학술논문

Driving with cardiac devices in Australia. Does a review of recent evidence prompt a change in guidelines?
Document Type
Article
Source
Internal Medicine Journal. Mar2020, Vol. 50 Issue 3, p271-277. 7p. 1 Chart.
Subject
*AUTOMOBILE driving
*CARDIAC pacemakers
*CARDIOVASCULAR system
*IMPLANTABLE cardioverter-defibrillators
*MEDICAL care
*MEDICAL protocols
*RISK assessment
*DECISION making in clinical medicine
*PROFESSIONAL licenses
Language
ISSN
1444-0903
Abstract
Australian Driving Guidelines for patients with pacemakers and implanted cardioverter defibrillators are in line with many around the world, with some minor differences. Some aspects of these guidelines lack contemporary evidence in key decision‐making areas and make broad recommendations regarding groups with heterogeneous populations. In addition, more recent studies suggest lower rates of adverse events in some patients with these devices than previously thought. Through a systematic literature review, along with discussion of current guidelines, we combine new evidence with well established risk assessment tools to ask the following questions: (i) Given the heterogeneity of patient risk within the defibrillator population, should guidelines allow for further individualisation of risk and subsequent licensing restrictions?; and (ii) Could some patients with primary prevention automated cardioverter defibrillators be able to hold a commercial driving licence? [ABSTRACT FROM AUTHOR]