{"id":131568,"date":"2023-06-07T07:23:44","date_gmt":"2023-06-07T07:23:44","guid":{"rendered":"https:\/\/ccs.ca\/?post_type=guideline&p=131568"},"modified":"2023-06-07T07:57:29","modified_gmt":"2023-06-07T07:57:29","slug":"chapter-1-driving-coronary-heart-disease","status":"publish","type":"guideline","link":"https:\/\/ccs.ca\/guideline\/drive-and-fly-2003\/chapter-1-driving-coronary-heart-disease\/","title":{"rendered":"1. Driving: Coronary Heart Disease"},"content":{"rendered":"\n
ST elevation MI<\/p>
Non-ST elevation MI with significant LV damage*<\/p>
Non-ST elevation MI with minor LV damage* (PCI perfomed)<\/p>
Non-ST elevation MI with minor LV damage* (PCI not perfomed)<\/p>
Acute coronary syndrome without MI (unstable angina) (PCI perfomed)<\/p>
Acute coronary syndrome without MI (unstable angina) (PCI not perfomed)<\/p>
*Minor left ventricle (LV) damage is classified as a myocardial infarction (MI) defined only by elevated troponin with or without electrocardiogram changes and in absence of a new wall motion abnormality. Significant LV damage is defined as any MI that is not classified as minor. Notwithstanding any of the foregoing recommendations, angiographic demonstration of 50% or greater reduction in the diameter of the left main coronary artery should disqualify the patient from commercial driving, and 70% or greater should disqualify the patient for private driving, unless treated with revascularization.<\/p>\n\n\n\n
Stable Angina<\/p>
Asymptomatic coronary artery disease<\/p>
PCI<\/p>
Notwithstanding any of the foregoing recommendations, angiographic demonstration of 50% or greater reduction in the diameter of the left main coronary artery should disqualify the patient from commercial driving, and 70% or greater should disqualify the patient for private driving, unless treated with revascularization.<\/p>\n\n\n\n
CABG surgery<\/p>