2010 BC Guide in Determining Fitness to Drive

17.50 Commercial drivers with a heart transplantApplicationAssessment guidelinesFitness guidelinesOSMV determinationguidelinesConditionsRestrictionsRe-assessmentguidelinesThese guidelines apply to driver fitness determinations forcommercial drivers who have had a heart transplant.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 6 months since their discharge followingtransplant they are assessed as NYHA Class I they have an LVEF > 35% they are on stable immunotherapy, and they have an annual re-assessment, which includes a non-invasivetest of ischemic burden showing no evidence of active ischemia.OSMV may find individuals fit to drive if: it has been at least 6 months since their discharge followingtransplant they are assessed as NYHA Class I they have an LVEF > 35% they are on stable immunotherapy, and they have an annual re-assessment, which includes a non-invasivetest of ischemic burden showing no evidence of active ischemiaNo conditions are required.No restrictions are required.OSMV will re-assess in accordance with routine commercial reassessment,unless more frequent re-assessment is recommended bythe treating physician.212