A system and method for discriminating a fusion beat from an evoked
response during the autocapture/autothreshold routines of an implantable
stimulation device is provided. The presently disclosed system and method
reliably verifies capture in an implantable stimulation device by
accurately discriminating a fusion beat from an evoked response based on
an analysis and comparison of the morphology, amplitude, polarity, pattern
and/or timing intervals of resulting T-waves. The disclosed system for
discriminating a fusion beat includes a pulse generator; a means for
sensing voltage signals evidencing depolarization and repolarization of
cardiac tissue; and a microprocessor based means for determining, based on
an analysis of the subsequent T-waves, whether a voltage signal that
occurs during the capture detection window is a depolarization voltage
signal, which evidences capture, or a fusion beat.