I’d guess the biggest risk increase is from having a heart that needs a pacemaker in the first place. The pacemaker itself probably isn’t designed for lightnin

I’d guess the biggest risk increase is from having a heart that needs a pacemaker in the first place. The pacemaker itself probably isn’t designed for lightning strikes, but it probably is designed to survive hits from a defibrillator. I’d put money on a pacemaker/ICD surviving a lightning strike.