Driving Guidelines for Arrhythmia/Syncope

Syncope

Type of eventRestrictions after event
PRIVATE DRIVINGCOMMERCIAL DRIVING

– Single episode of vasovagal syncope
(Unless in sitting position or insufficient prodrome to stop vehicle)

Atypical vasovagal syncope –> see “unexplained syncope”

NO RESTRICTION
– Diagnosed and treated cause of syncope (e.g. pacemaker insertion)1 week1 month
– Situational syncope with avoidable trigger (e.g. micturition/defecation syncope)1 week

Single episode of unexplained syncope
Recurrent (within 12 months) vasovagal syncope

1 week12 months

Recurrent unexplained syncope (within 12 months)

3 months12 months

Devices

 PrivateCommercial
Pacemaker Implantation1 week1 month
ICD (If indication is VT, see “VT”)4 weeksDisqualified

Ventricular Arrhythmias

 PrivateCommercial
– VF (no reversible cause)
– Hemodynamically Unstable VT
6  monthsDisqualified
– Sustained VT (no change in LOC)
(LVEF < 30%)
3 monthsDisqualified
Sustained VT (no change in LOC)
(LVEF ≥ 30%)
4 weeks
(w/ satisfactory control)
3 months
(w/ satisfactory control)
– Nonsustained VTNO RESTRICTIONNO RESTRICTION

Authors

  • Reproduced from CCS 2003 Guidelines
  • Added by Dr. Pavel Antiperovitch MD FRCPC
  • Copy Editor: Perri Deacon (Medical Student)
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