Response to cardiac resynchronization therapy is predicted for a given
stimulation site so that an atrioventricular delay of an implantable
device administering cardiac resynchronization therapy may be set to a
proper amount. The first deflection of ventricular depolarization is
measured, such as through a surface electrocardiogram or through an
intracardiac electrogram measured by a lead positioned in the heart at
the stimulation site. The maximum deflection of the ventricular
depolarization is then measured by the lead positioned at the stimulation
site. The interval of time between the first deflection and the maximum
deflection of the ventricular depolarization is compared to a threshold
to determine whether the stimulation site is a responder site. If the
interval is larger than the threshold, then the site is a responder and
the atrioventricular delay of the implantable device may be set to less
than the intrinsic atrioventricular delay of the patient. Otherwise, the
atrioventricular may be set to approximately equal the intrinsic
atrioventricular delay.