indianamerican shree saini represented the usa at the miss world 2021 she bagged the first runnerup title followed by olivia yace from cote divoire as the second runnerupan advocate for heart health punjab born shree saini has a permanent pacemaker implanted in her since she was 12 years olda pacemaker is a small device implanted in the chest to control the heartbeat of an individual it is also called a cardiac pacing device pacemakers send lowenergy electrical pulses to help the heart beat at a normal rate and rhythmpeople who are diagnosed with bradycardia sick sinus syndrome or conditions that affect the heart beat need pacemakers to continue proper functioning of the heart even those who take certain medications which slow down heart rate are also advised to implant pacemakersproblems with the heart rhythm may cause difficulties because the heart is unable to pump an adequate amount of blood to the body if the heart rate is too slow the blood is pumped too slowly if the heart rate is too fast or too irregular the heart chambers are unable to fill up with enough blood to pump out with each beat when the body does not receive enough blood symptoms such as fatigue dizziness fainting andor chest pain may occur say experts at john hopkinsin many interviews she has spoken about having a lifesaving emergency surgery due to a complete heart block as a child and also surviving a devastating car crash in collegeread combination of omicron ba1 and ba2 found in israelshe has put lots of effort into healing from the physical pain and has built up mental strength to cope with itmy main focus is to help strengthen hearts and not just physical hearts but emotional hearts because i think you can only be heart healthy if youre taking care of your emotional health as well she had said in an interviewon the devastating car accident she has shared that no one should have survived that accident looking at the condition of the car and how beaten up it was i was rushed to the er i had a lot of bruises my entire face was blown up and i could not even see my earsi could not even cry because tears would burn my face she had saidshe had also revealed that for months she avoided the mirror in order to not be reminded of the painin her journey of recovery she shares how she took care of her skin by staying away from sunlight washed frequently using ice cubes and washcloth to soothe the skin she has also talked about putting up with her mental healthread chinas covid outbreak fueled by stealth omicrona heart health advocate herself hours before the miss world event saini had posted on instagram a breathtaking message which reads this has been my deepest desire since i was young having a purpose to serve gave me strength in difficult times i have known hardships and i understand that being alive