Coronary Bypass Surgery

3 month waiting period post surgery. Starting 5 years post surgery, driver should obtain an annual Exercise Tolerance Test and bring results in showing asymptomatic, LVEF >40% and Cardiac Clearance Letter.

Bypass Clearance Letter

Heart Attack 

2 month waiting period post attack. Satisfactory Exercise Tolerance Test (ETT) showing asymptomatic, LVEF >40% , ETT every 2 years at minimum and Cardiac Clearance Letter.

Myocardial Infarction Clearance Letter


1 month waiting period post implantation

3 month waiting period for Hypersensitive carotid sinus with syncope

Pacemaker for Neurogenic Syncope is disqualifying

A combination defibrillator/pacemaker or ICD by itself is disqualifying

Pacemaker Clearance Letter.