2010 BC Guide in Determining Fitness to Drive

17.27 Private drivers with atrioventricular (AV) or intraventricular blockApplicationAssessment guidelinesFitness guidelinesThese guidelines apply to driver fitness determinations for privatedrivers with an atrioventricular (AV) or intraventricular block.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 with an: isolated first degree AV block isolated right bundle branch block (RBBB), or isolated left anterior or posterior fascicular blockmay drive.Individuals with a: left bundle branch block (LBBB) bifascicular block second degree AV block/Mobitz I first degree AV block + bifascicular block, or congenital third degree AV blockmay drive if they have had no associated impaired level ofconsciousness.Individuals with a: second degree AV block; Mobitz II (distal AV block) alternating LBBB and RBBB, or acquired third degree AV blockmay not drive.*For each of these scenarios; if a permanent pacemaker isimplanted, the recommendations in 17.29 prevailOSMVdeterminationguidelinesIndividuals with an: isolated first degree AV block isolated right bundle branch block (RBBB), or isolated left anterior or posterior fascicular blockmay drive.185