{"id":772,"date":"2025-07-31T14:18:31","date_gmt":"2025-07-31T14:18:31","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=772"},"modified":"2026-01-02T09:55:51","modified_gmt":"2026-01-02T09:55:51","slug":"programming-for-exercise-medtronic","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/devices-per-company\/medtronic\/programming-for-exercise-medtronic\/","title":{"rendered":"Programming for exercise Medtronic"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"772\" class=\"elementor elementor-772\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bcddcce e-con-full e-flex e-con e-parent\" data-id=\"bcddcce\" 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-9f7391c e-con-full e-flex e-con e-child\" data-id=\"9f7391c\" 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-e2aad58 elementor-widget elementor-widget-heading\" data-id=\"e2aad58\" 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 - Programming for exercise<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-edf03f2 elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"edf03f2\" 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__edf03f2\" 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__edf03f2\" 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__edf03f2\" 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-9b6cbb2 elementor-widget elementor-widget-heading\" data-id=\"9b6cbb2\" 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-b5f7238 elementor-widget elementor-widget-text-editor\" data-id=\"b5f7238\" 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 activity sensor is an accelerometer embedded in the device, which detects the patient\u2019s body motion.<\/p><p><strong>Activity threshold<\/strong><\/p><p>Since the activity sensed varies among patients, the motion sensitivity can be adjusted by reprogramming the activity threshold parameter.<\/p><ul><li>by lowering the threshold, the pacing rate is modulated by less prominent motion<\/li><li>an increase in threshold requires more marked body motion to modulate the pacing rate<\/li><li>if the threshold is increased, the body movements must be greater to have an effect on the pacing rate<\/li><li>the activity counter used to calculate the sensor rate is regulated by the rate and amplitude of the accelerometer signal<\/li><\/ul><p>\u00a0<\/p><p><strong>Programmable rates<\/strong><\/p><ul><li>the activities of daily living rate (ADL rate) is the approximate rate that the patient must reach during moderate exercise (walking or household chores)<\/li><li>the upper sensor rate is the upper sensor-driven rate limit reached during vigorous exercise<\/li><li>an independent control of the rate response is ensured in the range of ADL rates and in the range of maximum exertion rates<\/li><li>the pacemaker maintains a linear relationship between the signal of the activity sensor and the response rate<\/li><li>the rate optimization system has an effect on the slope of the linear relationship in both rate ranges<\/li><\/ul><p>\u00a0<\/p><p><strong>Rate response set points<\/strong><\/p><p>The setpoints define the 2 characteristic slopes of a dual slope rate response.<\/p><ul><li>a low setpoint indicates that relatively low intensity activities are needed to reach the maximum rate<\/li><li>the ADL setpoint determines the pacing rate toward the ADL rate<\/li><li>the upper rate (UR) setpoint determines the pacing rate toward the maximum rate response<\/li><\/ul><p>\u00a0<\/p><p><strong>Automatic rate response<\/strong><\/p><p>With the automatic rate response, the optimization of the rates histogram continues to adjust the rate curve by automatically varying the setpoints.<\/p><ul><li>the rate response is adjusted on the basis of the programming of the ADL response and exertion response parameters<\/li><li>the ADL response controls the first slope, which determines the steepness of the increase in pacing rate between the lower rate and the ADL rate<\/li><li>the exertion response controls the second slope, which determines the steepness of the increase in pacing rate as it approaches the maximum response<\/li><li>the rate response function is active for only 30 minutes after implantation<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f06ef0e elementor-widget elementor-widget-image\" data-id=\"f06ef0e\" 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\/medtronic.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"medtronic_exercise\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NjQ5NywidXJsIjoiaHR0cHM6XC9cL2NhcmRpb2Nhc2VzLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNlwvMDFcL21lZHRyb25pYy5wbmcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"658\" height=\"496\" src=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/medtronic.png\" class=\"attachment-large size-large wp-image-6497\" alt=\"\" srcset=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/medtronic.png 658w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/medtronic-300x226.png 300w, https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/01\/medtronic-16x12.png 16w\" sizes=\"(max-width: 658px) 100vw, 658px\" \/>\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-0dd491e elementor-widget elementor-widget-text-editor\" data-id=\"0dd491e\" 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>Manual rate responsiveness<\/strong><\/p><p>With the use of the manual rate response, a rate profile is obtained during a patient session, at which time the rates and set points are programmed. This rate profile remains constant until the parameters are reprogrammed.<\/p><p>\u00a0<\/p><p><strong>Optimization of the rate histogram<\/strong><\/p><p>The optimization of rates histogram adjusts automatically the patient\u2019s rate response between office visits.<\/p><ul><li>the device collects and records daily averages and, on the long term, the percentage of time during which the sensor-indicated rate is at various pacing rates<\/li><li>it then uses the ADL and the exertion response parameters to analyze the percentage of time during which the pacing rate remains in the ADL versus the exertion ranges<\/li><li>based on daily comparisons, the device adjusts the ADL, the UR, or both setpoints<\/li><\/ul><p>\u00a0<\/p><p><strong>Adjustment of the activity threshold<\/strong><\/p><ul><li>when a patient presents with an insufficient rate response during exercise, the activity threshold can be reprogrammed to a lower (more sensitive) level; the most sensitive level is \u201cLow\u201d<\/li><li>if the pacing rate is high at rest, the activity threshold might need to be reprogrammed to a higher (less sensitive) level; the least sensitive level is \u201cHigh\u201d<\/li><\/ul><p>\u00a0<\/p><p><strong>Rate profile optimization<\/strong><\/p><p>Before programming the other rate response parameters, one must first verify that the lower rate, ADL and upper sensor rates settings are appropriate for each patient.<\/p><ul><li>if the reprogramming of the rates has not optimized the rate profile, it might be necessary to reprogram the ADL and Exertion Response settings; the reprogramming of these parameters can design a rate profile that corresponds to the individual life style or activity levels within each range of rates<\/li><li>the ADL response is adjusted in order to set the speed at which the patient reaches the ADL rate and the Exertion Response for the speed at which the patient reaches the exertion rate<\/li><li>in both cases, a lower value decreases, while a higher value increases the rate response<\/li><\/ul><p>\u00a0<\/p><p><strong>Manual adjustment of the set points<\/strong><\/p><p>The rate profile optimization can be programmed OFF, allowing the manual programming of the setpoints.<\/p><ul><li>the ADL and UR points determine the pacing rate profile<\/li><li>the rate response calculations continue as programmed<\/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\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Medtronic &#8211; Programming for exercise Content Rate-Adaptive pacing The activity sensor is an accelerometer embedded in the device, which detects the patient\u2019s body motion. Activity threshold Since the activity sensed varies among patients, the motion sensitivity can be adjusted by reprogramming the activity threshold parameter. by lowering the threshold, the pacing rate is modulated by [&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-772","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 Rate Response &amp; Exercise Programming | Cardiocases<\/title>\n<meta name=\"description\" content=\"Optimize Medtronic pacemaker for exercise \u2014 rate response, DDDR programming, accelerometer settings &amp; real ECG tracings. 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