Driving safely with a cardiac device (ICD)

Driving is considered a basic need by many people. Inability to drive may severely limit individuals’ freedom and may have an adverse effect on their quality of life. However, fainting or experiencing shocks while driving may imply deleterious effects on you, passengers and other road users. Therefore, it is important to be informed about driving restrictions in the different situations after pacemaker and ICD implantation.

Of note, the recommendations for driving restrictions strongly differ throughout the countries. But they not only differ by region, but also according to the underlying disease and the implanted device. Therefore, you should ask your doctor to explain to you the concrete restrictions in your individual situation and the duration.

Some general comments that may guide you:

• You should not drive when feeling sick, experiencing chest pain or dizziness. If you experience such symptoms while driving, you should try to stop your car in a safe environment.
• Usually, after implantation of a new device, you should not drive for the first weeks after implant.
• Usually, driving restrictions differentiate between private drivers and professional drivers. Ask your doctor about this, if applicable.
• After having experienced an ICD shock, there may be additional driving restrictions.
• Please be aware that the factor leading to the driving restrictions is not the device, but the underlying cardiac disease. Therefore, even rejecting a device may imply restrictions for driving.
• Therefore, the driving restrictions should not lead your decision for or against a recommended implantation.

 

Always check with your doctor and the local authorities in your country whether driving restrictions apply to you. The European Society of Cardiology/European Heart Rhythm Association can only issue general recommendations and may not be held responsible for the above-given advice.

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FREQUENTLY ASKED QUESTIONS

Can you drive with a pacemaker?

Yes, most pacemaker patients can drive once fully recovered from surgery. However, consult your doctor, as specific restrictions may apply based on your condition.

How long after pacemaker surgery can you drive?

Generally, driving is safe 1-2 weeks after pacemaker implantation, but you should follow your doctor’s specific recommendations.

Are there driving restrictions for ICD patients?

Yes, driving restrictions for ICD patients may last from weeks to months, depending on whether the device has delivered a shock or if the patient is at high risk of arrhythmia.

Why is driving restricted after ICD or pacemaker implantation?

Driving is restricted to ensure safety while the patient recovers and to prevent accidents in case of device malfunctions or arrhythmias.

Can driving restrictions vary based on condition?

Yes, restrictions depend on local laws, the underlying heart condition, and the type of device implanted. Always consult your healthcare provider.

What should I do if I feel dizzy or faint while driving?

Stop driving immediately, pull over safely, and seek medical advice as these could indicate a problem with your cardiac device or heart condition.