2010 BC Guide in Determining Fitness to Drive

17.28 Commercial drivers with atrioventricular (AV) or intraventricular blockApplicationAssessment guidelinesFitness guidelinesThese guidelines apply to driver fitness determinations forcommercial drivers with an atrioventricular (AV) or intraventricularblock.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 of consciousness, and they have an annual Holter showing no higher grade AV block.Individuals with a congenital third degree AV block may drive if: they have had no associated impaired level of consciousness they have a QRS duration < 110 msec, and they have an annual Holter showing no documented pauses > 3seconds.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 the scenarios, if a permanent pacemaker isimplanted, the recommendations in 17.30 prevail.187