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2010 BC Guide in Determining Fitness to Drive

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17.9 Commercial drivers with coronary artery diseaseApplicationAssessment guidel<strong>in</strong>es<strong>Fitness</strong> guidel<strong>in</strong>esOSMV determ<strong>in</strong>ationguidel<strong>in</strong>esConditionsRestrictionsRe-assessmentguidel<strong>in</strong>esThese guidel<strong>in</strong>es apply <strong>to</strong> driver fitness determ<strong>in</strong>ations forcommercial drivers who have coronary artery disease.If further <strong>in</strong>formation regard<strong>in</strong>g an <strong>in</strong>dividual’s medical condition isrequired, OSMV will request: a <strong>Drive</strong>r’s Medical Exam<strong>in</strong>ation Report additional <strong>in</strong>formation from the treat<strong>in</strong>g physician, or an assessment from a cardiologist.Individuals may not drive if they have an angiographic demonstrationof 50% or greater reduction <strong>in</strong> the diameter of the left ma<strong>in</strong> coronaryartery, unless successfully treated with revascularization.OSMV may f<strong>in</strong>d <strong>in</strong>dividuals fit <strong>to</strong> drive if: they have an angiographic demonstration of less than a 50%reduction <strong>in</strong> the diameter of the left ma<strong>in</strong> coronary artery, orwhere they have a 50% or greater reduction <strong>in</strong> the diameter of theleft ma<strong>in</strong> coronary artery, it has been successfully treated withrevascularizationNo conditions are required.No restrictions are required.OSMV will re-assess <strong>in</strong> accordance with rout<strong>in</strong>e commercial reassessment,or as recommended by the treat<strong>in</strong>g physician.167

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