Magnetic resonance imaging of patients with conventional- and MR-conditional pacemakers should be considered and may be considered respectively, based on a case-by-case risk-benefit assessment. However, information regarding incidence of risks with respect to exposure to different electromagnetic fields is limited. Based on a literary review, risk, complications and incidence was assessed. Most common risk/complication is reed switch activation. Electrode heating is a relevant risk, with minor clinical implication. Off-label MR-examinations of MR-conditional pacemakers or abandoned leads may be considered.