2.2.6 Implantable cardioverter defibrillators (ICD)
People with implantable cardioverter defibrillators (ICD) have a risk of sudden incapacity, which poses a crash risk. The risk is mainly a consequence of the underlying condition; however, there is also a risk of inappropriate discharge of the device (i.e. when there is no ventricular arrhythmia). This risk is considered unacceptable for commercial vehicle drivers, who are therefore ineligible for an unconditional licence or a conditional licence, whether the ICD is implanted for secondary or primary prevention. In exceptional cases, the driver licensing authority may consider the advice of an independent specialist in electrophysiology based on the nature of the driving task, the characteristics of the ICD and the nature of the underlying condition (refer to Part A, section 3.3.7 Role of independent experts/panels).