Patent ID: 8005544

Claim:
For use in a myocardium capture by delivering pacing signals via electrodes to a target region in the right ventricle, at or near the septum of a heart and at or near a bundle of His and at or near the right ventricular outflow tract and distal from an apex of the right ventricle, a circuit arrangement comprising: first and second conductors, configured to be respectively coupled to the electrodes, for providing pacing signals of opposing polarity to the target region at or near the septum of the heart and at or near the bundle of His, and a third conductor configured for providing a defibrillation signal to the right ventricle apex; and a control module configured for generating the pacing signals, with two pulses occurring sufficiently proximate one another in at least one of time or distance for the myocardium capture near the target region at or near the septum of the heart and at or near the bundle of His, on the first and second conductors and for generating the defibrillation signal.