In addition to soft flexible machinery being somewhat difficult to manufacture, you would also have to hook it up to the brain. Not exactly an easy feat.
https://academic.oup.com/eurheartj/article/39/20/1799/290050...
As a result, they do not correctly respond to higher demand by beating faster, but this is a deficiency that is considered acceptable. Heart transplant recipients aren't routinely running marathons.
Or having to learn from Hacker News that Google is dropping support for your organs.