Physical activity and sports with a cardiac device or implantable cardioverter defibrillator (ICD)

After implant or generator change, you can usually resume your physical activities and sports within a couple of weeks. It is recommended that you consult with your doctor or nurse before you re-start to make sure the wound has healed properly and to learn about any precautions or limitations you should take. Some general recommendations are the following:

• For all patients with cardiac devices, physical activities associated with a risk of chest trauma (e.g. rugby, boxing, martial arts) should be avoided.
• Other sports (like soccer, basketball, baseball) can be possible while wearing appropriate padding.
• It is noteworthy that sports with pronounced arm movements (such as volleyball, basketball, tennis, golf, climbing) may increase the risk for late lead damage.
• Implantation on the opposite side of the dominant arm (e.g. at the left side in a right-handed tennis player), fixation within the pocket, or submuscular placement, may improve durability of the system.

 

In all cardiac devices it is possible to program rate-response pacing. Rate-responsive pacing adapts the paced heart rate to changes in your physical activity. An activity sensor in the device is used to measure your movement and to determine the appropriate paced heart rate. This feature is especially of benefit if you have slow heart rate and inadequate rise in heart rate during exercise which can result in shortness of breath, chest discomfort, and other symptoms. As not all patients with a cardiac device encounter symptomatic slow heart rates, this feature is not necessary for every patient. Programming of rate-responsive pacing is to the discretion of the cardiologist and technician but can be easily programmed during device check-up.

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FREQUENTLY ASKED QUESTIONS

Can I exercise with a pacemaker or ICD?

Yes, most people with pacemakers or ICDs can safely exercise. However, it’s important to discuss with your doctor to create a tailored plan and avoid activities that involve intense physical contact or heavy lifting shortly after implantation.

What activities should be avoided with a pacemaker?

High-impact sports like football, boxing, or hockey that may involve direct impact to the chest should be avoided. Activities involving strong electromagnetic interference, such as welding, should also be avoided.

Can I play golf with a pacemaker?

Yes, you can play golf with a pacemaker. However, avoid strenuous swinging or overextending the arm on the side of the pacemaker implant until fully healed.

How soon after pacemaker implantation can I exercise?

Light physical activity, like walking, can typically be resumed within a week of pacemaker implantation. More vigorous activities can be introduced gradually over 4-6 weeks based on your doctor’s advice.

Can I work out at the gym with a pacemaker?

Yes, gym workouts are generally safe after recovery. Focus on low-impact exercises, avoid heavy weights, and consult your healthcare provider to ensure your workout plan is appropriate.

Are there specific exercises recommended for pacemaker patients?

Aerobic exercises like walking, cycling, and swimming are often recommended. Resistance training can be included once fully healed, but start with lighter weights and increase gradually.