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placed. Pacemakers do not prevent the heart from going to fast and abnormal heart rhythms can still occur. A defibrillator is a device similar to the pacemaker but larger. As previously stated, it can pace the heart and will prevent the heart from going too slow as well. However that is usually not the main reason defibrillators are placed.
The difference between pacemakers and ICDs is that pacemakers are also available as temporary units and are generally designed to correct slow heart rates, i.e. bradycardia, while ICDs are often permanent safeguards against sudden life-threatening arrhythmias. The most recent development is the subcutaneous ICD (S-ICD).