TY  - JOUR
PY  - 2012//
TI  - Cardiac resynchronization therapy with and without defibrillator in a commercial truck driver with ischemic cardiomyopathy and New York Heart Association Class III heart failure
JO  - Card Electrophysiol Clin
A1  - Jentzer, Jacob C.
A1  - Jentzer, John H.
SP  - 169
EP  - 180
VL  - 4
IS  - 2
N2  - 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>
LA  - en
SN  - 1877-9182
UR  - http://dx.doi.org/10.1016/j.ccep.2012.02.007
ID  - ref1
ER  -