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A circuit within an implantable cardiac stimulation device monitors impedance of an electrode configuration including first and second electrodes in electrical contact with a heart. The circuit is within the implantable cardiac stimulation device which applies stimulation pulses having a current and

A circuit within an implantable cardiac stimulation device monitors impedance of an electrode configuration including first and second electrodes in electrical contact with a heart. The circuit is within the implantable cardiac stimulation device which applies stimulation pulses having a current and a voltage magnitude across the electrode configuration. The circuit that monitors impedance of an electrode configuration provides an impedance digital output proportional to the ratio of a stimulation pulse voltage and current.

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1. In an implantable cardiac stimulation device which applies stimulation pulses having a current and a voltage magnitude across an electrode configuration including first and second electrodes in electrical contact with a heart, circuitry that monitors impedance of the electrode configuration compr

1. In an implantable cardiac stimulation device which applies stimulation pulses having a current and a voltage magnitude across an electrode configuration including first and second electrodes in electrical contact with a heart, circuitry that monitors impedance of the electrode configuration comprising: a current sensing circuit that provides a first analog signal representing the magnitude of the current of a stimulation pulse applied to the electrode configuration; a voltage sensing circuit that provides a second analog signal representing the magnitude of the voltage of the stimulation pulse applied to the electrode configuration; and an impedance determining circuit having an analog input coupled to one of the current sensing circuit or the voltage sensing circuit for receiving one of the first or second signals, an analog reference input coupled to the other one of the current sensing circuit or the voltage sensing circuit for receiving the other one of the first or second signals, and a digital output for providing a digital signal proportional to the ratio of the first and second signals. 2. The circuitry of claim 1, wherein the impedance determining circuit is an analog to digital converter. 3. The circuitry of claim 2, wherein the analog input is coupled to the current sensing circuit to receive the first signal, the analog reference input is coupled to the voltage sensing circuit to receive the second signal, and the circuitry further includes an inverter that generates the reciprocal of digital output of the analog to digital converter. 4. The circuitry of claim 1, wherein the current sensing circuit comprises an amplifier. 5. The circuitry of claim 1, wherein the voltage sensing circuit comprises an amplifier. 6. In an implantable cardiac stimulation device which applies stimulation pulses having a current and a voltage magnitude across an electrode configuration including first and second electrodes in electrical contact with a heart, impedance monitoring means for monitoring impedance of the electrode configuration comprising: current sensing means for providing a first analog signal representing the magnitude of the current of a stimulation pulse applied to the electrode configuration; voltage sensing means for providing a second analog signal representing the magnitude of the voltage of the stimulation pulse applied to the electrode configuration; and impedance determining means having analog input means coupled to one of the current sensing means or the voltage sensing means for receiving one of the first or second signals, analog reference input means coupled to the other one of the current sensing means or the voltage sensing means for receiving the other one of the first or second signals, and digital output means for providing a digital signal proportional to the ratio of the first and second signals. 7. The impedance monitoring means of claim 6, wherein the impedance determining means is an analog to digital converter. 8. The impedance monitoring means of claim 6, wherein the analog input means is coupled to the current sensing means to receive the first signal, the analog reference input means is coupled to the voltage sensing means to receive the second signal, and the impedance monitoring means further includes an inverter means for providing the reciprocal of the digital output of the analog to digital converter. 9. The impedance monitoring means of claim 6, wherein the current sensing means comprises an amplifier. 10. The impedance monitoring means of claim 6, wherein the voltage sensing means comprises an amplifier.