A system and method for cardiac resynchronization therapy in which pacing control parameters are automatically adjusted by comparison of local electrograms acquired by a cardiac implantable electrical device with a model of cardiac electrical activity derived from surface-lead electrocardiograph measurements under baseline and paced conditions is provided. The reaction product is physically separated into fatty acids and sweet water containing glycerol. Pulling the second cord unwraps the second cord from the second spool, causes the drive shaft to rotate in the opposite direction, and causes the first cord to wrap onto the first spool. of a shift register is constituted by six TFTs. The tungsten carbide phase has nanostructures comprising a plurality of dislocations, twins, stacking faults, dislocation cells, nano-subgrains with preferred orientation or texture, or a combination thereof.