Driving Guidelines for Arrhythmia/Syncope

Syncope

 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 (Pacemaker insertion)1 week1 month
– Situation syncope with avoidable trigger (Micturition/defecation syncope)1 week

Single episode unexplained syncope
Recurrent (within 12mo) vasovagal syncope

1 week12 months

Recurrent unexplained syncope (within 12mo)

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
6mo after eventDisqualified
– Sustained VT (no change in LOC)
(LVEF < 30%)
3moDisqualified
Sustained VT (no change in LOC)
(LVEF ≥ 30%)
4 weeks
(w/ satisfactory control
3 mo 
(w/ satisfactory control)
– Nonsustained VTNO RESTRICTIONNO RESTRICTION

Authors

  • Reproduced from CCS 2003 Gudieline
  • Added by Dr. Pavel Antiperovitch MD FRCPC
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