The frequency of motor vehicle accidents in patients previously diagnosed with ventricular
arrhythmias or vasovagal syncope has been reported.
1
,
2
,
3
,
4
,
- Epstein A.E.
- Miles W.M.
- Benditt D.G.
- Camm A.J.
- Darling E.J.
- Friedman P.L.
- Garson Jr, A.
- Harvey J.C.
- Kidwell G.A.
- Klein G.J.
- et al.
Personal and public safety issues related to arrhythmias that may affect consciousness implications for regulation and physician recommendations.
Circulation. 1996; 94: 1147-1166
5
However, the converse, namely, the incidence of arrhythmias and vasovagal syncope
in patients presenting with impaired consciousness while driving, has not been previously
determined. This information is critical to help guide evaluation and management decisions
and avoid future potentially lethal incidents. Our study examines the incidence of
different etiologies of impaired consciousness while driving in motorists referred
to the electrophysiologic service for evaluation.To read this article in full you will need to make a payment
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References
- Motor vehicle accidents in patients with an implantable cardioverter defibrillator.J Am Coll Cardiol. 1995; 26: 180-184
- Syncope as etiology of road crashes involving elderly drivers.Am J Surg. 1995; 61: 1006-1008
- Potential risk of vasovagal syncope for motor vehicle driving.Am J Cardiol. 2000; 85: 184-186
- Personal and public safety issues related to arrhythmias that may affect consciousness.Circulation. 1996; 94: 1147-1166
- Resumption of driving after life threatening ventricular tachyarrhythmia.N Engl J Med. 2001; 345: 391-397
- A prospective evaluation and follow-up of patients with syncope.N Engl J Med. 1983; 309: 197-204
- Head-up tilt.Lancet. 1986; 2: 1352-1354
- Provocation of bradycardia and hypotension by isoprotenol and upright posture in patients with unexplained syncope.N Engl J Med. 1989; 320: 346-351
- Unexplained syncope evaluated by electrophysiologic studies and head-up tilt testing.Ann Intern Med. 1991; 114: 1013-1019
- The value of electrophysiologic studies in syncope of undetermined origin.Am Heart J. 1985; 110: 469-479
- Long-term prognosis of patients undergoing electrophysiologic studies for syncope of unknown origin.Am J Cardiol. 1988; 62: 1186-1191
- Electrophysiologic testing in the evaluation of patients with syncope of undetermined origin.Am J Cardiol. 1982; 50: 1309-1315
- Can patients with neuromediated syncope safely drive motor vehicles?.Am J Cardiol. 1995; 75: 955-956
Article info
Publication history
Accepted:
February 12,
2003
Received in revised form:
February 12,
2003
Received:
November 15,
2002
Identification
Copyright
© 2003 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.
