pacemaker (n.)a leading instance in its field;
Synonyms: pacesetter
pacemaker (n.)a specialized bit of heart tissue that controls the heartbeat;
Synonyms: cardiac pacemaker / sinoatrial node / SA node
pacemaker (n.)an implanted electronic device that takes over the function of the natural cardiac pacemaker;
Synonyms: artificial pacemaker
pacemaker (n.)a horse used to set the pace in racing;
Synonyms: pacer /
pacesetter