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Home » Q & A about DOT Physical Requirements » Cardiovascular

Cardiovascular

cardiovascular med

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Q&A

My medical certificate only expires in nine months. What if I recently developed a medical condition that I couldn’t drive. Can I drive truck again now?

What if I’ve have a Myocardial Infarction (MI)?

What if I’ve have coronary artery bypass surgery?

What if I’ve have angioplasty surgery or stents?

What if I’ve have ventricular tachycardia?

Can I get a DOT medical card if I have a defibrillator?

What if I take nitroglycerine for angina?

My medical certificate only expires in nine months. What if I recently developed a medical condition that I couldn’t drive. Can I drive truck again now?

Even if you currently have a ‘current’ medical certificate, you are prohibited from driving a CMV with any medical condition that would be disqualifying or may interfere with the safe operation of a CMV. Once a disqualifying medical condition is resolved, and before resuming operation of CMVs, you are responsible for obtaining re-certification from a Medical Examiner.

What if I’ve have a Myocardial Infarction (MI)?

You will need to be off work for at least two months. You will need to get an Ejection Fraction and Exercise Tolerance Test, and be cleared by your cardiologist before returning to work.  This is a disqualifying medical condition, so once it is resolved, and before resuming operation of a CMV, you are responsible for obtaining re-certification from a Medical Examiner.

What if I’ve have coronary artery bypass surgery?

You will need to be off work for at least three months. You will need to get an Ejection Fraction and Exercise Tolerance Test, and be cleared by your cardiologist before returning to work.  This is a disqualifying medical condition, so once it is resolved, and before resuming operation of a CMV, you are responsible for obtaining re-certification from a Medical Examiner.

What if I’ve have angioplasty surgery or stents?

You may return to work once you’ve been cleared by your cardiologist, which may be as soon as one week after the procedure. You will need to get an Exercise Tolerance Test three to six months after the procedure, and again at least every other year. This is a disqualifying medical condition, so once it is resolved, and before resuming operation of a CMV, you are responsible for obtaining re-certification from a Medical Examiner.

What if I’ve have ventricular tachycardia?

If you have recurring episodes you should be evaluated by a cardiologist to see if the underlying cause of the ventricular tachycardia is disqualifying.

Can I get a DOT medical card if I have a defibrillator?

The defibrillator is a disqualifier for inter-state driving. The defibrillator is designed to correct problems when they occur, but it still leaves a safety risk.

You may be able to drive inter-state, based on your state’s regulations.

What if I take nitroglycerine for angina?

Taking nitroglycerine is, of itself, not a disqualifier. The medical examiner may require an evaluation by your treating physician to make sure that your angina is stable.

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Comments

  1. JL says

    October 5, 2023 at 2:34 pm

    I have afib What test is required for medical card?

    Reply
    • Trucker Docs™ says

      October 6, 2023 at 6:55 am

      @ JL
      The CME will require a medical release form from your cardiologist, along with any supporting documentation of your situation. He may also request additional information from your cardiologist.

      Reply
  2. Mike says

    October 4, 2023 at 11:59 am

    I have leak around my new aortic valve I had replaced in 2022. Now they are going fix it so how long will I be off ? Before I can recertification for my dot physical.

    Reply
    • Trucker Docs™ says

      October 5, 2023 at 6:52 am

      @ Mike
      3 months with a post aortic valve repair.

      Reply
  3. Colin says

    October 3, 2023 at 1:36 pm

    Hello, I have occasional episodes (3 times a year) of SVT Supraventricular tachycardia. I was prescribed a beta blocker, which helps and gets me out of them quicker. Its controlled and mostly preventative if I don’t drink a lot of coffee or smoke/vape. Would this disqualify me from passing DOT exam?

    Reply
    • Trucker Docs™ says

      October 4, 2023 at 6:38 am

      @ Colin
      It will depend on the class cdl you are going for. Class A is going to require documentation. Lesser class falls under your states requirements.

      Reply
  4. Samuel G H says

    September 29, 2023 at 7:02 pm

    can someone send me some information on defibrillator if I can drive a commercial vehicle need it asap please .

    Reply
  5. Aggie says

    September 23, 2023 at 2:08 pm

    My husband had stents placed shutters a cardiac incident in 2016, does he need to have the biannual stress echo every two years until he retires?

    Reply
    • Trucker Docs™ says

      September 24, 2023 at 6:48 am

      @ Aggie
      For a class A cdl, yes.

      Reply
  6. scott mcg says

    September 21, 2023 at 5:50 pm

    i had wolf-parkinson-white syndrome and had an ablation done as a ten to correct the heart rhythm. I’ve recently developed some symptoms resembling that of the wpw. few years ago, i read that anyone who had the ablation done couldn’t hold a cdl a license. if it turns out that the wpw is back, am i disqualified to hold a cdl a?

    Reply
    • Trucker Docs™ says

      September 23, 2023 at 8:49 am

      @ Scott mcg
      The condition will raise questions and will need to have supporting medical documentation. Not an instant disqualifier, but is possible risk factor for you and the public at large. The CME needs to have information from your treating physician and then make his final decision.

      Reply
  7. thomas a h says

    September 6, 2023 at 7:51 pm

    If I have a Pace Maker, would I be eligible for DOT clearance with authorization from my Cardiologist ?

    Reply
    • Trucker Docs™ says

      September 7, 2023 at 7:18 am

      @ thomas a h
      If the unit does not have a defibrillator, then you could be alright. A lot will depend on the class cdl you are going for.

      Reply
  8. Debbie says

    September 5, 2023 at 1:58 pm

    Do you have to have a cardiologist letter clearing you every year after open heart

    Reply
    • Trucker Docs™ says

      September 6, 2023 at 6:31 am

      @ Debbie
      A medical release form from your cardiologist at each DOT/FMCSA medical certification examination, for a class A otr driver.

      Reply
      • Donavon L says

        September 16, 2023 at 3:18 pm

        I am a non-cdl cmv driver. Does this question apply to me? Do I need this recertification every year from a cardiologist? Will my PC suffice?

        Reply
        • Trucker Docs™ says

          September 17, 2023 at 7:16 am

          @ Donavon L
          You fall under your states guidelines and variances, not federal DOT/FMCSA. Your medical examiner should know the differences and evaluate by the correct guidelines. You can confirm with your local DLD for your requirements.

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