An implantable cardiac lead comprises a lead body having a proximal end
and a distal end, the proximal end of the lead body carrying a connector
assembly connectable to an implantable medical device, and the distal end
of the lead body carrying a distal electrode, a proximal electrode and an
intermediate electrode positioned between the distal and proximal
electrodes. The distal and proximal electrodes are connected together at
a node point located within the distal end of the lead body, the node
point being electrically connected to a first terminal contact on the
connector assembly and the intermediate electrode being electrically
connected to a second terminal contact on the connector assembly.
Preferably, the intermediate electrode is positioned approximately midway
between the distal and proximal electrodes. Also disclosed are a system
and a method for differentiating signals generated by a plurality of
electrodes carried by a lead body to provide an output signal
representative of a second spatial derivative of the generated signals,
the output signal being substantially devoid of far-field signals.