16/05/2019
Having an Implantable Cardioverter-Defibrillator (ICD) can significantly improve your quality of life and provide crucial protection against life-threatening arrhythmias. However, for many, a natural question arises: "How long can I drive if I have an ICD?" This is a vital concern, as driving is a cornerstone of independence and daily living for many in the UK. This article aims to provide a clear and comprehensive overview of driving regulations, safety precautions, and everyday considerations for individuals with an ICD.
Understanding ICDs and Driving Regulations
The ability to drive with an ICD is primarily governed by the DVLA (Driver and Vehicle Licensing Agency) in the UK. Their guidelines are in place to ensure the safety of both the individual with the ICD and other road users. The key factor determining driving eligibility after an ICD implantation is the reason for its fitting.
Cardiac Arrest vs. Prophylactic Implantation
The duration of a driving ban following ICD implantation differs based on the underlying condition:
- If your ICD was implanted due to experiencing a cardiac arrest: You will typically be unable to drive for a period of six months following the implantation. This longer period is due to the higher risk associated with a previous cardiac arrest event.
- If your ICD was fitted purely as a precaution (prophylactic): The driving ban is generally shorter, usually one month. This applies if the ICD was implanted to prevent a potential future event rather than in response to a witnessed event.
Crucially, after these initial periods, you can resume driving if your ICD has not delivered any shocks during that time. It's essential to maintain open communication with your medical team and the DVLA regarding your specific circumstances.
What You MUST Do: Essential Precautions for ICD Holders
Living with an ICD doesn't mean sacrificing a normal life, but it does come with a set of important precautions to ensure the device functions optimally and your safety is maintained. These 'Dos' are critical for everyday living:
1. Inform the DVLA
This is paramount. You have a legal obligation to inform the DVLA about your ICD. They will assess your individual situation and provide specific guidance. Failing to do so can have serious legal consequences.
2. Carry Your Device ID Card
Always carry your ICD device identification card. This card contains vital information about your ICD, including the manufacturer and model. It's essential for medical professionals and security personnel to know you have an ICD.
3. Security Scanners
When going through security scanners, such as those at airports or public buildings, always inform the staff that you have an ICD. These scanners can trigger alarms due to the metal components of the ICD. While walking through quickly might not be an issue, it's advisable to request a manual search or a check with a hand-held metal detector. If a hand-held detector is used, ensure it is not placed directly over your ICD.
4. Household Equipment
Most common household equipment should not affect your ICD. This includes appliances like microwave ovens and electric drills. However, there is one notable exception:
- Induction Hobs: These hobs generate a stronger electromagnetic field. If you use an induction hob, maintain a distance of at least 60 centimetres (approximately 2 feet) from your ICD. This proximity is crucial to prevent potential interference with your ICD's settings.
What You Should AVOID: Potential Sources of Interference
While many modern devices are designed with ICD compatibility in mind, certain items can potentially interfere with your ICD's function. Adhering to these 'Don'ts' will help safeguard your device:
- Mobile Phones and Personal Audio Devices: Keep mobile phones, cordless phones, and MP3 players at a distance of at least 15 centimetres (approximately 6 inches) from your ICD. Avoid dangling headphones around your neck or placing them within 3 centimetres (1 inch) of your ICD.
- Magnetic Fasteners: Avoid wearing items with strong magnetic fasteners, such as some handbag clasps or jewellery, in close proximity to your ICD.
- TENS Machines and Body-Toning Tools: Do not use Transcutaneous Electrical Nerve Stimulation (TENS) machines for pain relief. Similarly, keep electric-pulse body-toning tools positioned below your stomach to minimise any potential interference.
Living a Normal Life with an ICD
It's important to reiterate that an ICD is designed to allow you to live a full and active life. The precautions mentioned are about managing potential risks and ensuring the device works as intended. Regular check-ups with your cardiology team are essential to monitor your ICD's performance and your overall health.
Frequently Asked Questions
Q1: Can I drive immediately after having an ICD fitted?
No, there are mandatory waiting periods. If fitted due to cardiac arrest, it's six months. If fitted as a precaution, it's one month, provided no shocks have been delivered.
Q2: What happens if my ICD delivers a shock while I'm driving?
This is a serious situation. If your ICD delivers a shock, you must inform the DVLA immediately and will likely face a longer driving ban. It is crucial to seek medical advice and follow the DVLA's instructions.
Q3: Are all electronic devices safe to use with an ICD?
Most are safe, but it's wise to maintain a safe distance from strong electromagnetic sources like induction hobs and to keep mobile phones and audio devices at a reasonable distance from your ICD.
Q4: Do I need to inform my car insurance company about my ICD?
Yes, it is highly recommended to inform your car insurance company about your ICD, as it is a medical condition that could affect your ability to drive safely.
Q5: Can I still travel by air with an ICD?
Yes, you can. You will need to carry your device ID card and inform security personnel. While walk-through metal detectors can be set off, they generally do not harm the ICD. You can request a pat-down if you prefer.
Conclusion
Driving with an ICD is certainly possible and many individuals do so safely and without issue. The key lies in understanding and adhering to the DVLA regulations, being aware of potential sources of interference, and maintaining open communication with your healthcare providers. By taking the necessary precautions and staying informed, you can continue to enjoy the freedom and independence that driving provides, all while ensuring your safety and the safety of others on the road.
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