2010 BC Guide in Determining Fitness to Drive

17.21 Commercial drivers who have sustained VT and an LVEF of > 30%ApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations forcommercial drivers who have sustained ventricular tachycardia (VT)with: a left ventricular ejection fraction (LVEF) of > 30%no associated impaired level of consciousness, andan implantable cardioverter defibrillator (ICD) has not beenrecommended.Sustained VT means VT having: a cycle length of 500 msec or less, and lasting 30 seconds or more or causing hemodynamic collapse.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 3 months or more since their last episode, and they have been successfully treated with radiofrequency ablationplus a one week waiting period or successful pharmacologictreatment.OSMV may find individuals fit to drive if: it has been at least 3 months since their last episode, and the treating physician indicates they have been successfullytreated with radiofrequency ablation or pharmacologic treatment.No conditions are required.No restrictions are required.OSMV will re-assess annually.179