2010 BC Guide in Determining Fitness to Drive

17.24 Private and commercial drivers who have had paroxysmal SVT, AF or AFLwith impaired consciousnessApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessment guidelinesThese guidelines apply to driver fitness determinations for private andcommercial drivers who have had paroxysmal: supraventricular tachycardia (SVT) atrial fibrillation (AF), or atrial flutter (AFL)with an associated impaired level of consciousness.If further information regarding an individual’s medical condition isrequired, OSMV will request: a Driver’s Medical Examination Report additional information from the treating physician, or an assessment from a cardiologist.Individuals may drive if: they have been on medical therapy for a minimum of 3 months with norecurrence of paroxysmal SVT, AF or AFL with impaired level ofconsciousness, or their SVT for individuals with paroxysmal SVT, it has been successfully treatedwith radiofrequency ablation for individuals with paroxysmal AF, they have had AV node ablationand pacemaker implantation, and for individuals with paroxysmal AFL, they have had a successfulisthmus ablation with proven establishment of bidirectional isthmusblock.OSMV may find individuals fit to drive if:they have been on medical therapy for a minimum of 3 months with norecurrence of paroxysmal SVT, AF, or AFL with impaired level ofconsciousnessfor drivers with paroxysmal SVT, it has been successfully treated withradiofrequency ablationfor drivers with paroxysmal AF, they have had AV node ablation andpacemaker implantation, andfor drivers with paroxysmal AFL, they have had a successful isthmusablation with proven establishment of bidirectional isthmus blockNo conditions are required.No restrictions are required.OSMV will re-assess in five years. If there have been no furtheroccurrences at that time, no further re-assessment is required, unless routinecommercial or age-related re-assessment applies. For individuals who havehad pacemaker implantation, the re-assessment guidelines under 17.29apply.182