An apparatus comprising: means for initiating delivery of electrical pacing therapy to a heart of a subject using an implantable medical device; means for initiating a blanking period in the IMD in a time relationship to the delivery of electrical pacing therapy, wherein one or more sense amplifiers of the IMD are disabled during the blanking period; and means for providing electrical neural stimulation therapy to the subject using the IMD during the blanking period, wherein the means for initiating delivery of electrical pacing therapy includes a therapy circuit configured to provide electrical pacing therapy and electrical neural stimulation therapy to the subject and a control circuit configured to initiate delivery of the electrical pacing therapy; wherein the means for means for initiating a blanking period includes a cardiac signal sensing circuit configured to sense an electrical cardiac signal from at least one of an atrium or ventricle of a heart of a subject and a control circuit, wherein the cardiac signal sensing circuit includes at least one sense amplifier circuit is configured to initiate a blanking period in a time relationship to the delivery of electrical pacing therapy, wherein the at least one sense amplifier is disabled during the blanking period; wherein the means for providing electrical neural stimulation therapy to the subject includes the therapy circuit and the control circuit, wherein the control circuit is configured to initiate delivery of the electrical neural stimulation therapy to the subject during the blanking period and to increase the blanking period when the neural stimulation therapy is initiated during the blanking period. means for initiating delivery of electrical pacing therapy to a heart of a subject using an implantable medical device; means for initiating a blanking period in the IMD in a time relationship to the delivery of electrical pacing therapy, wherein one or more sense amplifiers of the IMD are disabled during the blanking period; and means for providing electrical neural stimulation therapy to the subject using the IMD during the blanking period, wherein the means for initiating delivery of electrical pacing therapy includes a therapy circuit configured to provide electrical pacing therapy and electrical neural stimulation therapy to the subject and a control circuit configured to initiate delivery of the electrical pacing therapy; wherein the means for means for initiating a blanking period includes a cardiac signal sensing circuit configured to sense an electrical cardiac signal from at least one of an atrium or ventricle of a heart of a subject and a control circuit, wherein the cardiac signal sensing circuit includes at least one sense amplifier circuit is configured to initiate a blanking period in a time relationship to the delivery of electrical pacing therapy, wherein the at least one sense amplifier is disabled during the blanking period; wherein the means for providing electrical neural stimulation therapy to the subject includes the therapy circuit and the control circuit, wherein the control circuit is configured to initiate delivery of the electrical neural stimulation therapy to the subject during the blanking period and to increase the blanking period when the neural stimulation therapy is initiated during the blanking period.