Is it possible to work as a bus driver after a heart attack

If you have had a myocardial infarction, the risk of a second attack increases. It is impossible to predict the exact time of its occurrence. When the first signs of a heart attack appear, you need to act quickly:

  • keep calm, do not make sudden movements;
  • gently slow down, taxi out of the traffic, park the car;
  • if there is a passenger nearby, ask him to insure you;
  • turn on the alarm;
  • after stopping, chew, swallow an aspirin tablet, put a nitroglycerin tablet under your tongue. Do the symptoms go away? Call a doctor or ask a passenger to deliver you to the nearest hospital;
  • spread out the seat, try not to move.

After the first symptoms appear, it is strictly forbidden to continue moving. Myocardial infarction may be accompanied by a sudden loss of consciousness, self-control. You can die yourself or cause other people to die.

You can drive after a heart attack or not – it depends on many factors. Only the attending physician of a person who has had a heart attack can answer this question, based on monitoring his state of health.

The brain at first slowly processes information. A person decreases the speed of perception and reaction, which prevents him from timely responding to a traffic situation. An extensive heart attack leads to the formation of multiple scars that violate the contractile function of the muscle. This often provokes loss of consciousness or repeated attacks.

The list of evaluation criteria that do not allow you to independently drive a car:

  • unstable psycho-emotional state;
  • physical weakness and slow recovery rate;
  • the myocardium was badly damaged as a result of circulatory disorders;
  • there is arrhythmia or tachycardia.

The presence of one of these indicators (and they first appear in absolutely everyone at first) prevents a person from personally driving. Until the condition stabilizes, it is recommended that he move in another way for his own safety. If the evaluation criteria are in line with recovery standards, a motorist may be permitted to drive land vehicles.

When the heart and nervous system are so strong that a person feels calm behind the wheel, doctors allow him to drive a car. This is included in the recovery plan, because when moving around the vehicle, the cardiac system is not loaded as if it were walking.

But is it possible to work as a driver after a heart attack? In the Russian Federation there are laws that prohibit doing this type of activity. The director, on the basis of the opinion of VTEK and the statement of the person, provides him with a position not related to driving.

You need to constantly monitor your well-being and health in general. Immediately before controlling the machine, you need to measure heart rate, heart rate, pressure, make sure that there are no glitches in the coordination of movements, dizziness and blurred vision.

If you feel worse:

  • before the trip – they refuse to drive;
  • during movement – stop the car and press the emergency button.

In both cases, immediate medication is required. “Nitroglycerin” and other prescribed medications must be carried with them, regardless of the method or distance of movement.

Medical requirements for driving after a myocardial infarction:

  1. It is forbidden to drive vehicles immediately after admission. The first 1.5–2 months they take the passenger in case of a sudden deterioration in well-being.
  2. It is forbidden to travel far. At first, it is allowed to drive on an unloaded road for 5-10 minutes. Duration is increased gradually, but long distances cannot be moved. This will prevent overwork, and reduce the risk of a second attack.
  3. To exclude a relapse due to worries about being late for work, you can transfer to a floating schedule by presenting to the director a statement from the VKK.
  4. It is not recommended for the driver to drive during rush hour. Riding on a busy road increases nervous tension, which increases the risk of relapse.

As with any rule, there is an exception to the issue of driving after a heart attack. There is a category of persons whose return behind the wheel will never be possible.

After a seizure, a certain percentage of patients have a syndrome in which a temporary loss of consciousness occurs. This can happen at any moment, quite unexpectedly for both them and others. This category of people poses a great danger in the role of drivers.

Suppose this situation: a person who has this problem is driving a car. And it seems like everything is fine, he feels comfortable, not annoyed, goes quietly about his business. On the one hand, everything is fine, he does not have to crowd in public transport, curse with other passengers, his heart system is protected from nerves and stresses.

As a rule, people who have a problem of a similar nature themselves perfectly understand the dangers of the current situation, and prefer to avoid driving. But there are those to whom it is impossible to prohibit, because under the law of law no one takes them away. Although this is a matter of time, at the very first driver’s commission, they will be denied the right to drive a car.

In conclusion, I would like to note that the transferred heart attack requires great changes from a person. We can say that many people start life anew and divide it into two periods: before and after the disease. You will have to give up a lot, but this does not mean that life will lose its color. For those who prefer to drive a car, myocardial infarction will not become an obstacle in their favorite business.

How long can I start to ride?

Sometimes it happens that the commission refuses to assign the group after a heart attack. In order to understand how objective such a decision is, you can try to seek clarification from the chairman of the commission and based on them write a second statement to undergo another examination.

It will be reviewed within 72 hours. If the result is again negative, the patient can go through a commission at the independent examination bureau or go to court. If the judicial authority satisfies the patient’s requirements, the commission will not be able to reverse this decision.

Myocardial infarction itself is not a contraindication to driving. If a person has impaired coordination, there are problems with orientation, frequent bouts of angina pectoris, blood pressure indicators are steadily elevated, you cannot drive. Loss of attention, concentration for a few seconds is enough to become the culprit of an accident.

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Can people with disabilities drive a car after myocardial infarction? Myocardial infarction itself is absent in the list of medical contraindications (1). Representatives of medical and social expertise evaluate the general state of human health. If it does not cause concern, you can drive.

After a heart attack, you can only drive a car when the state of health is fully stabilized. The rehabilitation period can take from several weeks to a year or more. Compliance with the recommendations of the attending physician speeds up the recovery process.

At the time of resuming driving, the patient should:

  • Feel stable;
  • to be able to control their emotions (a sharp reaction to what is happening is fraught with aggravation of ischemic disease);
  • have good ability to concentrate, endurance, high reaction rate;
  • lack of episodes of dizziness, loss of consciousness, good condition of the heart.

Opinion of doctors

When you can drive after a myocardial infarction and stenting depends on the speed of recovery. According to general treatment forecasts, this does not occur until 60 days after the attack. If a person does not have trembling fingers and the psycho-emotional state has stabilized, then he is allowed to control the car. In the presence of irritability, anxiety, tremor and other residual effects of a heart attack, driving is temporarily contraindicated.

According to doctors, independent movement of the machine eliminates physical and psycho-emotional overstrain compared to traveling by public transport or walking over long distances. Therefore, in the late rehabilitation post-infarction period, you can drive a car in compliance with medical recommendations and driving principles.

The doctor Andrei Raskin, one of the best cardiologists, believes: “It is possible to drive a car after a heart attack, but only under the condition of complete confidence. The driver should not feel fear, he should not worry or worry. Full comfort and a sense of control, this is the main criterion. If it’s not, it’s better not to drive. ”

No one can say exactly after what time you can return to driving. The recovery period after a heart attack is purely individual. Someone takes only a month, someone has to fight for a normal life a little longer.

After completing a course of treatment and rehabilitation (on average, it takes a couple of months), you should return to driving carefully, observing some rules:

  • Limit travel time to a minimum.
  • At first, do not travel long distances (other cities, cottages, and even more so travel).
  • Do not drive alone. More reliable if someone from relatives or friends is nearby.
  • Try to avoid traffic jams and not to leave during rush hour.
  • Always have tablets that relieve seizures (nitroglycerin, validol, etc.).
  • In no case do not leave with a feeling of discomfort, chest tightness or pain.

Experts distinguish 3 main factors for a person who recently suffered a heart attack, which will be crucial for the possibility of his return to driving a car:

  1. The presence of pathologies in the heart arising from a heart attack;
  2. The presence of complications after a heart attack such as tachycardia, arrhythmias, and the like;
  3. The duration of the rehabilitation period and the effectiveness of the treatment carried out during this time.

After a heart attack, some people do not want to wait for a full recovery and try to return to their usual lifestyle as quickly as possible, a significant part of which in many cases is a car.

But the restoration of health in such situations is a fundamental factor in the further normal functioning of the human body as a whole, this process cannot be disrupted. As a result, the rehabilitation period can be significantly delayed, human health, already undermined, will worsen even more, the risk of recurrence of a heart attack will increase – so the patient will not only not be able to drive a car for an indefinite period, but will also likely lose hope of a welcome return to the usual lifestyle.

Driving a vehicle requires increased attention and concentration from a person. Therefore, staying behind the wheel in any case acts as a psychological burden on the body.

If a person who has suffered a heart attack seeks to get back behind the wheel as soon as possible, he must coordinate his desire with the attending cardiologist. The latter can already take measures to accelerate the recovery of the patient’s body, given his current state of health.

Accelerated rehabilitation after a heart attack usually involves taking medications that quickly normalize the functioning of the cardiovascular system. With their help, blood circulation in the body improves, which allows damaged myocardial tissues to eat more actively, being saturated with oxygen and the substances they need for regeneration.

Thus, after passing all the necessary procedures and taking into account the positive results of treatment, a person who has had a heart attack can get the opportunity to drive a vehicle.

A case from one’s life

“A good day today,” rejoiced Ivan Andreevich, in a hurry to throw a huge pile of land to his plot. – Tomorrow I will scatter in the beds and begin to plant. Harvest will be what you need. ” The heart of a seventy-year-old summer resident beat in unison with his thoughts.

Yes, suddenly sick. Not so much, so he continued to work. But the pain in the left chest increased, and began to give to the left shoulder blade, arm and lower jaw. Ivan Andreevich felt a strong heartbeat, a cold sweat appeared, his arms and legs weakened, everything swam before his eyes .

Hardly reached the bed, lay down. Relief, however, did not feel. I called my wife. She noticed the pallor and frightened look of her husband, felt her forehead – wet and cold. “What is the matter with you, Vanya?” She worried. “It hurts, oh, it hurts so much,” he barely groaned.

Not knowing what to do, the wife ran to consult with a neighbor, whose heart sometimes ached. Looking at the patient, she immediately realized that the matter was bad, and called an ambulance. But while they thought and decided, waited for the car, at least an hour passed. Ivan Andreevich became very ill, there were interruptions in the work of the heart. The doctor fought for his life for a long time, called up a cardiology team, and on the yellow reanimobile they took the unlucky summer resident to the hospital.

He spent eight days in the intensive care unit, in other words, in intensive care, more than 20 in the cardiology department, after which he was sent to a sanatorium for rehabilitation.

People who have had myocardial infarction are advised to rule out any bad habits.

Of great importance for the prevention of repeated attacks is the lifestyle that the patient will lead after returning home. There are several rules that all patients must follow without giving themselves any concessions, since the mortality rate from recurrence of pathology is more than 70%. This should be remembered every time the patient sits at the festive table and thinks that a small glass of wine will not harm his health.

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Any bad habits will have to be completely eliminated. This applies to the use of alcohol-containing drinks (in any doses) and smoking. Nicotine and tar contained in cigarettes have an extremely negative effect on a weakened body. Even a healthy heart cannot withstand such an effect over time, and if a sick person is fond of smoking, one can forget about a favorable life prognosis.

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More vitamins

Nuts and dried fruits – essential products in the diet of people after myocardial infarction

Food should be balanced in terms of vitamins, amino acids, minerals and nutrients. Patients who have had myocardial infarction must definitely include fatty fish varieties in their diet: salmon, trout, tuna, and mackerel. These types of fish contain essential fatty acids that nourish and strengthen the heart tissue.

It is better to cook food with gentle methods with a minimal addition of spices and salt. Salt provokes fluid retention in the body, and edema, in turn, leads to an increase in pressure, which is dangerous for patients with a post-infarction state.

Movement – life

Physical exercise exercises are useful for people who have had myocardial infarction

If the patient has a positive trend, it is important to ensure a sufficient level of physical activity to increase blood circulation and enrich the heart tissue with oxygen. We are not talking about sports, but walking at a slow pace, as well as physical therapy exercises will be very useful for people of any age.

If the patient cannot walk for a long time, you can just walk around the house or even sit on a bench with a book. Fresh air is needed for patients with heart disease. With a lack of oxygen, the work of the heart muscle is difficult, which can cause new attacks.

Only calmness

Stress and emotional upheaval can be detrimental to the patient’s health

Whatever happens in the family or at work, it is important to always remain calm. Stress and emotional upheaval can have a detrimental effect on the patient’s health and provoke new complications.

Myocardial infarction is an insidious pathology. About 20% of patients die in the first day after a heart attack. Doctors consider the critical period to be the first 5 days after stabilization. With strict observance of the doctor’s prescriptions and following the recommendations for rehabilitation, most patients can return to normal life and even maintain working capacity. Disability registration is an auxiliary element necessary to support such patients, so do not hesitate to design it.

A car is not only a means of transportation, but also a source of danger for the driver, passengers, people around him. Therefore, the requirements for the state of health of the driver are increased.

The transferred heart attack imposes restrictions on a person’s life. Consider how the life of the driver changes after myocardial infarction, how long it takes to recover, what precautions must be observed.

When is it forbidden to drive a car?

Some people are strictly forbidden to drive a car after a heart attack. This mainly applies to those patients who have serious problems with the cardiovascular system due to a heart attack. Most often, any kind of arrhythmia is such a problem, because this condition is often the cause of loss of consciousness. In this case, driving vehicles for people with a heart attack becomes dangerous both for their life and for the lives of others.

Doctors insist that it is impossible to drive. The right to drive a vehicle is not officially taken away, but the next attempt to replace them due to expiration or loss of such drivers simply will not succeed, because the medical commission will not let them through.

If, according to a medical decision, a person is allowed to drive, then he still should constantly monitor his health, regularly take prescribed medications and undergo examinations. Before each trip, it is advisable to measure heart rate, blood pressure, pulse, check coordination of movements, visual acuity.

If you feel worse, you must:

  • Before the trip – abandon it.
  • During the trip – stop the car and turn on the alarms.

It is worth taking the medicine prescribed by your doctor in both cases. If your health condition has not improved, you must call for medical attention.

Possible risks

At first, after a heart attack, it is difficult for a person to focus on compliance with traffic rules and listen to his health. And the status of domestic roads and the behavior of some ill-educated drivers or pedestrians adversely affect his psycho-emotional state. Therefore, during each trip, a relapse of the disease may occur.

Repeated heart attack or loss of consciousness while driving becomes the cause of the accident. As a result of an accident, both the driver himself and the drivers of the affected cars, or random passers-by, can die or become disabled. Therefore, traveling in a post-infarction period is always dangerous.

Is it possible to drive a car after a heart attack? Loss of control over the car ends in an accident and poses a threat to the life of all road users. You can not drive a person with arrhythmia and the presence of a syndrome, accompanied by frequent loss of consciousness. Such people will not be able to renew their driving experience in the process of the next medical examination or, if necessary, restoration of rights.

A heart attack is one of the most dangerous disorders of the cardiovascular system and the body as a whole. Accordingly, having overtaken a person even at home and in the presence of timely assistance, a heart attack does not always go away without complications, and no one has a 100% chance to survive in such a situation. The likelihood of recurrence of such a malfunction is quite high and depends mostly on following the doctor’s recommendations and proper patient rehabilitation.

It is difficult to assess the possible risks of a heart attack for a person while driving a vehicle. With the best outcome, there are too few positive forecasts.

What does the law say?

According to the legislation of our country, a person who has suffered a heart attack is issued a sick leave for the entire time of his rehabilitation. Stabilization of the patient’s health takes place initially in a hospital, then at home.

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The entire process of treatment and recovery should be monitored by a cardiologist. If, upon completion of recovery from a heart attack, a person considers himself ready to drive a car and the attending physician has no objections to this, he is allowed to drive a personal vehicle.

If the process of driving a vehicle is the direct responsibility of a person who has had a heart attack, he loses them. Usually, an employee is endowed with other duties that do not require driving a vehicle. For the period of treatment and recovery, a disability group and an appropriate allowance are issued to him.

Myocardial infarction should not be taken as a sentence. With proper treatment and rehabilitation, people often return to their usual way of life, and at work they switch to a position that is easier and more permissible under the law in this case. The main thing is to follow all the recommendations of doctors and monitor your health.

Can a person drive a car after a myocardial infarction? It is forbidden to do this professionally, which is approved by order No. 302Н of 12.04.11//. The machine may become uncontrollable and an accident will occur with the possible death of participants in a traffic accident or third parties.

In the post-infarction period, a driver of the III disability group is registered. He is awarded state benefits and is given light physical work. But he can drive his own transport, as motorists are allowed to ride in the absence of complications of the disease.

The answer to this question depends on the nature of the work, the state of health of the potential driver. Aptitude is determined by representatives of medical and social expertise (ITU). If after the end of treatment the commission does not reveal contraindications to work, you can drive. ITU’s decision is inconclusive, may be challenged.

How to speed up rehabilitation?

Doctors may suggest coronary stenting to prevent relapse and facilitate recovery. Minimally invasive surgery is performed under local anesthesia. The surgeon inserts a stent into the femoral artery through a catheter. Then, along its channel, the device leads to the place of narrowing. After installing the tube, the vessel wall expands along the perimeter of the lumen, which ensures normal blood circulation.

Patient’s actions after a heart attack and / or stenting during the rehabilitation period
What speeds recoveryWhat must be done
Unquestioning compliance with all medical recommendations.Gradually increase motor activity.
Rest in a sanatorium that specializes in cardiac diseases.Do not lift the load more than 3 kg.
Transfer to a position with gentle working conditions.Daily walk for 5-60 minutes, accompanied by a relative.
Hobbies, listening to your favorite music.Follow a diet number 10 according to Pevzner.
Consultations of the psychologist.Avoid overwork, nervous strain.
Normalization of weight and cholesterolContinue to take medication.
Quitting smoking, other bad habits.Observed by a cardiologist.

A man or woman should “weed out” intimidating information about the way of life after a heart attack. At what stage of rehabilitation you can begin to work, drive a car, have sex and other information you need to get only from your doctor, who knows all the individual indicators and the dynamics of rehabilitation.

Safety measures

The main condition is to drive only when your health is good. Any sudden malaise on the way is an occasion to slow down, wait for the improvement of the state of health.

Restore driving skills are advised gradually. First, choose less busy, familiar roads. Any psychological overstrain is fraught with the risk of relapse. Trips should be short, speed is low. Refrain from driving in the dark.

The first time after a heart attack is recommended to ride with a passenger who will help to park the car in case of deterioration of well-being, as well as provide first aid, bring to the destination or hospital.

Be sure to read the annotations for all the medicines you take. Some drugs reduce the reaction rate, cause drowsiness. After taking such medications, driving is contraindicated.

Take with you aspirin, nitroglycerin. They will help relieve an attack of angina pectoris, reduce the risk of complications in the onset of MI.

Can I drive after a heart attack?

According to many doctors, the return to driving a car after a heart attack is one of the stages of rehabilitation. But they allow access to the steering wheel only if the person’s confidence in this desire is not in doubt, and the state of his heart after damage caused by a heart attack allows you to experience stress associated with the driving process.

Important in this regard is the patient’s lack of anxiety, irritation, fear, he should be comfortable driving. Passing all the necessary examinations in order to give the attending physician the information necessary for analyzing the patient’s condition will also be mandatory.

It is also necessary to consider the possible options for the movement of man. Walking long distances greatly exhausts the body, which significantly exacerbates the pre-infarction state. A trip in public transport can often be accompanied by negative factors: crowding, an intense flow of people in public places, an increased likelihood of stressful situations. All this is likely to provoke a deterioration in human health rather than riding in a personal car.

Returning to driving after a heart attack, it’s not worth driving alone for the first time – you need to take a passenger with you on each trip, who can provide the necessary first aid for a relapse or at least in the know about the driver’s health problems and will be able to call for medical attention without any loss. In a car kit, there must be appropriate medications (nitroglycerin and those prescribed by your doctor), and with any hints of a deterioration in your health, you should refuse the planned trip.

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Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.