
@article{ref1,
title="Cardiac resynchronization therapy with and without defibrillator in a commercial truck driver with ischemic cardiomyopathy and New York Heart Association Class III heart failure",
journal="Card Electrophysiol Clin",
year="2012",
author="Jentzer, Jacob C. and Jentzer, John H.",
volume="4",
number="2",
pages="169-180",
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.<p /> <p>Language: en</p>",
language="en",
issn="1877-9182",
doi="10.1016/j.ccep.2012.02.007",
url="http://dx.doi.org/10.1016/j.ccep.2012.02.007"
}