Driving in patients with possible sudden loss of consciousness increases a risk of harm for the patient and for the other
road users. Driving is a part of modern lifestyle and often a part of patient´s profession. Restrictions in driving are often
perceived as the most problematic part of lifestyle changes and are not always respected by the patient. Thus differentiated
approach to individual patients is needed and restriction should be adequate to existing risk.
Most common cause of loss of consciousness during driving is vasovagal syncope. Adequately treated syncope or cardiac
arrhythmias usually do not pose increased risk for driving. Problematic is situation after ICD implantation (mainly
in secondary prevention) where increased risk of sudden loss of consciousness and sudden inability of drive persist and
temporary or permanent restrictions in driving are needed.