Combined implantable pulse generator device

An Implantable Pulse Generator (IPG) comprising:

• Cardiac Contractility Modulation generator circuitry adapted to provide a Cardiac Contractility Modulation treatment modality;
• pacing generator circuitry adapted to provide a cardiac pacing treatment modality;
• Cardioversion generator circuitry adapted to provide a Cardioversion treatment modality;
• defibrillation pulse generator circuitry adapted to provide a Defibrillation treatment modality;
• Cardiac Resynchronization Therapy (CRT) generator circuitry adapted to provide a Cardiac Resynchronization Therapy (CRT) treatment modality;
• and
• a controller adapted to gather cardiac data to evaluate clinical benefit of providing at least one of the treatment modalities over an evaluation period which lasts plurality of hours;
• wherein the IPG is enabled to determine the clinical benefit by comparing at least some of the cardiac data to reference data comprised in the IPG;
• wherein the controller is configured to provide a specific treatment modality based on said evaluated clinical benefit and stored cardiac parameter values.