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首页> 外文期刊>Circulation journal >Clinical Effect of Implantable Cardioverter Defibrillator Replacements – When Should You Resume Driving After an Implantable Cardioverter Defibrillator Replacement? –
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Clinical Effect of Implantable Cardioverter Defibrillator Replacements – When Should You Resume Driving After an Implantable Cardioverter Defibrillator Replacement? –

机译：植入式心脏复律除颤器的临床效果–植入式心脏复律除颤器更换后应何时恢复驾驶？ –

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Background: ?The intervals of the driving restrictions after an implantable cardioverter defibrillator (ICD) replacement vary across the different countries around the world. However, little is known regarding the appropriate duration for driving restrictions after an ICD replacement. The aim of this study was to investigate the clinical effect of ICD replacements and to elucidate when to resume driving an automobile after an ICD replacement. Methods and Results: ?The study reviewed 139 consecutive patients with an ICD replacement in order to evaluate the incidence of ICD therapies before and after ICD replacements, and to assess the time-dependence of the ICD therapies after the ICD replacement. There was no significant difference in the incidence of ICD therapies delivered during durations of 3 months and 6 months before and after the ICD replacement (P=0.28, and 1.0, respectively). ICD therapies after the replacements were observed in 8.6% of the patients who were legally eligible to drive according to the Japanese guidelines at 1 year, and that was associated with a relatively low annual risk of death or injury to others. Conclusions: ?Implantable cardioverter defibrillator replacements did not affect the future ICD therapies under similar algorithms. The appropriate interval for driving restrictions after an ICD replacement is recommended to be a week or so, with a system integrity check performed before resumption of driving. ( Circ J 2010; 74: 2301-2307)
机译：背景：？植入式心脏复律除颤器（ICD）更换后的行驶限制间隔在全球不同国家有所不同。然而，对于ICD更换后的驾驶限制的适当持续时间知之甚少。这项研究的目的是调查ICD更换的临床效果，并阐明ICD更换后何时恢复驾驶汽车。方法和结果：这项研究回顾了139名连续ICD替代患者，以评估ICD替代前后ICD治疗的发生率，并评估ICD替代后ICD治疗的时间依赖性。在ICD更换前后3个月和6个月内，ICD治疗的发生率无显着差异（分别为P = 0.28和1.0）。更换后的ICD治疗在按照日本指南在1年内有合法驾驶资格的患者中，有8.6％进行了观察，这与每年相对较低的死亡或他人伤害风险相关。结论：？在类似算法下，植入式心脏复律除颤器的更换不会影响未来的ICD治疗。建议在更换ICD后对驾驶进行限制的适当间隔为一周左右，并在恢复驾驶之前进行系统完整性检查。 （Circ J 2010; 74：2301-2307）

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