Personal and public safety issues related to arrhythmias that may affect consciousness: implications for regulation and physician recommendations. A medical/scientific statement from the American Heart Association and the North American Society of Pacing and Electrophysiology
| Autor: | Levine Pa, Wilkoff Bl, A. E. Epstein, Friedman Pl, Harvey Jc, A. Garson, A. J. Camm, Kidwell Ga, Francis E. Marchlinski, E. N. Prystowsky, Klein Gj, David G. Benditt, Miles Wm, Darling Ej |
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| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
Automobile Driving Heart disease Statement (logic) media_common.quotation_subject Context (language use) Legislation Sudden death Syncope Sudden cardiac death Recurrence Physiology (medical) Medicine Humans Ethics Medical cardiovascular diseases Psychiatry Physician's Role media_common business.industry Cardiac Pacing Artificial Arrhythmias Cardiac medicine.disease Surgery Defibrillators Implantable cardiovascular system Affect consciousness Consciousness Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 94(5) |
| ISSN: | 0009-7322 |
| Popis: | Patients with arrhythmias may experience complete or partial loss of consciousness, and questions about activities that are safe for them arise every day. Probably the most common question concerns the advisability of driving, because the safety of both patients and others may be threatened when personal or professional activities are performed by persons with arrhythmias that may impair consciousness. In view of the magnitude of this problem, the American Heart Association and the North American Society of Pacing and Electrophysiology (NASPE) cosponsored two conferences on medical and regulatory issues related to arrhythmias in the context of driving and other activities. The first conference, “Driving and Arrhythmias: Medical Aspects,” was held at the NASPE Scientific Session on May 10, 1994, in Nashville, Tenn. The conference was chaired by William M. Miles, MD, and cochaired by Gregory A. Kidwell, MD, and Elizabeth J. Darling, MSN, RN. The second conference, “Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations,” was held January 12 through 13, 1995, in Washington, DC, and was chaired by Andrew E. Epstein, MD. The second conference had a broader focus and addressed regulatory and legal issues related to activities in patients with arrhythmias that may result in impaired consciousness. This statement is based on the proceedings of the two conferences. Although ventricular arrhythmias are the most common cause of sudden cardiac death, both bradyarrhythmias and the usually more benign supraventricular arrhythmias can lead to syncope or sudden death. Furthermore, arrhythmia therapies themselves can interfere with day-to-day functioning as a consequence of reactions to drugs, shocks from implantable devices, and physical limitations after arrhythmia operations. Some arrhythmias can be cured, and others can only be palliated. There are risks to both personal and public safety when patients with arrhythmias that may … |
| Databáze: | OpenAIRE |
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