ECG arrhythmia recognition exercises are usually performed on a manikin or by attaching the monitor directly to an ECG Simulator. The Simulaids ECG Training Vest offers an inexpensive way to communicate with a live patient while monitoring. The vest is manufactured from a flesh-colored fabric with four-lead monitoring capability. The vest can be hooked up to the ECG Simulator and contains a pocket to hold the simulator. The patient or the instructor has access to the rhythm control buttons. This access allows them to select the next rhythm to be practiced. The ECG Training Vest includes the interactive ECG Simulator. The vest contains no electrical energy and is not for defibrillation practice. The vest can be used with manikins.