title: Syncope and Driving.
abstract: The occurrence of syncope while driving has obvious implications for personal and public safety. Neurally mediated syncope is the most common type of syncope in general and, thereby, also while driving. The presence of structural heart disease (reduced ejection fraction, previous myocardial infarction, significant congenital heart disease) potentially leads to high risk and should determine driving restrictions pending clarification of underlying heart disease and etiology of syncope. The clinical approach to syncope evaluation and recommendations for driving should not differ, whether or not the syncopal spell occurred while driving.
authors.affiliation: Syncope & Autonomic Disorders Unit, Department of Medicine, Hamilton General Hospital, McMaster University, McMaster Wing Room 601, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Guzman
authors.affiliation: Syncope & Autonomic Disorder Unit, Cardiology Division, Department of Medicine, McMaster University, David Braley CVSRI, Room C-3-120, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada. Electronic address: morillo@hhsc.ca.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Morillo
mesh_terms: D001334:Automobile Driving; D004562:Electrocardiography; D014943:Global Health; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D015994:Incidence; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D013575:Syncope / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology
keywords: Automobile driving; Cardiac arrhythmias; Guidelines; Prognosis; Sudden cardiac death; Syncope