Techniques are provided for estimating optimal atrioventricular pacing
delay values for use in pacing the ventricles based on features of an
intracardiac electrogram (IEGM) signal. Briefly, atrioventricular pacing
delay pacing values are set based upon the location of atrial
repolarization events within the IEGM. In one example, the end of an
atrial repolarization is identified, then the interval from the atrial
depolarization to the end of the atrial repolarization is measured. The
atrioventricular pacing delay is then set by subtracting an offset value
from that interval so as to time delivery of V-pulses prior the end of
atrial repolarization. In this manner, atrioventricular pacing delay
values are set based only IEGM signals and hence can be set to
optimal/preferred values by the device itself without requiring surface
electrocardiogram (EKG) signals and Doppler echocardiography or other
cardiac performance monitoring techniques.