9duction des volumes ventriculaires.<\/p><p>Lorsque le contr\u00f4le du rythme \u00e9choue, l'ablation du faisceau de His est souvent n\u00e9cessaire pour permettre les pourcentages \u00e9lev\u00e9s de stimulation biventriculaire essentiels au succ\u00e8s de cette th\u00e9rapie. L'ablation du faisceau de His fait d\u00e9sormais partie des recommandations des directives internationales pour le traitement des patients souffrant de FA chronique et d'un rythme cardiaque mal contr\u00f4l\u00e9. Apr\u00e8s l'ablation du faisceau de His, une fonction sensible \u00e0 la fr\u00e9quence doit \u00eatre programm\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71c0a50 elementor-widget elementor-widget-heading\" data-id=\"71c0a50\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Surveillance \u00e0 distance de la fibrillation auriculaire<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4246660 elementor-widget elementor-widget-text-editor\" data-id=\"4246660\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les avantages d'une surveillance \u00e0 distance chez un patient CRT pr\u00e9sentant des \u00e9pisodes d'arythmie auriculaire sont multiples : 1) le diagnostic est confirm\u00e9 par l'analyse de l'EGM transmise ; cela permet d'\u00e9liminer les faux diagnostics d'arythmie auriculaire (diaphonie, bruit, etc.), 2) le diagnostic est effectu\u00e9 rapidement m\u00eame si le patient est symptomatique), 2) le diagnostic est rapidement r\u00e9alis\u00e9 m\u00eame si le patient est asymptomatique, 3) une th\u00e9rapie anticoagulante peut \u00eatre introduite pr\u00e9cocement pour r\u00e9duire le risque d'accident vasculaire c\u00e9r\u00e9bral, 4) le traitement avec un anti-arythmique peut \u00e9galement \u00eatre introduit ; l'efficacit\u00e9 de ce traitement peut \u00eatre \u00e9valu\u00e9e \u00e0 distance sur une base quotidienne gr\u00e2ce au suivi de la t\u00e9l\u00e9surveillance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Medtronic &#8211; Management of atrial arrhythmias Content Atrial fibrillation Atrial fibrillation is probably the most common cause of prolonged loss of biventricular pacing in CRT patients with a preserved atrioventricular conduction. These episodes are regularly associated with a rapid deterioration of hemodynamics through several combined mechanisms: increased heart rate, irregular ventricular rhythm with short diastole [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":49,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-756","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Medtronic CRT Atrial Arrhythmia Management | Cardiocases<\/title>\n<meta name=\"description\" content=\"Medtronic CRT-D atrial arrhythmia management \u2014 mode switch, AT\/AF programming &amp; real 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\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medtronic CRT Atrial Arrhythmia Management | Cardiocases\" \/>\n<meta property=\"og:description\" content=\"Medtronic CRT-D atrial arrhythmia management \u2014 mode switch, AT\/AF programming &amp; real ECG tracings.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiocases\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-08T21:29:17+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=\"1 minute\" \/>\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\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/\",\"url\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/\",\"name\":\"Medtronic CRT Atrial Arrhythmia Management | Cardiocases\",\"isPartOf\":{\"@id\":\"https:\/\/cardiocases.com\/#website\"},\"datePublished\":\"2025-07-31T14:16:41+00:00\",\"dateModified\":\"2025-11-08T21:29:17+00:00\",\"description\":\"Medtronic CRT-D atrial arrhythmia management \u2014 mode switch, AT\/AF programming & real ECG tracings.\",\"breadcrumb\":{\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/#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\":\"Medtronic\",\"item\":\"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Management of atrial arrhythmias Medtronic CRT\"}]},{\"@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":"Medtronic CRT Atrial Arrhythmia Management | Cardiocases","description":"Medtronic CRT-D atrial arrhythmia management \u2014 mode switch, AT\/AF programming & real 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\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/","og_locale":"fr_FR","og_type":"article","og_title":"Medtronic CRT Atrial Arrhythmia Management | Cardiocases","og_description":"Medtronic CRT-D atrial arrhythmia management \u2014 mode switch, AT\/AF programming & real ECG tracings.","og_url":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/","og_site_name":"Cardiocases","article_modified_time":"2025-11-08T21:29:17+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/","url":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/","name":"Medtronic CRT Atrial Arrhythmia Management | Cardiocases","isPartOf":{"@id":"https:\/\/cardiocases.com\/#website"},"datePublished":"2025-07-31T14:16:41+00:00","dateModified":"2025-11-08T21:29:17+00:00","description":"Medtronic CRT-D atrial arrhythmia management \u2014 mode switch, AT\/AF programming & real ECG tracings.","breadcrumb":{"@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/management-of-atrial-arrhythmias-medtronic-crt\/#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":"Medtronic","item":"https:\/\/cardiocases.com\/pacing-defibrillation\/devices-per-company\/medtronic\/"},{"@type":"ListItem","position":5,"name":"Management of atrial arrhythmias Medtronic CRT"}]},{"@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\/756","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=756"}],"version-history":[{"count":0,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/756\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/49"}],"wp:attachment":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/media?parent=756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}