2010 BC Guide in Determining Fitness to Drive

17.55 CCS recommendations regarding transient conditionsWaiting periodsThe waiting periods in these recommendations refer to the time interval following onset of thereferenced cardiac condition or event during which it is recommended that an individual does notdrive. These recommendations are intended to mitigate the risk of an episodic impairment offunctional ability to drive.Recurrence of the referenced cardiac condition or event during a waiting period resets thewaiting period.If more than one waiting period applies (because of multiple conditions/events) thelonger waiting period should be applied, unless otherwise stated.A. Coronary artery diseaseAcute coronary syndromes – waiting periodsPrivateCommercialST elevation MINon-ST elevation MI with significant LVdamage1 month afterdischarge3 months afterdischargeNon-ST elevation MI with minor LVdamageIf PCI performed during initialhospital stay 48 hours after PCI 7 days after PCIIf PCI not performed duringinitial hospital stay7 days afterdischarge30 days afterdischargeAcute coronary syndrome without MI(unstable angina)If PCI performed during initialhospital stay 48 hours after PCI 7 days after PCIIf PCI not performed duringinitial hospital stay7 days afterdischarge30 days afterdischargeNotes:ST elevation: refers to the appearance of the ST segment of an electrocardiogram (ECGor EKG)MI: Myocardial infarction (heart attack)LV: left ventricleSignificant LV damage: any MI which is not classified as minorMinor LV damage: an MI defined only by elevated troponin + ECG changes and in theabsence of a new wall motion abnormality.216