Driving restriction in patients with cardiac implantable electronic devices: an overview of worldwide regulations

Autor: Jacopo Francesco Imberti, Mauro Biffi, Giuseppe Boriani, Igor Diemberger, Marco Vitolo, Matteo Ziacchi, Marco Proietti
Přispěvatelé: Imberti J.F., Vitolo M., Proietti M., Diemberger I., Ziacchi M., Biffi M., Boriani G.
Rok vydání: 2020
Předmět:
Pacemaker
Artificial
Automobile Driving
medicine.medical_specialty
implantable cardioverter defibrillator
Internationality
PM
Formal
medicine.medical_treatment
Biomedical Engineering
Poison control
Driving license
030204 cardiovascular system & hematology
Suicide prevention
cardiac implantable electronic device
sudden cardiac death
Occupational safety and health
Sudden cardiac death
03 medical and health sciences
0302 clinical medicine
Injury prevention
medicine
Humans
In patient
Social Control
business.industry
ICD
Human factors and ergonomics
General Medicine
medicine.disease
Implantable cardioverter-defibrillator
pacemaker
Defibrillators
Implantable
Social Control
Formal
CRT
Licensure
Artificial
Emergency medicine
Surgery
Implantable
business
030217 neurology & neurosurgery
Human
Defibrillators
Zdroj: Expert Review of Medical Devices. 17:297-308
ISSN: 1745-2422
1743-4440
Popis: Introduction: It is common belief that driving with an implantable cardioverter defibrillator (ICD)/pacemaker (PM) might be associated with sudden cardiac incapacitation, road traffic accidents, and chance to harm to self and others. On the other hand, the ability to drive is highly valuable in the modern era, representing a cornerstone of daily living and employment. National regulations try to balance the right to drive of ICD/PM patients and the risk they pose to public safety, but rules for granting them a driving license are considerably different worldwide. For the same subset of patients driving restrictions may vary between 1week and 1 year depending on the local law. Areas covered: In this article we systematically review driving restrictions in ICD/PM patients in 16 countries all over the world, highlighting their differences and analyzing data from the literature that underlie their formulation. Expert opinion: Current regulations are mainly based on historical data that do not take into account improvements in ICD/PM technologies and driving environment, which have made driving with an ICD/PM is substantially safe. Newer studies and updated regulatory documents are warranted to set the best driving restrictions and reach homogeneity worldwide.
Databáze: OpenAIRE
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