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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.
What a pacemaker does is keep the heart beating at the proper rate and from beating too slow. It also will only activate if it is needed, it is not shocking people all the time. An implanted defibrillator is a bigger device. It is there to prevent death from a cardiac arrest.