Table 3

EU standards for driving with recurrent cough syncope and DVLA guidance for group 1 (motorcycles, passenger cars and other small vehicles) and 2 (vehicles over 3.5 tonnes or vehicles designed for the carriage of more than nine passengers) drivers for patients with cough syncope

EU standards [11]Group 1 driversDriving allowed if no recurrence in 6 months
Group 2 driversPermanent ban
UK DVLA guidelines [12]Group 1 DriversMust not drive for 6 months following a single episode and for 12 months following multiple episodes and must notify DVLA
Group 2 Drivers (bus and lorry)Must not drive for 12 months following a single episode and for 5 years following multiple episodes and must notify DVLA

If more than one episode of cough syncope occurs within a 24-h period, this will be counted as a single event. However, if the episodes of cough syncope are more than 24 h apart, these are considered as multiple episodes. Adapted from [11, 12].