晕厥与驾驶

Syncope and Driving.

作者信息

Guzman Juan C, Morillo Carlos A

机构信息

Syncope & Autonomic Disorders Unit, Department of Medicine, Hamilton General Hospital, McMaster University, McMaster Wing Room 601, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada.

Syncope & Autonomic Disorder Unit, Cardiology Division, Department of Medicine, McMaster University, David Braley CVSRI, Room C-3-120, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada.

出版信息

Cardiol Clin. 2015 Aug;33(3):465-71. doi: 10.1016/j.ccl.2015.04.014.

DOI:10.1016/j.ccl.2015.04.014

PMID:26115832

Abstract

The occurrence of syncope while driving has obvious implications for personal and public safety. Neurally mediated syncope is the most common type of syncope in general and, thereby, also while driving. The presence of structural heart disease (reduced ejection fraction, previous myocardial infarction, significant congenital heart disease) potentially leads to high risk and should determine driving restrictions pending clarification of underlying heart disease and etiology of syncope. The clinical approach to syncope evaluation and recommendations for driving should not differ, whether or not the syncopal spell occurred while driving.

摘要

驾驶时发生晕厥对个人和公共安全具有明显影响。神经介导性晕厥是一般情况下最常见的晕厥类型，因此在驾驶时也是如此。存在结构性心脏病（射血分数降低、既往心肌梗死、严重先天性心脏病）可能导致高风险，在明确潜在心脏病和晕厥病因之前应确定驾驶限制。无论晕厥发作是否发生在驾驶时，晕厥评估的临床方法和驾驶建议都不应有所不同。