Should not drive for 2 weeks post uncomplicated acute MI. More than one acute MI needs cardiologist appraisal. |
Waiting period of 1 month (post MI). |
May drive if angina stable. |
No additional restrictions. No waiting period. |
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No additional restrictions. No waiting period. |
Angioplasty
Should not drive 1 week post angioplasty if stable. |
Waiting period 48 hours. |
Should not drive for 4 weeks post coronary artery grafts. Specialist opinion recommended. |
Waiting period one month. |
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The following conditions apply with or without ICD:
- Waiting period 3 months if:
VT/VF non-inducible by EPS.
On EPS predicted effective drug therapy.
- Waiting period 6 months if:
On Holter-predicted effective drug therapy.
On empiric therapy with amio darone.
On empiric therapy with other anti-arrhythmic drugs (with ICD).
On empiric therapy with other anti-arrhythmic drugs (without ICD). |
Paroxysmal Arrhythmia
Should not drive. DLA usually allows a conditional license on medical advice that patient has been symptom free for at least 3 months.
Those with third degree heart block should not drive until a pacemaker is inserted - specialist opinion and annual assessment required.
Atrial Fibrillation/Flutter
Should not drive after acute episode which causes dizziness or syncope until condition is stabilized. |
No restriction if:
No associated cerebral ischemia and no underlying heart disease.
With ventricular pre-excitation and no associated cerebral ischemia.
Satisfactory control with associated with cerebral ischemia.
Satisfactory control with underlying heart disease. |
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No restriction if:
No associated cerebral ischemia and no underlying heart disease.
With underlying heart disease and no associated cerebral ischemia. |
See AV Block below. |
No restriction if:
No associated cerebral ischemia. |
Those with third degree heart block should not drive until pacemaker inserted-specialist opinion and annual assessment required. |
No restriction if:
Isolated first degree block, Isolated right bundle branch block, Isolated left anterior fasicular block, Isolated left posterior fasicular block.
No restriction if no associated cerebral ischemia with:
Left bundle branch block, Bifasicular block, Mobitz Type 1 AV block + Bifasicular block. Disqualified if: Mobitz Type II AV Block, Trifasicular Block, Acquired third-degree AV Block.
No restriction if no associated cerebral ischemia with:
Congenital third-degree AV block. |
Should not drive 2 weeks after insertion of a pacemaker. |
Waiting period of one week if:
No cerebral ischemia.
Normal sensing and capture on ECG.
Device performing within manufacturer’s specification. |
May drive if asymptomatic on moderate exertion. |
No restrictions if:
Functional Class I
Functional Class II
Functional Class III if:
LV Class I (i.e., Ejection fraction 50 percent or more) or LV Class II (i.e., Ejection fraction 35 percent to 49 percent and Holter Class II - No episodes of ventricular tachycardia more than 3 beats in an average cycle length of 500 ms or less). |
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No restriction if no associated cerebral ischemia, Holter Class II. |
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Waiting period 2 months. Annual reassessment. |
