Systems for detecting potential pacemaker capture loss in a
surface electrocardiogram (ECG)
signal are provided. In one example, a
system includes a plurality of electrodes (RA, LA, RL, LL, V1, V2, V3, V4, V5, V6) configured to measure electrical potentials generated at a patient's
skin, an
electrode monitor (10) configured to generate an
ECG signal from the electrical potentials, an interface (434), a memory (406) storing instructions, and at least one processor (404) configured to execute the instructions to obtain (504) a baseline
ECG signal of the patient, obtain (702) a current
ECG signal of the patient from the
electrode monitor, determine that the patient has an electronic
implant performing biventricular pacing based on the baseline ECG
signal and / or the current ECG
signal, compare (712, 714) the baseline ECG signal of the patient to the current ECG signal based on the determination, and indicate (722) a deterioration condition of the electronic
implant through the interface based on the comparison and the determination.