Fahreignung bei kardiovaskulären Erkrankungen

Fitness to Drive in Cardiovascular Disease

“…Given normal hours per day at the wheel (8 hours for commercial drivers, 30 minutes for private drivers), unfitness to drive is assumed when the probability of sudden loss of control (syncope, sudden cardiac death, stroke) is >1% per year for an occupational driver and >22% per year for a private driver (12). The use of the "risk of harm" formula is discussed in detail in the German Cardiac Society's position paper on fitness to drive in patients with cardiovascular disease (13). This formula served as the basis for assessment of fitness to drive of persons with cardiovascular disease both in the German Cardiac Society's position paper (13) and in the unpublished recommendations of the European Union, "New Standards for Driving and Cardiovascular Diseases," Brussels 2013, which for Germany are implemented in the current BAST recommendations regarding fitness to drive in patients with cardiovascular disease.…”

“…The use of the "risk of harm" formula is discussed in detail in the German Cardiac Society's position paper on fitness to drive in patients with cardiovascular disease (13). This formula served as the basis for assessment of fitness to drive of persons with cardiovascular disease both in the German Cardiac Society's position paper (13) and in the unpublished recommendations of the European Union, "New Standards for Driving and Cardiovascular Diseases," Brussels 2013, which for Germany are implemented in the current BAST recommendations regarding fitness to drive in patients with cardiovascular disease. However, the distinction made in the "risk of harm" formula between bus drivers and taxi drivers in regard to fitness to drive was not adopted by the Brussels Expert Advisory Panel, and hence was not adopted by the BAST in Germany either.…”

“…Factors that increase risk at the wheel-for example, several risk-promoting chronic diseases-or factors that reduce risk-for example, driving only rarely-must be included in the assessment. The position paper published by the German Cardiac Society on fitness to drive in patients with cardiovascular disease (13) helped to push forward a review of the official regulations and guidelines, and was used by the Expert Advisory Panel in Brussels as the basis for their recommendations. Today it has lost some of its importance since the revised official regulations reflect a more up-to-date state of scientific knowledge.…”

Fahr-Eignung bei Patienten mit implantiertem Cardioverter-Defibrillator

“…Positionspapier der Deutschen Gesellschaft für Kardiologie "Fahr-Eignung bei kardiovaskulären Erkrankungen" ▼ Im Auftrag der deutschen Gesellschaft für Kardiologie (DGK) hat eine Gruppe von Kardiologen mit juristischer Unterstützung das Positionspapier "Fahr-Eignung bei kardiovaskulären Erkrankungen" erarbeitet [5]. In diesem Positionspapier wurden zum einen die Aufklärungspflicht des behandelnden Arztes zu einer möglichen fehlenden Fahr-Eignung eines Patienten bearbeitet und zum anderen Empfehlungen zur Fahr-Eignung bei den wichtigsten Herzerkrankungen erstellt.…”

“…Zu dieser Studie ist kritisch anzumerken, dass es sich im Gegensatz zur TOVA-Studie [1] um eine theoretische Hochrechnung von erfolgten Schockabgaben auf Unfallereignisse handelt. Die Annahme, dass 31 % der Schockabgaben mit einem Kontrollverlust einhergehen, ist unter Berücksichtigung mehrerer Untersuchungen [5] als zu hoch anzusehen. In der TOVA-Studie [1] traten z.…”