A biventricular pacing system is provided which includes an automatic
capture verification system for verifying capture of left ventricular
pacing pulses on a beat by beat basis. A loss of capture recovery system
delivers a backup safety pulse in the event of loss of capture detected
in either the right or left ventricle. An automatic stimulation threshold
search system is provided for measuring the capture threshold of both
left and right ventricles based on various triggers. An automatic output
regulation system for both the left and right ventricular channels is
provided to set the pacing amplitude to levels sufficient to ensure
capture plus a safety margin. A left ventricular automatic stimulation
threshold search is triggered upon detection of any loss of capture in
the left ventricle and periodically based on a number of different
triggers.