Position paper of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) on driving by patients with cardiac implantable electronic devices
In patients with cardiac implantable electronic devices (CIEDs) (implantable cardioverter-defibrillators [ICDs] and pacemakers [PMs]), the potential risk of suddenly being unable to drive, and hence of causing road accidents, is higher than in the general population. In ICD patients, this risk stems from the possibility that an arrhythmic event leading to loss of consciousness may occur while driving. In PM patients, it may be the result of a device malfunction in a PM-dependent patient. To determine a CIED patient's ability to drive, two variables must be taken into account: (i) the risk of events, which depends on the type of underlying heart disease (ICD patients have a higher risk than PM patients); (ii) the time spent driving and the type of vehicle driven (professional drivers are at higher risk than private drivers). This position paper reports the recommendations of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) regarding driving by patients with CIEDs, on the basis of the available literature and the European reference recommendations.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
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| Enthalten in: |
Giornale italiano di cardiologia (2006) - 21(2020), 10 vom: 31. Okt., Seite 819-825 |
| Sprache: |
Italienisch |
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| Weiterer Titel: |
Position paper dell’Associazione Italiana di Aritmologia e Cardiostimolazione (AIAC): Raccomandazioni sull’idoneità alla guida dei pazienti portatori di dispositivi cardiaci impiantabili |
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| Beteiligte Personen: |
Palmisano, Pietro [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 15.07.2021 Date Revised 15.07.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.1714/3431.34209 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM315391995 |
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| 246 | 3 | 3 | |a Position paper dell’Associazione Italiana di Aritmologia e Cardiostimolazione (AIAC): Raccomandazioni sull’idoneità alla guida dei pazienti portatori di dispositivi cardiaci impiantabili |
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| 520 | |a In patients with cardiac implantable electronic devices (CIEDs) (implantable cardioverter-defibrillators [ICDs] and pacemakers [PMs]), the potential risk of suddenly being unable to drive, and hence of causing road accidents, is higher than in the general population. In ICD patients, this risk stems from the possibility that an arrhythmic event leading to loss of consciousness may occur while driving. In PM patients, it may be the result of a device malfunction in a PM-dependent patient. To determine a CIED patient's ability to drive, two variables must be taken into account: (i) the risk of events, which depends on the type of underlying heart disease (ICD patients have a higher risk than PM patients); (ii) the time spent driving and the type of vehicle driven (professional drivers are at higher risk than private drivers). This position paper reports the recommendations of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) regarding driving by patients with CIEDs, on the basis of the available literature and the European reference recommendations | ||
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