Methods, apparatus, and systems are provided to stimulate multiple sites
in a heart. A controller senses electrical activity associated with sinus
rhythm of the heart. A signal generator is configured to generate an
electrical signal for stimulating the heart. Based on the electrical
signal, a distributor circuit then distributes the stimulating signals,
such as pacing pulses, to a heart. The distributor circuit may vary the
delay time between stimulating signals, inhibit a stimulating signal,
trigger application of a stimulating signal, or vary the characteristics,
such as the pulse width and amplitude, of a stimulating signal.