» Articles » PMID: 29255507

Driving Restrictions in Patients with Implantable Cardioverter Defibrillators and Pacemakers

Overview
Journal J Arrhythm
Publisher Wiley
Date 2017 Dec 20
PMID 29255507
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Implantable cardioverter-defibrillators (ICDs) improve the survival in patients at risk of sudden cardiac death. However, these patients have an ongoing risk of sudden incapacitation that may cause harm to individuals and others when driving. Considerable disagreement exists about whether and when these patients should be allowed to resume driving after ICD therapies. This information is critical for the management decisions to avoid future potentially lethal incidents and unnecessary restrictions for ICD patients. The cardiac implantable device committee of the Japanese Heart Rhythm Society reassessed the risk of driving for ICD patients based on the literature and domestic data. We reviewed the driving restrictions of ICD patients in various regions and here present updated Japanese driving restrictions.

Citing Articles

A Review of Driving Restrictions in Patients at Risk of Syncope and Cardiac Arrhythmias Associated with Sudden Incapacity: Differing Global Approaches to Regulation and Risk.

Margulescu A, Anderson M Arrhythm Electrophysiol Rev. 2019; 8(2):90-98.

PMID: 31114682 PMC: 6528027. DOI: 10.15420/aer.2019.13.2.


[Fitness to drive in patients with cardiovascular implantable electronic devices].

Mijic D, Lemke B, Bogossian H Herzschrittmacherther Elektrophysiol. 2019; 30(2):150-155.

PMID: 31073643 DOI: 10.1007/s00399-019-0626-y.


Do we understand the rationale behind driving restrictions in patients with an implantable cardioverter defibrillator?.

Baalman S, de Groot J Neth Heart J. 2018; 26(2):53-54.

PMID: 29330685 PMC: 5783895. DOI: 10.1007/s12471-017-1072-2.


Inappropriate implantable cardioverter defibrillator shocks-incidence, effect, and implications for driver licensing.

Watanabe E, Okajima K, Shimane A, Ozawa T, Manaka T, Morishima I J Interv Card Electrophysiol. 2017; 49(3):271-280.

PMID: 28730420 PMC: 5543197. DOI: 10.1007/s10840-017-0272-4.

References
1.
Freedberg N, Hill J, Fogel R, Prystowsky E . Recurrence of symptomatic ventricular arrhythmias in patients with implantable cardioverter defibrillator after the first device therapy: implications for antiarrhythmic therapy and driving restrictions. CARE Group. J Am Coll Cardiol. 2001; 37(7):1910-5. DOI: 10.1016/s0735-1097(01)01226-8. View

2.
Hickey K, Curtis A, Lancaster S, Larsen G, Warwick D, McAnulty J . Baseline factors predicting early resumption of driving after life-threatening arrhythmias in the Antiarrhythmics Versus Implantable Defibrillators (AVID) Trial. Am Heart J. 2001; 142(1):99-104. DOI: 10.1067/mhj.2001.115787. View

3.
Akiyama T, Powell J, Mitchell L, Ehlert F, Baessler C . Resumption of driving after life-threatening ventricular tachyarrhythmia. N Engl J Med. 2001; 345(6):391-7. DOI: 10.1056/NEJM200108093450601. View

4.
Wathen M, Sweeney M, DeGroot P, Stark A, Koehler J, Chisner M . Shock reduction using antitachycardia pacing for spontaneous rapid ventricular tachycardia in patients with coronary artery disease. Circulation. 2001; 104(7):796-801. DOI: 10.1161/hc3101.093906. View

5.
Eckert M, Jones T . How does an implantable cardioverter defibrillator (ICD) affect the lives of patients and their families?. Int J Nurs Pract. 2002; 8(3):152-7. DOI: 10.1046/j.1440-172x.2002.00357.x. View