[Evaluation of fitness to drive--conclusions after a case report]

Health evaluation of candidates applying driving license is general practitioner's duty, in the case of driving private cars. In Hungary no generally accepted guideline available on the evaluation process, the necessary examinations etc. A patient with a III degree A-V block was treated by the authors after suffering a serious syncope, with brain contusion, however he was regarded fit to drive by his GP, after the serious accident. The patient after the brain trauma was treated in two different institutions, however no ECG record was found, when the authors asked it to find out the time of the A-V block. Finally the patients was treated with temporary and later on with permanent pace-maker. During the half year follow up the patient was symptom less. The authors summarize the possible mechanism of syncope, and the criteria the evaluation of patients with heart diseases. In conclusion the authors emphasize the need for a generally accepted Hungarian guideline in the evaluation process of candidates applying driving license.