Cardiac monitoring and/or stimulation methods and systems that provide one
or more of monitoring, diagnosing, defibrillation, and pacing. Cardiac
signal separation is employed to detect, monitor, track, and/or trend
closed-loop cardiac resynchronization therapy using cardiac activation
sequence information. Devices and methods involve sensing a plurality of
composite cardiac signals using a plurality of electrodes, the electrodes
configured for implantation in a patient. A source separation is
performed using the sensed plurality of composite cardiac signals,
producing one or more cardiac signal vectors associated with all or a
portion of one or more cardiac activation sequences. A cardiac
resynchronization therapy is adjusted using one or both of the one or
more cardiac signal vectors and the signals associated with the one or
more cardiac signal vectors. In further embodiments, the cardiac
resynchronization therapy may be initiated, terminated, or one or more
parameters of the resynchronization therapy may be altered.