An implantable cardioverter/defibrillator includes an active can electrode and
a high-voltage lead that can be electrically isolated from one another by opening
a switch between them. The performance of the high-voltage lead and the can electrode
can then be independently monitored, thus indicating which lead is inoperable,
should one become inoperable. If a lead becomes inoperable, the implantable device
can then reconfigure an electrical pathway such as a cardioversion and/or a defibrillation
pathway by excluding the inoperable lead. By separating the high-voltage lead from
the can electrode, pseudo ECG measurements can also be taken and utilized by the
implantable device.