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
CHRONIC AORTIC DISSECTION
GROUP 1 ENTITLEMENT
ODL – CAR, M/CYCLE
Driving may continue after
satisfactory medical (blood
pressure control) or surgical
treatment, unless other disqualifying
condition.
DVLA need not be notified
GROUP 2 ENTITLEMENT
VOC – LGV/PCV
Re/licensing may be permitted if ALL
of the following criteria can be met:
• The maximum transverse diameter
of the aorta, including false
lumen/thrombosed segment, does
not exceed 5.5cm
• There is complete thrombosis of
the false lumen
• The BP is well controlled*
NOTE “well controlled” refers to
clinical, NOT DVLA licensing
standard.
MARFAN’S SYNDROME
DVLA need not be notified unless
there is aneurysm.
Re/licensing permitted subject to:
• The requirements for aortic
aneurysm are met
• Satisfactory medical treatment
• Annual cardiac review to include
aortic root measurement
NB: Aortic root replacement will
debar.
CAROTID ARTERY STENOSIS
(see also neurological section)
DVLA need not be notified
If the level of stenosis is severe enough
to warrant intervention, the exercise or
other functional test requirements must
be met.
PERIPHERAL ARTERIAL
DISEASE
Driving may continue provided
there is no other disqualifying
condition.
DVLA need not be notified
Re/licensing may be permitted
provided:
• There is no symptomatic
myocardial ischaemia
• The exercise or other functional
requirements can be met
HYPERTENSION
Driving may continue unless
treatment causes unacceptable side
effects.
DVLA need not be notified
Disqualifies from driving if resting
BP consistently 180 mm Hg systolic
or more and/or 100 mm Hg diastolic
or more.
Re/licensing may be permitted when
controlled provided that treatment does
not cause side effects which may
interfere with driving.
See Appendix at end of this Chapter
22