A pacemaker is an implantable device designed to treat bradycardia. When assessing
the risk for sudden, unexpected incapacitation in a driver with a pacemaker, the
underlying disease responsible for the pacemaker indication must be considered.
- Both sinus node dysfunction and atrioventricular (AV) block have variable
long-term prognoses, depending on the underlying disease.
- Cerebral hypoperfusion is usually corrected by support of heart rate
via the implantation of a pacemaker.
Currently, pacemakers and the lead systems are reliable and durable over the long
Certification/Recertification — Pacemakers
Minimum — 1 month post-pacemaker implantation if underlying disease is:
- Sinus node dysfunction.
- AV block.
Minimum — 3 months post-pacemaker implantation if underlying disease is:
- Neurocardiogenic syncope.
- Hypersensitive carotid sinus with syncope.
NOTE: If more than one waiting period applies (because of multiple
cardiac conditions or other comorbid diseases), examine the driver for certification
after the completion of the longest waiting period.
Maximum certification period — 1 year
Recommend to certify if:
The driver has:
- Documentation indicating the presence of a functioning pacemaker.
- Documentation indicating completion of routine pacemaker checks.
- No disqualifying underlying disease.
Recommend not to certify if:
The driver has:
- An implantable cardiac defibrillator/pacemaker combination device.
- A disqualifying underlying disease.
The driver should:
- Comply with pacemaker center scheduled function checks.
- Provide documentation of pacemaker function checks at examination.
The driver should have an annual medical examination.
Recommendation Table (PDF)