Drive & Fly

Question 1

Post-plastie mitrale

Answer 1

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

Question 2

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

Answer 2

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%

Question 3

Post-RVA chirurgical

Answer 3

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, FEVG >30%

Question 4

Sténose aortique sévère, NHYA II sans syncope :

Answer 4

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

Question 5

Risk of Harm - Annual

Answer 5

1% commercial driving
22% private driving

Question 6

NSTEMI/STEMI avec PCI FEVG </=40%

Answer 6

1 mois
3 mois

Question 7

NSTEMI/STEMI avec PCI FEVG >40%

Answer 7

2 semaines
1 mois

Question 8

CABG

Answer 8

1 mois
3 mois

Idem à </=40%

Question 9

NHYA IV

Answer 9

STOP all

Question 10

NHYA III

Answer 10

Unlimited
STOP commercial

Question 11

<30% regardless of NHYA

Answer 11

STOP commercial

Question 12

ICD therapy with LOC

Answer 12

3 mois
STOP commercial

Question 13

ACS without MI - PCI

Answer 13

48h
7 days

Question 14

ACS without MI - no PCI

Answer 14

7 days
1 month

Question 15

NSTEMI or STEMI without PCI

Answer 15

1 month
3 months

Question 16

PCI no ACS

Answer 16

48h
48h

Question 17

Left main

Answer 17

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

Question 18

AS - OK to drive

Answer 18

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

Question 19

AR - OK to drive

Answer 19

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

Question 20

MR - OK to drive

Answer 20

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

Question 21

MS - OK to drive

Answer 21

NHYA I-II-III
NHYA I, no syncope

Question 22

TR - OK to drive

Answer 22

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

Question 23

TAVR and SAVR for AS or AR

Answer 23

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

Question 24

TEER

Answer 24

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

Question 25

TMVR and TTVR + SMVR and STVR

Answer 25

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

Question 26

PBMV

Answer 26

48h 1 month if NHYA I

Question 27

TEER

Answer 27

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

Question 28

HF - Private

Answer 28

NHYA IV disqualified LVAD and transplant NHYA III disqualified

Question 29

HF - Commercial

Answer 29

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

Question 30

LVAD

Answer 30

2 months if private and NHYA I-II Commercial disqualified

Question 31

Transplant - Private

Answer 31

6 weeks if stable, I-II with stable immunoTx

Question 32

Transplant - Commercial

Answer 32

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

Question 33

High Risk Features - CMP-H

Answer 33

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

Question 34

Brugada

Answer 34

Private: 3 month restrictions if previous CA. Otherwise no restrictions (not even if syncope) Commercial: disqualified if Sx (evaluate after 3y) or disqualified forever if CA.

Question 35

Long QT

Answer 35

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. Otherwise: >500 with BB for 12 months, Syncope 6 months with expert opinion, CA 5 years with expert opinion.

Question 36

ARVC

Answer 36

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

Question 37

CMP-H

Answer 37

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

Question 38

CMP-H commercial

Answer 38

Can drive if no high-risk features. If high risk, expert after 3y and >60 y of age. If previous VA, expert evaluation after >5y.

Question 39

PMP (same for private and commercial)

Answer 39

No BAV: no restriction BAV: 1 sem post implant

Question 40

ICD - Commercial

Answer 40

ALL DISQUALIFIED***

Question 41

ICD implantation - Private

Answer 41

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

Question 42

ICD shocks - Private

Answer 42

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

Question 43

Brady - disqualified until PMP

Answer 43

SSS with LOC >/= 5sec pauses with AF Mobitz II Alternating BBD-BBG BAV 3e *BAV cong. no restriction if no LOC

Question 44

Post-étude EPS ou ablation

Answer 44

48h si pas de complications

Question 45

All ventricular arrhythmias - Commercial

Answer 45

Disqualified***

Question 46

VA - Private

Answer 46

-VF, HD unstable VT/LOC, sustained VT with structural HD: 3 months -Sustained VT with normal heart without LOC: 1 week (WOW) -Reversible cause: disqualified until treated.

Question 47

SVT

Answer 47

Restriction if LOC until controlled

Question 48

Syncope

Answer 48

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

Question 49

Indication O2 pour vol commercial

Answer 49