2010 BC Guide in Determining Fitness to Drive

Individuals with an: isolated first degree AV block isolated right bundle branch block (RBBB), or isolated left anterior or posterior fascicular blockmay drive.OSMVdeterminationguidelinesIndividuals 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 prevailConditionsRestrictionsRe-assessmentguidelinesNo conditions are required.No restrictions are required.OSMV will re-assess in accordance with routine commercial reassessment.188