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.

Position paper of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) on driving by patients with cardiac implantable electronic devices / Palmisano, P.; Guerra, F.; Bisignani, G.; Forleo, G. B.; Landolina, M.; Soldati, E.; Stabile, G.; Zanotto, G.; Berisso, M. Z.; De Ponti, R.; Boriani, G.; Ricci, R. P.. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1972-6481. - 21:10(2020), pp. 819-825. [10.1714/3431.34209]

Position paper of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) on driving by patients with cardiac implantable electronic devices

Stabile G.;Zanotto G.;Boriani G.;
2020

Abstract

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.
2020
21
10
819
825
Position paper of the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) on driving by patients with cardiac implantable electronic devices / Palmisano, P.; Guerra, F.; Bisignani, G.; Forleo, G. B.; Landolina, M.; Soldati, E.; Stabile, G.; Zanotto, G.; Berisso, M. Z.; De Ponti, R.; Boriani, G.; Ricci, R. P.. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1972-6481. - 21:10(2020), pp. 819-825. [10.1714/3431.34209]
Palmisano, P.; Guerra, F.; Bisignani, G.; Forleo, G. B.; Landolina, M.; Soldati, E.; Stabile, G.; Zanotto, G.; Berisso, M. Z.; De Ponti, R.; Boriani, G.; Ricci, R. P.
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1227049
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact