Driving restrictions in patients following syncope is difficult for physicians.
Driving restrictions in patients following syncope is difficult for physicians.
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对于医生来说，限制晕厥患者的驾驶是很困难的。
DOI：
10.1016/j.autneu.2009.09.024
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Raj,SatishR
中科院分区：
文献类型：
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作者：
Raj,SatishR
驾驶时发生晕厥对个人和公共安全有明显的影响。在这份报告中，作者的目的是定义的临床特点，原因和预后的晕厥，而驾驶。采用病例对照设计，他们研究了明尼苏达州罗切斯特的马约诊所1996年至1998年评估的晕厥连续患者。在确定的3877例患者中，381例（9.8%）在驾驶时发生晕厥（驾驶组）。与3496例（90.2%）未发生驾驶时晕厥的患者相比，驾驶组较年轻（P< 0.01），男性患者比例较高（P < 0.001），有心血管疾病史（P<0.01）和脑卒中史（P< 0.02）。驾驶时晕厥的常见原因为神经介导性晕厥（37.3%）和心律失常（11.8%）。驾驶组的长期生存率与明尼苏达州人群的年龄和性别匹配队列相当。在驾驶组中，72例患者晕厥复发，其中35例（48.6%）在初次评估后6个月内复发。驾驶组10例患者在驾驶过程中复发，其中7例（70%）在首次评估后> 12个月。总体而言，神经介导性晕厥是驾驶时最常见的晕厥类型。他们关于晕厥晚期复发（通常> 6个月的随访）和驾驶时晕厥复发的总体发生率较低的研究结果可能会为这些患者提供未来驾驶建议。
Syncope occurring while driving has obvious implications for personal and public safety. In this report, the authors aimed to define the clinical characteristics, causes, and prognosis of syncope while driving. Using a case-control design, they studied consecutive patients evaluated for syncope from 1996 through 1998 at the Mayo Clinic in Rochester, Minnesota. Of 3877 patients identified, 381 (9.8%) had syncope while driving (driving group). Compared with the 3496 patients (90.2%) who did not have syncope while driving, the driving group was younger (P< 0.01) and had higher percentages of male patients (P< 0.001) and patients with a history of any cardiovascular disease (P< 0.01) and stroke (P< 0.02). Syncope while driving was commonly caused by neurally mediated syncope (37.3%) and cardiac arrhythmias (11.8%). Long-term survival in the driving group was comparable to that of an age-and sex-matched cohort from the Minnesota population. Among the driving group, syncope recurred in 72 patients, 35 of whom (48.6%) had recurrence> 6 months after the initial evaluation. Recurrences during driving happened in 10 patients in the driving group, 7 of which (70%) were> 12 months after the initial evaluation. Overall, neurally mediated syncope was the most common type of syncope while driving. Their findings about the late recurrences of syncope (often> 6 months of follow-up) and the overall low incidence of recurrent syncope while driving, may inform future recommendations on driving for these patients.