License type | Japan | UK | USA | EU | |
Pacemaker implant | Class 1 | Cease driving for 1 week. | Cease driving for 1 week. | Cease driving for 1 week. | Cease driving for 1 week. |
Class 2 | Disqualified until pacemaker integrity is ascertained. | Cease driving for 6 weeks. | Cease driving for 4 weeks. | Disqualified if persistent symptoms. | |
ICD implant for VT/VF with incapacity (secondary prevention) | Class 1 | Cease for 6 months after first implant. | Cease for 6 months after first implant. | Cease for 6 months after first implant. | Cease for 3 months. |
Class 2 | Permanently bars. | Permanently bars. | Permanently bars. | Permanently bars. | |
ICD implant for sustained VT without incapacity (secondary prevention) | Class 1 | Cease for 6 months after first implant. | Cease for 1 month after first implant provided all of the following are met:
| Cease for 6 months after implant. | Cease for 3 months after implant. |
Class 2 | Permanently bars. | Permanently bars. | Permanently bars. | Permanently bars. | |
Prophylactic ICD implantation (primary prevention) | Class 1 | Cease for 1 week. | Cease for 1 month. | Cease for 1 week. | Cease For 4 weeks. |
Class 2 | Permanently bars. | Permanently bars. | Permanently bars. | Permanently bars. | |
ICD and lead system replacement | Class 1 | Cease For 1 week after replacement of the lead system or replacement of the ICD. | Cease for 1 month after a revision of the leads or antiarrhythmic drug change. | No specific guidance. | Cease For 4 weeks after replacement of the ICD and lead system or the lead system alone. Cease For 1 week after replacement of ICD. |
Delivery of ICD therapy | Class 1 | Cease for 3 months after appropriate therapy. Inappropriate therapy: no restrictions for asymptomatic episodes. Cease for 3 months in case of syncope. | Appropriate shock plus symptomatic ATP: Cease for 6 months with corrective measures to prevent recurrence provided no further symptomatic therapy. Inappropriate therapy: cease for 1 month after the cause of the inappropriate therapy was corrected. | Cease for 6 months after appropriate therapy. Inappropriate therapy: no distinction made from appropriate therapy. | Cease for 3 months after appropriate therapy. Inappropriate therapy: cease until cause of inappropriate therapy was corrected. |
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