The invention concerns implantable cardiac stimulation devices in general
which have at least one stimulation pulse generator (A-STIM; RV-STIM;
LV-STIM) to selectively generate a stimulation pulse for delivery to one
of at least two different chambers of a heart, said chambers include
right and left atria and right and left ventricles, at least one
impedance measuring stage (I, U, IMP) being connected to electrodes or
connectors for such electrodes to measure an intracardiac impedance when
in use, a control unit (CTRL) connected to the stimulation pulse
generator and to the impedance measuring unit and being adapted to
process a minimum impedance value for a heart cycle to trigger
stimulation pulses for two different chambers of the heart with an
adjustable time delay (VVD; AVD) and to adjust said time delay depending
upon the measured intracardiac impedance minimum value. According to the
invention the control unit is adapted to adjust the time delay such that
the minimum value of the intracardiac impedance during one heart cycle is
minimized or such that the AVD delay is equal to the time interval
between an atrial event and the point of time when the minimum impedance
value occurs after said atrial contraction.