A non-transitory, computer-readable storage medium comprising instructions that, when executed, cause a processor to perform a method for comprising:
- a) determining a baseline rhythm, the baseline rhythm includes a baseline atrial event and a baseline right ventricular (RV) event from an implanted cardiac lead or a leadless device, a pre-excitation interval determined from the baseline atrial event and the baseline RV event, and a plurality of activation times determined from the plurality of body-surface electrodes;
- b) determining an offset, the offset defined as difference between the intrinsic rhythm activation time (T2) of an electrode (T2) an earliest time of RV activation (T1) in intrinsic rhythm;
- and
- c) applying a correction factor to the pre-excitation interval for LV only pacing based on the offset T2-T1;
- and
- d) configuring the processor to signal the pulse generator to deliver electrical stimuli to a left ventricle (LV) using the corrected pre-excitation interval before the RV sensing time.