Pacemaker (Noun) — A leading instance in its field. ex. "the new policy will be a pacemaker in community relations"
Pacemaker (Noun) — A specialized bit of heart tissue that controls the heartbeat.
Pacemaker (Noun) — An implanted electronic device that takes over the function of the natural cardiac pacemaker.
Pacemaker (Noun) — A horse used to set the pace in racing.