edited by Valerio Pelini

The problem of renewing licenses for patients who have had a pacemaker or defibrillator implanted is really serious.

The second sure thing is that the license (or renewal) is issued or renewed by special commissions (generally presided over by a coroner) set up at the companies of the national health service.

The third sure thing is that getting your license issued (or renewed) is expensive: time to make an appointment and money, for bills to be paid and for medical certifications to be presented, for which it is often necessary to turn to private professionals, given the long waiting lists imposed for public services.

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In the presence of a new diagnosis of cardiomyopathy, it is advisable to inform your insurance company to evaluate any change in the risk associated with the disease and avoid coverage problems in the event of accidents.

After the implantation of a pacemaker or a defibrillator, the patient must inform the DMV on his own behalf.

It is true that the commissions take responsibility for the issuance/renewal of the license but the your right to a fair and reasonable judgment of one's eligibility on the basis of scientifically approved and updated guidelines (we consider that many cardiac pathologies were almost unknown until a few years ago), so for example in the case of renewal, no no distinction between an ICD implant in primary or secondary prevention.

So, undoubtedly there is a lot of confusion: there has already been a law for at least 12 years which was supposed to lead to the drafting of guidelines within 6 months, then we implemented a European directive in 2018 which essentially does not change much, it only seems to better specify the pathologies involved in the question of licenses.

Substantially there is a lack of guidelines to guarantee people's rights and the transparency of assessments by local medical commissions.

Valerio Pelini was born in Figline Valdarno on 14 May 1951 and still resides there.

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Hearts Listening is the AICARM Onlus service for patients with cardiomyopathy and their families.

If you wish to speak to one of our experts, or tell us about your experience, or if you need more information on the subject of licenses and their renewal, call 055 0620178 or send a request using the form that you will find by following this link: Listening Hearts Request Form.

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