title: Driving and arrhythmia: a review of scientific basis for international guidelines.
abstract: In patients with arrhythmias, the most feared complication while driving is of driver incapacity resulting in a road traffic accident. Patients with implantable cardioverter-defibrillators (ICDs) may suffer incapacity as a result of device therapy itself. The aim of this review article was to examine the types of arrhythmia that occur while driving, the impact of arrhythmia on driving as well as evidence to support that driving itself can precipitate arrhythmias. We will also review the postulated mechanisms by which driving can precipitate arrhythmias. Finally, we will compare guidelines from the USA, Europe, and UK in fitness to drive in patients with arrhythmias and ICDs.
authors.affiliation: Department of Cardiology,  Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester,  UK.
authors.forename: Amerjeet S
authors.initials: AS
authors.lastname: Banning
authors.forename: G André
authors.initials: GA
authors.lastname: Ng
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000393:Air Pollutants / Q000633:toxicity; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D001334:Automobile Driving / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D017147:Defibrillators, Implantable / Q000009:adverse effects; D006801:Humans; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D013315:Stress, Psychological / Q000209:etiology; D001335:Vehicle Emissions / Q000633:toxicity
chemical_list: D000393:Air Pollutants; D001335:Vehicle Emissions