Undersensing of an evoked response during an automatically initiated
search of the stimulation threshold in a stimulation channel of an IMD,
e.g., the pacing threshold in a pacing channel of a pacing system, is
minimized by repeating the search using the sense amplifier of the
stimulation channel configured in bipolar and unipolar sensing
configurations. A failure to sense an evoked response in the search in
one sensing configuration can be confirmed, and stimulation energy set to
a high output, if an evoked response is not sensed in an alternate
sensing configuration or refuted if an evoked response is sensed in the
alternate sensing configuration. If the failure is refuted, the alternate
sensing configuration is employed until the next search.