Citation

Jentzer JC, Jentzer JH. Card Electrophysiol Clin 2012; 4(2): 169-180.

Affiliation

2317 Stone Crest Way, St George, UT 84790, USA.

Copyright

(Copyright © 2012)

DOI

10.1016/j.ccep.2012.02.007

PMID

26939814

Abstract

Commercial drivers warrant tighter restrictions to their driving privileges than private drivers. Patients with cardiac disease who are at risk of consciousness-impairing arrhythmias are not allowed to drive commercially. Patients with left ventricular systolic dysfunction and/or heart failure symptoms are permanently disqualified from commercial driving. A biventricular pacemaker without defibrillator can improve symptoms and mortality in selected patients with heart failure. Biventricular pacing may have antiarrhythmic effects that may reduce the added benefit of a defibrillator. Motor vehicle collisions resulting from arrhythmic events are infrequent. The interests of public safety must outweigh individual liberties when driving safety is in question.

Language: en