Tag Archives: DVLA

Following the article by Drs Inderjeet Bharaj et al.4 asking whether the medical profession is doing enough to give patients appropriate advice about driving after certain cardiac conditions, we are writing to share our own protocol. Hereford County Hospital is a 208-bed district general hospital that implants around 200–250 cardiac devices yearly, including complex cardiac devices, such as implantable cardiac defibrillator (ICD) and cardiac resynchronisation therapy (CRT) devices. Many implants are in emergency inpatients and our aim was to increase the provision of appropriate driving advice upon discharge. Method and measurements Baselin

Introduction Mr X is a 48-year-old man who was admitted to Accident and Emergency (A&E) with chest pain. He described typical cardiac sounding chest pain, initially on exertion, but at the time of presentation, pain at rest. His electrocardiogram (ECG) showed ischaemic changes, with dynamic troponin rise. He was discussed with cardiology on-call, the impression was non-ST-elevation myocardial infarction (NSTEMI), and he was admitted under the cardiology team for further management. Mr X had an angiogram that showed significant coronary artery disease (CAD) requiring intervention. He had successful percutaneous coronary intervention (PCI)