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 |
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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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