Citation

Jung W, Hajredini B, Zvereva V. Herz 2018; 43(4): 367-380.

Vernacular Title

Kraftfahreignung bei Herzerkrankungen : Aktuelle Begutachtungsleitlinien der Bundesanstalt für Straßenwesen.

Affiliation

Klinik für Innere Medizin III - Kardiologie und Internistische Intensivmedizin, Schwarzwald-Baar-Klinikum Villingen-Schwenningen GmbH, Klinikstraße 11, 78052, Villingen-Schwenningen, Deutschland.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00059-018-4703-5

PMID

29777286

Abstract

The general rules for participation in road traffic are specified in the German Driving License Regulations (FeV). The assessment of fitness to drive motor vehicles is, in addition to Annex 4 of the FeV, governed by the guidelines of the German Federal Highway Research Institute, which implements the requirements of the European Union in Germany. By anchoring the assessment guidelines on fitness to drive in the FeV (Annex 4) and the publication in the Traffic Journal, the guidelines have a normative character. On 28 December 2016 the 11th amendment of the FeV came into force with the newly revised Chapter 3.4 on "Cardiovascular diseases". For a physician there is a duty to inform the patient about the lack or loss of driving ability. This information must be documented. Taking into account the current state of knowledge, this article describes the preconditions as to when a person has limited or is permanently unfit to drive because of cardiac arrhythmia, for patients with implantable defibrillators, syncope, coronary heart disease, heart failure, cardiomyopathy, heart valve diseases and arterial hypertension.

Language: de

Keywords

Cardiovascular diseases; Driving licence regulation; Fitness to drive; Guidelines; Risk assessment