A method of treating hemodynamic disfunction by simultaneously pacing both
ventricles of a heart. At least one ECG amplifier is arranged to
separately detect contraction of each ventricle and a stimulator is then
activated for issuing stimulating pulses to both ventricles in a manner
to assure simultaneous contraction of both ventricles, thereby to assure
hemodynamic efficiency. A first ventricle is stimulated simultaneously
with contraction of a second ventricle when the first fails to properly
contract. Further, both ventricles are stimulated after lapse of a
predetermined A-V escape interval. One of a pair of electrodes, connected
in series, in placed through the superior vena cava into the right
ventricle and a second is placed in the coronary sinus about the left
ventricle. Each electrode performs both pacing and sensing functions. The
pacer is particularly suitable for treating bundle branch blocks or slow
conduction in a portion of the ventricles.