Multi-chamber pacing may result in capture of one chamber, capture of
multiple chambers, fusion, or non-capture. Approaches for detecting
various capture conditions during multi-chamber pacing are described.
Pacing pulses are delivered to left and right heart chambers during a
cardiac cycle. A cardiac electrogram signal is sensed following the
delivery of the pacing pulses. Left chamber capture only, right chamber
capture only, and bi-chamber capture may be distinguished based on
characteristics of the cardiac electrogram signal. Multi-chamber capture
detection may be implemented using detection windows having dimensions of
time and amplitude. The detection windows are associated with expected
features, such as expected signal peaks, under a particular capture
condition. The cardiac electrogram signal features are compared to
detection windows to determine the capture condition.