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Myocardial infarctions (MIs) can herald subsequent adverse cardiac events. Recommendations on personal (vs. commercial) driving after an MI vary — for example, patient-oriented guidance from the European Society of Cardiology titled “Driving After a Heart Attack” advises a delay of 1 to 4 weeks, depending on complications, and a Canadian guideline recommends driving restrictions for 2 to 4 weeks, based on left ventricular ejection fraction (LVEF; Can J Cardiol 2024; 40:500). U.S. guidelines do not make recommendations about driving after MIs.
In a retrospective cohort of nearly 25,000 Canadian patients (mostly middle-aged men with high cardiovascular risk) who experienced ST-segment–elevation MIs (STEMIs), risk for subsequent sudden cardiova…