An implantable cardiac stimulation device applies pacing stimulation
pulses to a heart and senses evoked responses to the pacing stimulation
pulses. A pulse generator applies the stimulation pacing pulses to the
heart in accordance with a pacing configuration. A sensor control selects
an evoked response sensing electrode configuration from among a plurality
of evoked response sensing electrode configurations in response to the
pacing configuration. A sensor is then programmed to sense the evoked
responses with the selected evoked response sensing electrode
configuration. In accordance with a preferred embodiment, signal-to-noise
ratios obtained with the various electrode configurations are used to
select a best electrode configuration for sensing evoked responses.