{"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":"\t\t<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-e-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-e-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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Medtronic - Management of atrial arrhythmias<\/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-e-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\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__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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Atrial fibrillation<\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>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 and LV filling disorder, loss of atrial systole and loss of biventricular resynchronization.\u00a0When atrial arrhythmias can not be effectively controlled by the antiarrhythmic treatment, a pulmonary vein isolation procedure should be considered. The combined effect of ablation and resynchronization may result in a significant improvement of the patient\u2019s symptomatology and in a reduction of ventricular volumes.<\/p><p>When rhythm control fails, ablation of the His-bundle is often necessary to enable the high percentages of biventricular pacing essential to the success of this therapy. His ablation is now part of the recommendations of the international guidelines for the treatment of patients with chronic AF and poorly controlled heart rate. After the ablation of the His-bundle, a rate responsive function must be programmed.<\/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-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Remote monitoring of AF<\/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-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>There are multiple\u00a0advantages of a remote monitoring in a CRT patient with episodes of atrial arrhythmia: 1) the diagnosis is confirmed by the analysis of the transmitted EGM; this allows eliminating false diagnoses of atrial arrhythmia (crosstalk, noise, etc.), 2) the diagnosis is quickly performed even if the patient is asymptomatic, 3) anticoagulant therapy could be introduced early to reduce the risk of stroke, 4) the treatment with an anti-arrhythmic may also introduced; the effectiveness of this treatment can be remotely\u00a0 assessed on a daily basis through the remote monitoring follow-up.<\/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>\n\t\t","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>\n","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 v28.0 - 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; 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