An apparatus and method of automatically measuring the lead impedance of a
high energy shock lead before delivery of high energy therapy used to
treat heart arrhythmia. In one example, an impedance measurement circuit
measures the impedance between electrodes in a plurality of pairs of
electrodes. The measured lead electrode impedance is compared to a
predetermined value to detect if the lead is shorted to another lead. If
a high-energy shock electrode is shorted to another lead, a shorted lead
indicator is set to a fault state. Based on the state of the shorted lead
indicator, a processor prevents or allows the delivery of high energy
therapy. By checking for a lead short before delivery of the therapy, all
of the energy of the therapy is delivered to the patient rather than
being bypassed by a shorted lead connection.