 We didn't have to use crash or siren sounds after all. Speeding catches up with you. Have you ever received a biventricular pacemaker in a number of facilities and are still not feeling better? Dr. Chalaya and his cardiology team at the Heart Institute of North Dakota and his team at Riverview Health in Crookston have been able to improve the quality of life in patients with heart failure by revising and upgrading the systems in patients who have failed to see benefit from their current biventricular pacemaker.