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when the hearts natural pacemaker is not working properly the heart may be too fast too slow or irregularly a doctor may implant a heart rhythm device like a pacemaker or defibrillator to restore the hearts natural rhythm these devices are traditionally implanted in the upper chest beneath the collarbone and are about the size of a stopwatch these battery-powered devices are connected to the heart with a lead a thin flexible wire that is traditionally inserted into a vein into a heart chamber if the patient has heart failure and two ventricles of the heart or beating out of sync a third lead is added thread it to the left ventricle the device will send electrical pulses to stimulate the two lower chambers to resynchronize them to improve the hearts pumping ability some defibrillators have a fluid monitoring feature that may detect signs of worsening conditions in heart failure patients this feature works within the device by sending electrical impulses through the heart chambers and