NYHA Class I
Private driving is permitted with no restriction. Commercial driving is permitted only if LVEF ≥35%.
NYHA Class II
Private driving is permitted with no restriction. Commercial driving is permitted only if LVEF ≥35%.
NYHA Class III
Private driving is permitted with no restriction. Commercial driving is not permitted (disqualified).
NYHA Class IV; Receiving intermittent outpatient or home inotropes
Private driving is not permitted (disqualified) Commercial driving is not permitted (disqualified).
Left ventricular assist device (LVAD)
Private driving is permitted for patients with a continuous flow LVAD who are stable 2 months post implantation and are NYHA class I-III. Commercial driving is not permitted (disqualified).
Heart transplant
Private driving is permitted beginning 6 weeks after discharge, is NYHA Class I or II, is on stable immunotherapy, AND is undergoing annual reassessment. Commercial driving is permitted beginning 6 months after discharge, if NYHA Class I, only if LVEF ≥35%, is undergoing annual reassessment, AND annual non-invasive test of ischemic burden shows no evidence of active ischemia.