Kupusovic Jana, Erath-Honold Julia W, Wakili Reza
Medizinische Klinik 3, Kardiologie, Angiologie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, Frankfurt, Deutschland.
Herzschrittmacherther Elektrophysiol. 2023 Sep;34(3):198-204. doi: 10.1007/s00399-023-00950-7. Epub 2023 Jul 28.
The general regulations for an active participation in the road traffic in the Federal Republic of Germany are laid down in the Driving License Ordinance ("Fahrerlaubnisverordnung" ) (including appendices). Cardiovascular diseases with a need for precautionary measures and the circumstances according to which the driving fitness is to be determined are reviewed in appendix 4 of the ordinance. The guidelines of the Federal Highway Research Institute ("Bundesanstalt für Straßenwesen") must also be considered when assessing the fitness to drive.
Presentation of the current legal recommendations in the assessment of the driving fitness in the respect to cardiovascular diseases.
The current official regulations and the recommendations on the fitness to drive in the case of cardiovascular diseases were assessed. In addition, the pocket guidelines of the German Society for Cardiology (DGK) on the subject were reviewed.
As the type of vehicle and time at the wheel influence the probability and the extent of damage in the case of a traffic accident, the official requirements for driving aptitude distinguish between private (group 1) and professional drivers (group 2). The official recommendations for assessing fitness to drive in the case of cardiac arrhythmias, device therapy, coronary heart disease, cardiac insufficiency, valve diseases and syncope are presented.
Driving fitness plays an important role in the cardiological patient collective and should be determined in accordance with the official recommendations. For everyday clinical practice, the DGK recommendations for fitness to drive are presented in a clearer and more practice-relevant manner.
在德意志联邦共和国，积极参与道路交通的一般规定载于《驾驶执照条例》（“Fahrerlaubnisverordnung”）（包括附录）。条例附录4中审查了需要采取预防措施的心血管疾病以及确定驾驶适宜性的相关情况。在评估驾驶适宜性时，还必须考虑联邦公路研究所（“Bundesanstalt für Straßenwesen”）的指导方针。
介绍目前在评估心血管疾病患者驾驶适宜性方面的法律建议。
评估了当前关于心血管疾病患者驾驶适宜性的官方规定和建议。此外，还查阅了德国心脏病学会（DGK）关于该主题的袖珍指南。
由于车辆类型和驾驶时间会影响交通事故中损害的可能性和程度，官方对驾驶能力的要求区分了私人司机（第1组）和职业司机（第2组）。给出了关于评估心律失常、器械治疗、冠心病、心力衰竭、瓣膜疾病和晕厥患者驾驶适宜性的官方建议。
驾驶适宜性在心脏病患者群体中起着重要作用，应根据官方建议来确定。对于日常临床实践而言，德国心脏病学会关于驾驶适宜性的建议表述得更清晰且与实践更相关。
