Addendum to "Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations. A medical/scientific statement from the American Heart Association and the North American Society of Pacing and Electrophysiology". Public safety issues in patients with implantable defibrillators. A Scientific statement from the American Heart Association and the Heart Rhythm Society

Andrew E Epstein; Christina A Baessler; Anne B Curtis; N A Mark Estes; Bernard J Gersh; Blair Grubb; L Brent Mitchell; American Heart Association; C S Pitchumoni

doi:10.1016/j.hrthm.2007.01.015

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Addendum to "Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations. A medical/scientific statement from the American Heart Association and the North American Society of Pacing and Electrophysiology". Public safety issues in patients with implantable defibrillators. A Scientific statement from the American Heart Association and the Heart Rhythm Society

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Addendum to "Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations. A medical/scientific statement from the American Heart Association and the North American Society of Pacing and Electrophysiology". Public safety issues in patients with implantable defibrillators. A Scientific statement from the American Heart Association and the Heart Rhythm Society

Andrew E Epstein, Christina A Baessler, Anne B Curtis, N A Mark Estes, Bernard J Gersh, Blair Grubb, L Brent Mitchell, American Heart Association and C S Pitchumoni

Heart rhythm, v 4(3), pp 386-393

01 Mar 2007

DOI: https://doi.org/10.1016/j.hrthm.2007.01.015

PMID: 17341412

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Abstract

OVERVIEWIn 1996, the American Heart Association developed a scientific statement entitled "Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations." Since then, multiple trials have established the role of implantable cardioverter-defibrillators (ICDs) for the primary prevention of sudden cardiac death in patients at risk for life-threatening ventricular arrhythmias.OBJECTIVEThe issue of driving for patients with ICDs implanted for primary prevention was briefly discussed in the original statement, with the recommendation that such patients not be restricted from driving beyond the initial phase of healing. This scientific statement has been developed to extend the original 1996 recommendations and to provide specific recommendations on driving for individuals with ICDs implanted for primary prevention.SUMMARY OF RECOMMENDATIONS(1) Patients receiving ICDs for primary prevention should be restricted from driving a private automobile for at least 1 week to allow for recovery from implantation of the defibrillator. Thereafter, these driving privileges should not be restricted in the absence of symptoms potentially related to an arrhythmia. (2) Patients who have received an ICD for primary prevention who subsequently receive an appropriate therapy for ventricular tachycardia or ventricular fibrillation, especially with symptoms of cerebral hypoperfusion, should then be considered to be subject to the driving guidelines previously published for patients who received an ICD for secondary prevention. (3) Patients with ICDs for primary prevention must be instructed that impairment of consciousness is a possible future event. (4) These recommendations do not apply to the licensing of commercial drivers.

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Title: Addendum to "Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations. A medical/scientific statement from the American Heart Association and the North American Society of Pacing and Electrophysiology". Public safety issues in patients with implantable defibrillators. A Scientific statement from the American Heart Association and the Heart Rhythm Society
Creators: Andrew E Epstein - University of Alabama at Birmingham
Christina A Baessler - Drexel University
Anne B Curtis - University of South Florida
N A Mark Estes - Tufts Medical Center
Bernard J Gersh - Mayo Clinic Minnesota.
Blair Grubb - University of Toledo Medical Center
L Brent Mitchell - University of Calgary
American Heart Association
C S Pitchumoni
Publication Details: Heart rhythm, v 4(3), pp 386-393
Publisher: Elsevier
Resource Type: Journal article
Language: English
Web of Science ID: WOS:000244964100038
Scopus ID: 2-s2.0-33847367350
Other Identifier: 991019357769904721

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Collaboration types: Domestic collaboration; International collaboration
Web of Science research areas: Cardiac & Cardiovascular Systems