Cost-utility Analysis of Ambulatory Care Compared to Conventional Patient Care of Permanent Pacemakers Replacement for Elective Replacement Indicator

Inclusion Criteria: * Man or woman over 18 years old. * Replacement of permanent pacemakers for battery elective wear without programmed act in the sensors regardless of pacemaker type, simple, dual or triple chambers and regardless pacemaker label. * Patient living less than an hour from a hospital center * Patient is able to answer the phone. * Patient has an accompaniment the go out night * Pacemaker-dependent patient or not regardless of indication of placement of the pacemaker * Patient with or without anticoagulant treatment: the anticoagulant treatment is managed by center under these habits. * Patient has given this free and informed consent. * Patient having insurance in France. Exclusion Criteria: * Ambulatory Hospitalization is impossible. * Patient refuses to participate * Patient has hemostasis disorder yielding ambulatory hospitalization impossible. * Woman is pregnant, nursing mothers or the patient don't receive an effective contraception. * Patient under guardianship, safeguard of justice