Should you restrict your cardiac patient from driving?
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That depends, of course, on your patient's particular condition, but your decision can be guided by various cardiovascular society consensus conferences, such as the one from the Canadian Cardiovascular Society, since no evidence-based guidelines exist. It seems sensible to say, though, that impairment of consciousness associated with any heart disease needs further evaluation, with a complete restriction of driving for at least 6 months (strength of recommendation [SOR]: C, based on expert opinion and extrapolation from observational studies).
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