DVLA Flashcards
MI DVLA
GROUP 1
✘ 1 week after successful PCI if LV >40%
✘ 1 month if no PCI or it was unsuccessful
GROUP 2
✘ reassessed after 6 weeks with exercise tolerance test etc
CABG DVLA
GROUP 1
✘ 1 month
GROUP 2
✘ 3 months reassessed after 6 weeks with exercise tolerance test etc
Syncope DVLA
GROUP 1
✘ While standing don’t need to notify
✘ While sitting…. May drive if avoidable trigger which will not occur whilst driving.
GROUP 2
✘ While standing…don’t drive and notify
✘ While sitting…. 3 monthsand resume if trigger identified and treated
Epilepsy DVLA
GROUP 1
✘ If no cause - 6months since last seizure
or … 12 months if causative factor that may increase risk (e.g. abnormal EEG)
GROUP 2
✘ First unprovoked or provoked… 5 years then can restart if no antiepileptics ever and neuro investigations concluding risk <2%/year
Confirmed sleep apnoea DVLA
GROUP 1 & 2
✘ inform dvla and only drive after symptom control, improve of sleepiness
✘ If just suspected or mild then dont drive for 3 months and only notify if symps continue
insulin-dependent diabetics DVLA group 1
(same as sulphonylurea)
GROUP 1 can drive if all of the following ■ adequate hypo awareness ■ ≤1 severe hypo while awake in 12 months, and most recent episode >3 months ago ■ tests as per guidance ■ meets the visual standards ■ under regular review
insulin-dependent diabetics DVLA group 2
GROUP 2 can drive if all of the following ■ FULL hypo awareness ■ NO hypo in 12 months ■ tests as per guidance ■ glucose monitor must store at least 3months ■ meets the visual standards ■ under regular review
Glucose monitoring for insulin-dependent diabetics
DVLA
within 2h before starting and then every 2h after that
Group 2 also says twice weekly regardless of driving
gestational diabetes DVLA
GROUP 1
✘ don’t need to notify if under medical supervision and “not advised by clinician as at risk of disabling hypoglycaemia”
Notify if >3m or hypos occur
diabetes on sulphonylurea DVLA
same as insulin
GROUP 1 can drive if all of the following: ✘ adequate hypo awareness ✘ ≤1 severe hypo while awake in 12m, and most recent episode >3 months ago ✘ tests as per guidance ✘ meets the visual standards ✘ under regular review
Alcohol DVLA
fill in form online
GROUP 1 and 2
✘ Don’t drive and notify
Misuse:
✘ Controlled abstinence for 6m for 1 and 12m for 2
Dependence:
✘ Minimum 1yr and 3yr abstinence
Mild cognitive impairement (not dementia) DVLA rules
No issues
Dementia or organic syndrome causing cognitive dysfunction
notify…
Heart valve surgery – including TAVI DVLA
GROUP 1
✘ 4 weeks, but no need to notify
GROUP 2
✘ 3 months and must notify, then LV >40%, asymp
basically same as CABG
Symptomatic valve pathology DVLA
GROUP 1 and 2
✘ Not drive and notify
