The bi-ventricular implantable pulse generator described and depicted
herein enables hemodynamic efficiencies for patients suffering from
intraventricular conduction delays or conduction blockage. The pulse
generator effectively overcomes such conduction delay or block (e.g.,
left bundle branch block, "LBBB," or right bundle branch block, "RBBB")
by delivering a novel form of cardiac resynchronization therapy (CRT).
Specifically, a single ventricular pre-excitation pacing stimulus is
triggered from an atrial event (e.g., intrinsic or evoked
depolarization). The triggering event may emanate from the right atrium
(RA) or the left atrium (LA). A single ventricular pre-excitation pacing
stimulus is delivered prior to the intrinsic depolarization of the other
ventricle and thus promotes intraventricular electromechanical synchrony
during CRT delivery.