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Chapitre 9 - Varia > Drive & Fly > Flashcards

Drive & Fly Flashcards

1
Q

Post-plastie mitrale

A

Personnel : reprise après 1 mois et NYHA I à III. Disqualifié si NHYA IV.
Commercial : reprise après 3 mois, NYHA I et FEVG ≥30%.

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2
Q

Post-TAVI (St.Ao ou I.Ao)

A

Personnel : reprise après 1 mois si QRS stable et pas de BAV sans PMP, NHYA I à III
Commercial : reprise après 3 mois si QRS stable et pas de BAV sans PMP, NHYA I, FEVG ≥30%

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3
Q

Post-RVA chirurgical

A

Personnel (idem à TAVI): reprise après 1 mois si QRS stable et pas de BAV sans PMP, NYHA I à III
Commercial (idem à TAVI): reprise après 3 mois si QRS stable et pas de BAV sans PMP, NHYA I,

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4
Q

Sténose aortique sévère, NHYA II sans syncope :

A

Personnel : pas de conduite si NHYA III ou IV
Commercial : conduit si NHYA I, pas de POC et FEVG ≥50%

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5
Q

Risk of Harm

A

1% commercial driving
22% private driving

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6
Q

NSTEMI/STEMI avec PCI FEVG </=40%

A

1 mois
3 mois

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7
Q

NSTEMI/STEMI avec PCI FEVG >40%

A

2 semaines
1 mois

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8
Q

CABG

A

1 mois
3 mois

Idem à </=40%

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9
Q

NHYA IV

A

STOP all

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10
Q

NHYA III

A

Unlimited
STOP commercial

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11
Q

<30% regardless of NHYA

A

STOP commercial

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12
Q

ICD therapy with LOC

A

3 mois
STOP commercial

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13
Q

ACS without MI - PCI

A

48h
7 days

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14
Q

ACS without MI - no PCI

A

7 days
1 month

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15
Q

NSTEMI or STEMI without PCI

A

1 month
3 months

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16
Q

PCI no ACS

A

48h
48h

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17
Q

Left main

A

STOP if >/=70%
STOP if >/= 50%

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18
Q

AS - OK to drive

A

Private: NHYA I-II
Commercial: NHYA I, >/= 50% and no syncope

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19
Q

AR - OK to drive

A

NHYA I-II-III
NHYA I, >/= 50% and no syncope

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20
Q

MR - OK to drive

A

NHYA I-II-III
NHYA I, >/= 50% and no syncope and NO HX of PE/PHTN

21
Q

MS - OK to drive

A

NHYA I-II-III
NHYA I, no syncope

22
Q

TR - OK to drive

A

NHYA I-III
NYHA I, >/=50%, no RHF or dysfonction or sustained arrhythmia

23
Q

TAVR and SAVR for AS or AR

A

1 month if NHYA I-III and QRS stable, no AVB without PMP
3 months if NHYA I, >30% and QRS stable, no AVB without PMP

QRS stable: <10% variation

24
Q

TEER

A

48h if NHYA I-III
1 month if NHYA I and >30%

25
Q

TMVR and TTVR + SMVR and STVR

A

1 month if NHYA I-III
3 months if NHYA I and >30%
(for MS, we don’t look at EF)

26
Q

PBMV

A

48h
1 month if NHYA I

27
Q

TEER

A

48h if NHYA I-III
1 month if NHYA I and >30%

28
Q

HF - Private

A

NHYA IV disqualified

29
Q

HF - Commercial

A

NHYA I et II: <30% disqualified
NHYA III-IV: disqualified

30
Q

LVAD

A

2 months if private and NHYA I-II
Commercial disqualified

31
Q

Transplant - Private

A

6 weeks if stable, I-II with stable immunoTx

32
Q

Transplant - Commercial

A

6 months, NHYA I, >50% with annuel r/o ischémia

33
Q

High Risk Features - CMP-H

A

Any of wall thickness   30 mm,
Syncope,*
Otherwise unexplained systolic dysfunction (LVEF < 50%),
Presence of an apical aneurysm or a
Calculated risk of VA > 6% in 5 years

34
Q

Brugada

A

Private: 3 month restrictions if previous CA. Otherwise no restrictions
Commercial: disqualified if Sx only.

35
Q

Long QT

A

Private: 3 month restrictions if previous CA or syncope, receiving BB. Otherwise no restrictions
Commercial: can drive ONLY if <500 msec and Asx + adherent to BB.

36
Q

ARVC

A

Private: 3 month restrictions if previous sustained VA or syncope on Tx . Otherwise no restrictions
Commercial: disqualified upfront

37
Q

CMP-H

A

Private: 3 months restriction if previous sustained VA or high risk features with syncope. NO RESTRICTION IF Asx.

38
Q

CMP-H commercial

A

Can drive if no high-risk features

39
Q

PMP (same for private and commercial)

A

No BAV: no restriction
BAV: 1 sem post implant

40
Q

ICD - Commercial

A

ALL DISQUALIFIED***

41
Q

ICD implantation - Private

A

Primary prevention or lead revision: 1 week
Secondary with LOC: 3 months
Secondary without LOC: 1 week

42
Q

ICD shocks - Private

A

Appropriate with LOC: 3 months
Appropriate without LOC: 1 week
Electrical strom: disqualified 3-6 months and evaluation before driving again

43
Q

Brady - disqualified until PMP

A

SSS with LOC
>/= 5sec pauses with AF
Mobitz II
Alternating BBD-BBG
BAV 3e

*BAV cong. no restriction if no LOC

44
Q

Post-étude EPS ou ablation

A

48h si pas de complications

45
Q

All ventricular arrhythmias - Commercial

A

Disqualified***

46
Q

VA - Private

A

-VF, HD unstable VT/LOC, sustained VT with structural HD: 3 months
-Sustained VT with normal heart without LOC: 1 week (WOW)

47
Q

SVT

A

Restriction if LOC until controlled

48
Q

Syncope

A

3 months: if recurrent unexplained within 12 months
1 week: unexplained first episode
1 week: situational or reversible

49
Q

Indication O2 pour vol commercial

Chapitre 9 - Varia (6 decks)

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