DVLA "at a glance" fitness to drive - Heart Rhythm UK

-The applicant or licence holder must notify DVLA unless stated otherwise in the text
NB A Left Ventricular Ejection Fraction of < 0.4 is considered a bar to Group 2 Entitlement.
CARDIOVASCULAR DISORDER
IMPLANTABLE CARDIOVERTER
DEFIBRILLATOR (ICD) implanted
for ventricular arrhythmia associated
with incapacity
GROUP 1 ENTITLEMENT
ODL – CAR, M/CYCLE
Patients with ICDs implanted for
sustained ventricular arrhythmias
should not drive for:
1) A period of 6/12 after the first
implant
2) A further 6/12 after any shock
therapy and/or symptomatic
antitachycardia pacing (see 3a
below).
3a) A period of 2 years if any
therapy following device
implantation has been accompanied
by incapacity (whether caused by
the device or arrhythmia), except as
in 3b and 3c
3b) If therapy was delivered due to
an inappropriate cause, i.e. atrial
fibrillation or programming issues,
then driving may resume 1/12 after
this has been completely controlled
to the satisfaction of the
cardiologist.
DVLA need not be notified.
3c) If the incapacitating shock was
appropriate (i.e. for sustained VT or
VF) and steps have been taken to
prevent recurrence, (e.g.introduction
of anti-arrhythmic drugs or ablation
procedure) driving may resume after
6/12 in the absence of further
symptomatic therapy.
For 2 and 3a/3c, if the patient has
been re-licensed prior to the
event, DVLA should be notified.
4) A period of 1/12 off driving must
occur following any revision of the
electrodes or alteration of antiarrhythmic
drug treatment.
5) A period of 1/52 off driving is
required after a defibrillator box
change.
Resumption of driving requires
that;
1) The device is subject to regular
review with interrogation.
2) There is no other disqualifying
condition.
GROUP 2 ENTITLEMENT
VOC – LGV/PCV
Permanently bars
See Appendix at end of this Chapter
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