The invention relates to a pacing system, in particular an implantable
pacemaker for pacing multiple chambers of the heart and sensing signals
from the myocardium of multiple chambers of the heart which will allow
the verification of a cardiac evoked response resulting from a delivered
charge to the heart tissue comprising:a preamplifier having a) a DC
coupled buffer amplifier first stage, comprising at least one buffer
amplifier for each of the at least two electrode inputs, b) a switch
matrix following the buffer amplifiers allowing sensing of the
differential between any two of the at least two electrode inputs, c) a
next stage of differential amplifiers providing gain to either the
differential between any two electrode inputs or one input to ground, and
d) a next stage filter stage.