pacemaker n 1: a leading instance in its field; "the new policy will be a pacesetter in community relations" [syn: {pacesetter}] 2: a specialized bit of heart tissue that controls the heartbeat [syn: {cardiac pacemaker}, {sinoatrial node}, {SA node}] 3: an implanted electronic device that takes over the function of the natural cardiac pacemaker [syn: {artificial pacemaker}] 4: a horse used to set the pace in racing [syn: {pacer}, {pacesetter}]