A method or system for computing and/or setting optimal cardiac
resynchronization pacing parameters as derived from intrinsic conduction
data is presented. The intrinsic conduction data includes intrinsic
atrio-ventricular and interventricular delay intervals which may be
collected via the sensing channels of an implantable cardiac device.
Among the parameters which may be optimized in this manner are an
atrio-ventricular delay interval and a biventricular offset interval. In
one of its aspects, the invention provides for computing optimum pacing
parameters for patients having some degree of AV block or with atrial
conduction deficits. Another aspect of the invention relates to a pacing
mode and configuration for providing cardiac resynchronization therapy to
patients with a right ventricular conduction disorder.