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Pacemakers and ICD Insertions Pacemaker Your physician might recommend a pacemaker when a problem develops—such as a slow heart rate—to ensure that the heartbeat does not slow to a dangerously low rate. Biventricular pacemaker Sometimes in heart failure, the two ventricles do not pump in a normal manner. When this happens, the heart pumps less blood. A biventricular pacemaker paces both ventricles at the same time, increasing the amount of blood pumped by the heart. This type of treatment is called cardiac resynchronization therapy, or CRT. Implantable cardioverter defibrillator (ICD) An ICD monitors the heart's electrical activity, and responds with either anti-tachycardia pacing (ATP) or shock therapy to prevent sudden cardiac arrest.
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