System and method for remote expert-system medical device programming

A medical device programmer, comprising:

• a data input for receiving PR interval durations measured by a pulse generator;
• a data input for receiving a duration interval of a ORS complex and a timing relationship between the right and left ventricular depolarizations;
• control circuitry for using at least first and second PR interval durations to select an AV delay interval for delivering one or more ventricular pacing pulses and for using the duration interval of the QRS complex and the timing relationship between right and left ventricular depolarizations to select among ventricular pacing sites in which to provide pacing pulses;
• a display screen to display the selected AV delay interval and the selected ventricular pacing site or sites;
• and
• an input to initiate programming the selected AV delay interval and ventricular pacing site or sites into the pulse generator.

A method for operating a medical device programmer, comprising:

• receiving PR interval durations measured by a pulse generator;
• receiving a duration interval of a QRS complex and a timing relationship between the right and left ventricular depolarizations;
• using at least first and second PR interval durations to select an AV delay interval for delivering one or more ventricular pacing pulses;
• using the duration interval of a ORS complex and the timing relationship between right and left ventricular depolarizations to select among ventricular pacing sites in which to provide pacing pulses;
• displaying the selected AV delay interval and the selected ventricular pacing site or sites;
• and
• programming the selected AV delay interval and ventricular pacing site or sites into the pulse generator.