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When the heart's natural pacemaker malfunctions, it can result in abnormal heart rhythms like tachycardia, bradycardia, or arrhythmia. In such cases, a doctor may recommend implanting a heart rhythm device like a pacemaker or defibrillator. These devices are typically placed beneath the collarbone and are the size of a stopwatch. They are connected to the heart with a lead wire inserted into a vein. In cases of heart failure where the ventricles beat out of sync, a third lead may be added to the left ventricle to resynchronize them. Some defibrillators have a fluid monitoring feature to detect worsening conditions in heart failure patients by sending electrical impulses through the heart chambers.