A cardiac stimulator for measuring pacing impedance includes a tank
capacitor for delivering charge to the heart via leads, a shunt resistor,
and high-impedance buffers for measuring pacing current through the shunt
resistor. During the stimulation pulse, the voltage across the shunt
resistor, as sampled by a high-impedance buffer, variously indicates lead
and cardiac tissue resistance or capacitance. A high-impedance buffer
measures the voltage between the tank capacitor and ground immediately
following the stimulation pulse to allow estimation of the lead/heart
tissue capacitance. A lead/heart tissue capacitance estimate is
determined by look-up table is in memory or successive approximation.
When the lead/heart tissue capacitance and lead resistance have been
determined, a plurality of parameters for analyzing and optimizing a
cardiac stimulation system may be calculated, such as the instantaneous
current, the average current, the charge, and the energy delivered to the
cardiac tissue.