Exercise Guidelines for Patients with Pacemakers

Initial Recovery Period (First 6 Weeks)

Restricted Activities

• Avoid lifting arms above shoulder level
• No heavy lifting (>10 lbs/4.5 kg)
• Avoid sudden, jerking movements
• No golf, tennis, or swimming

Recommended Activities

• Short walks (start with 5-10 minutes)
• Light household activities
• Gentle shoulder exercises as prescribed

Gradual Return to Exercise (6-12 Weeks)

Aerobic Activities

• Walking (gradually increase duration)
• Stationary cycling (low resistance)
• Light swimming (after wound healing)
• Treadmill (walking pace)

Strength Training

• Light weights (<10 lbs)
• Focus on lower body exercises
• Controlled movements
• Avoid straining

Long-term Exercise Guidelines

Safe Activities

• Moderate walking
• Swimming
• Golf (after proper healing)
• Low-impact aerobics
• Stationary cycling

Activities Requiring Caution

• Contact sports
• High-intensity interval training
• Heavy weightlifting
• Activities with fall risk

Important Safety Points

1. Always wear medical ID
2. Monitor heart rate during exercise
3. Stop if experiencing:
   • Dizziness
   • Shortness of breath
   • Chest pain
   • Unusual fatigue

Exercise Intensity Guidelines

• Start slowly and progress gradually
• Use the "talk test" - should be able to hold a conversation
• Stay within prescribed heart rate limits
• Rest between exercises

Follow-up Care

• Attend all scheduled check-ups
• Report any concerns to healthcare provider
• Keep device identification card handy
• Regular device checks as scheduled