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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.
Basically the same thing the doctor does with the big defibrillator paddles but it is automated and internal and requires far less current since it is internal. A pacemaker does exactly what its name says.