2010 BC Guide in Determining Fitness to Drive

17.42 Commercial drivers with surgically treated valvular heart diseaseApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations forcommercial drivers with: mechanical prostheses mitral bioprostheses with non-sinus rhythm mitral valve repair with non-sinus rhythm aortic bioprostheses mitral bioprostheses with sinus rhythm, or mitral valve repair with sinus rhythm.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: it has been at least 3 months since their discharge followingtreatment they have no thromboembolic complications they are assessed as NYHA Class I they have an LVEF > 35%, and for individuals with mechanical prostheses, mitral bioprostheseswith non-sinus rhythm or mitral valve repair with non-sinusrhythm, they are on anti-coagulant therapy.OSMV may find individuals fit to drive if: it has been at least 3 months since their discharge followingtreatment they have no thromboembolic complications they are assessed as NYHA Class I they have an LVEF > 35%, and for individuals with mechanical prostheses, mitral bioprostheseswith non-sinus rhythm or mitral valve repair with non-sinusrhythm, they are on anti-coagulant therapy.No conditions are required.No restrictions are required.OSMV will re-assess in accordance with routine commercial reassessment.202