Electrostimulation, in general, can cause tissue damage or even death if misused. The most common problems arising from electrostimulation tend to be burns from lack of sufficiently wide surface contact, i.e. bad contact, between the electrode and the skin's surface. Even at relatively low current and voltage, there is also risk of interference with normal heart function (potentially including cardiac arrest), and this risk is higher for those who use an artificial pacemaker or similar device or who have heart conditions. Because of this, it is not advisable to place the electrical contacts in such a way that current passes through the chest cavity.