Can a person with a pacemaker (permanent artificial cardiac pacemaker) wear a weighted vest?

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Last updated: June 26, 2025View editorial policy

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From the Guidelines

Individuals with a pacemaker should generally avoid wearing weighted vests without first consulting their cardiologist. The pressure and weight from these vests could potentially interfere with pacemaker function or displace the device and its leads, especially if the vest places direct pressure on the implantation site (typically the upper chest area) 1. Additionally, the extra weight might increase cardiac demand, which could be problematic for those with underlying heart conditions. Each pacemaker patient's situation is unique, with variables including the specific type of pacemaker, its placement, the underlying cardiac condition, and the individual's overall health status.

Before using any weighted exercise equipment, patients should discuss their exercise plans with their cardiologist, who can provide personalized guidance based on their specific medical situation 1. The cardiologist might recommend alternative exercises that provide similar benefits without risking pacemaker function or cardiac health. According to the American Heart Association and American College of Cardiology, athletes with permanent pacemakers should be cleared for athletic participation if there are no limiting structural heart conditions or symptoms, but those who are completely pacemaker dependent should not engage in sports in which there is a risk of collision that could result in damage to the pacemaker system 1.

Regular follow-up appointments are also important to ensure the pacemaker continues to function properly, especially when introducing new physical activities. It is crucial to prioritize the patient's safety and the proper functioning of their pacemaker when considering the use of weighted vests or any other exercise equipment. The most recent guidelines from 2015 provide the best evidence for managing patients with pacemakers, and their recommendations should be followed to minimize risks and ensure the best possible outcomes 1.

Some key considerations for patients with pacemakers include:

  • The type of pacemaker and its placement
  • The underlying cardiac condition
  • The individual's overall health status
  • The potential risks of weighted vests or other exercise equipment
  • The need for regular follow-up appointments to ensure proper pacemaker function.

By taking these factors into account and consulting with a cardiologist, patients with pacemakers can make informed decisions about their exercise plans and minimize the risks associated with weighted vests or other equipment.

From the Research

Pacemaker and Weighted Vest Compatibility

  • There is no direct evidence from the provided studies that specifically addresses the compatibility of weighted vests with pacemakers 2, 3, 4, 5, 6.
  • The studies focus on the effects of weighted vests on strength, performance, quality of life, bone turnover, and physical function in various populations, including older adults and individuals with specific medical conditions 3, 4, 5, 6.
  • None of the studies mention pacemakers or their interaction with weighted vests, suggesting a lack of research on this specific topic.

General Considerations for Pacemaker Users

  • Pacemaker users are generally advised to avoid strong magnetic fields, as they can interfere with the device's operation 2.
  • However, weighted vests do not typically generate strong magnetic fields, as they are simply vests with added weights.
  • It is essential to consult with a healthcare professional or a cardiologist for personalized advice on wearing a weighted vest with a pacemaker, as individual circumstances may vary.

Conclusion Not Applicable

As per the instructions, no conclusion section should be included. The information provided is based on the available evidence and highlights the lack of direct research on the topic.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

In-home measurement of the effect of strategically weighted vests on ambulation.

Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, 2013

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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