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Q&A
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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I have a class A that was issued February 2024 by the state of California.
I’ve disclosed that I had a post-surgical cardiac event (ACL reconstruction) caused by a clot issue in May 2010. The event took place two day post-surgical. I passed my original dot exam and first renewal in January 2025 without any issues.
I have been on blood pressure meds since before my original dot exam and my blood pressure is under control with minimum meds, so my dot exams are annual.
I applied for a new job in March of 2025 and was directed by the potential employer to obtain a new dot exam via the company’s approved provider, even though I had a dot exam done in mid-January of 2025.
I disclosed that I had a post-surgical cardiac event in May 2010, as I’ve always done. This time the CME provided me with a one year certification but informed the potential employer that I was not approved without a stress test and electrocardiogram.
Is there a time limit for disclosure of old cardiac issues such as this? The event was directly related to the knee surgery and I’ve not had any issues since. Must I continue to disclose this 15 year old issue?
@ Doug M
It is all in the wording, ‘A history of’. So depending on the severity of the cardiac event, that would determine the need for additional testing. Were you given a time frame by the CME to get your information to him or did they issue a valid medical card, good for one year? If you have a medical card in hand and there is no specific time frame to present your stress test findings, then you are good for one year.
i am a cdl B driver, i had a heart attack in 2023, i was required to do have a stress test and a echo and dr clear, for my dot health card, i am up for renewal again, do i have to redue these test again?
@ Kyle H
You should fall under your states regulations and guidelines, not federal DOT/FMCSA. Your medical examiner should know the difference between the twos rules and regs. Best to check with your local drivers license department for their regulations and not be held to a class A cdl standard. For a class A, stress test every two years and a medical release. You are a class B and fall in your states guidelines.
I am seeing that “for a Class A CDL, LVEF must be above 40% to pass a DOT/FMCSA medical certification examination.” Where can I find more specific information on this requirement, or is it referenced as a written law somewhere? I would like to see for myself that information besides in the comment section here, if possible. Thank you in advance for your help!
Also – if someone is diagnosed with HFrEF 30%, six months into a valid license, who is responsible for reporting to DOT or the licensure board? From a liability standpoint, does that fall on the licensee or the Physician now aware of the HF ?
@ Lucy
Your license and reporting is always your responsibility. If stopped or discovered that information is incorrect it automatically makes your paperwork invalid and you, personally, are held responsible.
Requested information can be found on the DOT/FMCSA National Registry for Certified Medical Examiners. It should be a .gov website.
I hold a cdl class a with hazmat . Just had a pacemaker implanted last month will see cardiologist April 1st . If I am released to drive what is the waiting period for the pacemaker? It’s a 2 chamber type.
@ Mark
Much depends on 1. what was the principle diagnosis and the reasoning behind the pacemaker installation. 2. Pacemaker only or ICD/pacemaker. Shortest wait will be 1 month and can go up to 3 months post pacemaker install.
Am I able to return back to operating a commercial vehicle such as a commercial vehicle having a defibrillator ? I was told that anyone that does have one can not operate a commercial vehicle for the remainder of their life, that they would have to quit that job that requires driving a commercial vehicle and find another job!!!!!
@ Willie
All depends on the class cdl you carry. Also, whether you are intra-state or interstate. We need additional information to help you.
What is patient has an aneurysm?
@ Britney
Where and how big/small?
can a chemically induced stress test be used for DOT stress test ?
@ David A M
With proper documentation, the CME may accept it. DOT/FMCSA for a class A interstate cdl request a treadmill stress test.
A year ago I was diagnosed with CHF with an EF of 20%. My last echo showed an improvement of EF to 35%. I will have another echo at the end of this month. If my EF is above 40% can I get my CDL?
@ Christopher T
If all else falls with in normal limits and your LVEF is 40% or better, you could be fine.
I had a triple bypass waited the 6 months and then received a medical release from my cardiologist saying I was 100 percent. I received my DOT HEALTH CARD This was a year ago. Do i need a medical release from my cardiologist every year?
@ Ben O
DOT/FMCSA for a class A OTR driver, needs a medical release from your cardiologist each time and a stress test every two years. Lesser class cdl holders are under your states regulations and may not require the release. Check with your local DLD for guidance.
I suffered a heart attack a month ago and had a stent put in. The morning after the surgery, I suffered a ventricular fibrillation – it lasted fifty seconds and I did not lose consciousness. As a result, the Doctors decided to implant a defibrillator (ICD). Even though my heart is on the mend, and the outlook is good, the ICD is permanent. I’m told the ICD is a permanent disqualifier for a DOT medical card. Isn’t there a pathway of some kind where I can be approved to drive a school bus in Maine again? I had no indication of any heart problem prior to this event and have been in good health otherwise.
@ Frank J K
Unless you carry a class A cdl, you fall under your states guidelines and regulations, NOT federal DOT/FMCSA. Someone does not know the difference between your states rules and federal regulations. Best to check with your local drivers license department for guidance through this process. We suspect that you can go back to school bus driving via your states guidelines.
I had a TAVR procedure in September. My cardiologist has given a letter saying I can go back to driving school bus. I went to have my bus physical and was told at the of the physical I had to wait 90 days from surgery. I did not have surgery with the TAVR. The doctor went up my artery in my leg to replace my Aortic value. So I just want to know the requirements. I was home in 31 hours. Thanks
@ David A
As a school bus driver with a lesser class cdl, not class A, you fall under your states regulations and not federal DOT/FMCSA. Confirm with your local drivers license department. Your medical examiner may be holding you to a class A standard.
Whom should sign off on DOT Medical Clearance: Coronary Artery Bypass Grafting Surgery?
Cardiologist or General practioner.
@ Jock C
Cardiologist.
Hello I am 72 retired thinking about part time work just in my state of PA. I have AFIB,congestive heart failure and a pacemaker defibrillator. I see my DR every couple of Months. Can I still drive.
@ Dennis E
Your best bet will be to confirm with your local drivers license department. Their rules and requirements will different from those of the federal DOT/FMCSA.
Is Heart Failure a disqualifying condition for the physical? Current EF at 42 %. Taking ENTRESTO, blood pressure under control.
@ Rowilson F
For a class A cdl holders, LVEF of 40% or better, which you are above, you may be OK. It will depends on any other physical findings that the CME must evaluate and he/she will need release forms from your doctors, with a recent stress test. (stress must be within the past two years)
Good news. I am a School Bus Driver (not active), with a Class B PS endorsements. Planning on retireing from my current position at the school, but staying as a part time driver. Thank you for clarifying.
What is the heart rate range to pass dot
DOT/FMCSA for a class A cdl: Bp below 140/90, pulse rate can run in a normal range of 60 to 80 bpm.
Hi, can a person diagnosed with AFIB drive a commercial vehicle or is it a exclusionary condition? Thanks
@ Nonya
All depends on the class cdl you hold or are going for.
If someone who carries a class A license has mitral valve repair or replacement, will they be able to drive again?
@ Beth
Yes, they will need a medical release form from their cardiologist and any documentation the CME may need in his/her decision making process. But with that information, you should be able to return to driving.
Can I get a medical card in south Dakota if I have a pacemaker?
@ Bruce H
Depends on the class cdl you have. Less than a class A interstate cdl will fall under your states regulations. Best to confirm with your local DLD.
Looking for what DOT requires are for medical recertification after a MI. I know there is a 2 months waiting period, cardiologist clearance, and my lvef was 61%, is this all I need for my DOT medical exam to be recertified? I have seen conflicting info if I need a ETT stress testing or not.
@ Chris
It looks like you have everything, but the CME may want to see a recent stress test. Best to have it and it will be good for 2 years.
Good Afternoon Trucker DOC, I have no cardio problems. Underwent a Cat scan looking for something else when a Ascending Thoracic Aneurism of 4.3 cm was observed. I went to a Vascular Surgeon who said they do not perform surgery till above 5.5.
Will this be a problem on my next DOT Medical? A Google search says 3cm is the limit followed by a recommendation to go to 5cm as the limit. What is the current limit? Thanks
@ John M
The situation will raise questions with the CME. But with medical documentation from your cardiologist, it should not be an issue. The CME will want your condition monitored and may limit the time on your medical card for that purpose.
Thanks for Your fast Reply. Planning this Monday or Tuesday, hoping for the best. Feel more assured now.
Thanks, John
I was recently diagnosed with atrial fibulation (sp?) or afib – I am taking medicine to manage it and I have no symptoms in any case. I also have high blood pressure (managed). Can I still work as city bus driver (Denver, CO)?
@ Barrett H
Since you are not a class A cdl holder, you fall under your states requirements not federal DOT/FMCSA. Confirm with your local drivers license department and follow their process.
i had an arterial flutter ablation done, will I be able to drive school bus again in iowa?
@ dale
Most likely, since you fall under your states rules and regulations and not federal DOT/FMCSA. Best to confirm with your local drivers license department.
I was just diagnose with 30% EF can I still drive school bus
@ Barbara
As a school bus driver, you fall under your state guidelines and variances. Best to confirm with your local drivers license department for clarification.
Thank you for the fast response!
@ dale
You are welcome. Be Safe.
I had a Cardioversion for irregular heart beats. How long by Law do I need to be off work?
@ Edward S H
DOT/FMCSA for a class A cdl. You will need a full medical release to return to work, without restrictions or limitations. Documentation that the procedure was successful and the condition is stable. With all this information in hand, you can take a new DOT/FMCSA medical certification examination.
How recent do the test results have to be for EF for heart failure. Can i use results from 12 months ago? 6 months?
I was diagnosed with a mild case of POTS and was wondering if this along with a deterioration of the jaw would disqualify me to hold a cdl or pass a dot exam?
@ Daniel
It will raise questions from any medical examiner. If you are trying for a class A cdl, then you will need documentation of a stable condition, plus a medical release form. Lesser class cdl’s will fall under your states regulations. So, confirm with your local drivers license department.
what if I have a heart murmur
@ Rodney S
If you and your primary physician are aware of this and you have a note from your primary stating this is a no issue murmur, then you are good to go. The CME needs to know that all parties are aware of the murmur.
I just got a pacemaker for a slow heart beat. Can I still drive a school bus?
@ Dave
Unless you are a class A cdl holder, you are probably OK. Best to confirm with your local drivers license department as your states rules and regs are different than those of the federal DOT/FMCSA.
Had a heart attack with stinting in the LAD Last October and was put back to work within 3 weeks and passing a stress test.
A little over a week ago I’m back in the hospital for another stint due to 90% blockage.
My question is did they send me back to work to soon and is it possible the stress from that helped aggravate the second?
Also how long should I be off work this time? It’s been less than a year between stints and I’m concerned not taking enough time off may cause permanent issues beyond the obvious.
@ Dan
These are questions you should be asking your cardiologist.
A friend will eventually need a TAVR valve, and his job requires that he holds an interstate CDL. Will that be possible?
My husband has a TAVR, but, he is intrastate only. Thank you.
@ Laura O C
With proper documentation following the procedure, they should be fine. The CME will need a medical release form from the doctors and a full return to work letter.
How soon can I drive a bus after I had a heart attack and stent placed to correct the problem?
@ Courtney A S
Depends on the class cdl you hold. Class A falls under the federal regulations and lesser class cdl’s are under your states regulations.
I have a class C
@ Courtney A S
You are under your states regulations and not federal regs. Best to confirm with your local drivers license department.
I have congestive heart failure stage C can I pass the CDL Medical exam?
@ Barry D P
For a class A cdl, you will have difficulty passing the federal medical certification examination. Lesser class cdl’s fall under the states requirements and regulations.
I have an Ejection Fraction of 20-25% Can I still drive my truck? Where does it state that I cannot drive with an EF that low?! I need to work.
@ Hamit
DOT/FMCSA for a class A, LVEF must be 40% or better. Lesser class cdl or intra-state only falls under the state regulations.
I have a CRT-D Model# G447 pacemaker/defibrillator. Will I be able to get my medical card in North Carolina?
@ Tony N
It will depend on the class cdl you are going to carry.
I had a Stent 6 years ago and 2 years ago had a mild heart attack not from blockage. Spasm. Cath was clean . Echo normal ekg normal, so I asked my cardiac dr since it’s been 2 years for a stress test. He refused to do it stating it’s not needed. My heart is completely healthy. Not on cardiac meds. Only bp meds and we’ll controlled by primary dr. Cardiac dr said he would write a letter stating I’m safe to drive cmv and stress test not needed. What do I do.
@ Stayce W
Most will depend on your cdl class. Class A fall under the federal government and lesser class cdl’s are under states requirements. Federal requires a stress test every two years. States have different regulations. You can see if the CME will accept the letter, if you are class A. It should be taken on a case by case basis, but no guarantees.
I have a bus driver in Ohio and he recently had a loop recorder placed for 5 years. Will this disqualify him from driving the CDL vehicle in Ohio.
@ Debora
Probably not an issue, do confirm with Ohio drivers license department for confirmation.
What EF percentage is required by DOT physical if you are a heart surgery partient
@ Helene
40% or better LVEF for class A cdl holders, required by DOT/FMCSA.
I had an ICD (Implantable Cardioverter Defibrillator) put in back in 2018, only as a precautionary measure because they said I have HOKUM, (Athletic Heart), or thickening of the heart wall. I have never had any heart issues prior to having this done and haven’t had any issues since, as well. I previously had a class A CDL and let it lapse way before I had the procedure. I just started a new job and really need to get my class A CDL back again. Do I need to have my cardiologist write a letter to the State telling them that I am medically fit to obtain a class A CDL, or is there absolutely no chance that I can be exempt from that restriction?
@ Brett
DOT/FMCSA you are restricted, but you could try Intra-state only. This puts you under the states regulations and requirements and not federal DOT/FMCSA. Check with your state DLD for guidance in this situation.
I have a defibrillator and was disqualified at my dot physical but it is turned off and my cardiologist will write a letter saying it is but the guy still disqualified me.can I fight this decision?
@ Brandon
Try FMCSA and see what they can do to help you out.
i had bypass on february 19th of 2024 and have a class A CDL and only drive local for my own company that i own. How long before i can get my medical card renewed and drive per DOT in Ohio
@ scott
DOT/FMCSA class A, 3 months waiting period before renewing medical certification card.
Underwent elective PCI 2 weeks ago without angioplasty or stents, have received release from Cardiologist to return to work, asymptomatic, no injury at groin site, is FMSCA recertification required if I have valid medical certification?
@ David W
DOT/FMCSA for class A interstate drivers, new medical certification examination needs to be completed. Lesser class cdl’s will fall under the states requirements.
Diagnosed with an enlarged aorta and leaky bicuspid valve. Htn also.
Asymptomatic and cardiologist cleared me to drive (CDL A). Surgery not needed at this time. However placed a weight restriction of 50 lbs. Medical examiner would not pass even though I do not lift more than 50 lbs.
@ Amy
DOT/FMCSA for a class A driver should not have restrictions or limitations which are related to the job description of a CMV operator. Get the note from your cardiologist without weight restriction.
I had rotator cuff surgery in November and have been cleared by my Dr to return to work. I have to recertify my DOT physical since I was out over 30 days. I have CHF and the DOT Dr is requiring my EF to be <=40%. I have a Class B with a P endorsement. Is the 40% only for Class A? I can’t find anything about other Class guidelines. Any help would be appreciated.
I had a mild heart attack 7 years ago. I had 1 stent put in place. How long do I need to get my cardiologist’s approval, and pass a stress test, to drive a CMV or get a DOT Physical card?
@ Roger J R
For a class A cdl, as long as you plan on driving. Stress test every two years, cardiologist release form every time you go for a new medical certification examination.
I am having a cardiac ablation done in April, my Dot physical is due in September, will the ablation disqualify me in September?
@ John
Your medical card will be invalid when you have the procedure done. With supporting medical documentation from your cardiologist at the time of your next medical certification examination, you should be fine.
Is their a waiting period for a CDL driver to get their medical examination updated after a cardiac ablation is done?
@ lsevere
Full medical release to return to work and a medical release form from your cardiologist. No specific waiting period.
One of our drivers put out of work for 30 days by DR. performing physical. What regulation covers ablations?
@ sonny k m
Not a regulation, a DOT/FMCSA guideline. Your driver will need a full return to work, without restrictions or limitations. The CME will want to confirm that the procedure was successful and the treatment has proven to be effective.
I’m a non cld driver with heart failure and needing a dot physical. Will I pass if my ef is 40
@ Rebecca
A non-cdl physical will fall under your states guidelines and variances. A LVEF of 40 or better is required by DOT/FMCSA for a class A cdl holder. Your state may have different guidelines that must be met. Check with your local DLD.
Do i need a clearance letter from my cardiologist?
@ Rebecca
You are non cdl, what does your state drivers license department require of you.
I have a patient who had an LVAD placed in 2019. He is trying to get back into CDL driving. His Cardiologist has cleared him to drive a commercial vehicle, but does the FMCSA allow these types of devices?
@ Dan
LVAD are installed in the final stages of heart failure. Battery operated device while driving an 80,000 lbs. tractor trailer. Might look at intra-state only and a 1 year medical card at best. It will fall to your final decision making process and the weight of possible risk factors for the driver and the public at large.
i got my CDL pull for have a defibrillator my doc said it was ok to drive. but it is aaok to drive a car
@ walter m
For a class A cdl holder running interstate,(OTR) you will be unqualified to pass a DOT/FMCSA medical certification examination. Intra-state only or a lesser class cdl you may qualify to drive a cmv, based on your states regulation. Check it out with your state drivers license department. You should not have any issues driving your car.
I’m in Calif-during 2020 Covid I could not find any dr to give me a dmv medical-my card was extended 2weeks -I’ve had triple bypass surgery and 75 years old but in good shape-I have to have exam every year-what we’re the extended law on this one.ty
@ Troy
There is a 3 months waiting period following the bypass surgery. Then a physical each year. The CME may request some supporting documentation before making his/her final decision.
I drive a school bus I went to my heart dr take meds lost weight and feel great. Do I have to get stress test if I feel good? Insurance want pay if your not having trouble?
@ Pam
Unless you carry a class A cdl, or your state requires a stress test for your class cdl, the answer is no. Confirm with your local DLD to determine the stress test needs. Make sure your medical examiner knows the difference between DOT/FMCSA class A examinations and regulations vs your states requirements and guidelines for your class cdl.
Hello,
I am a medical examiner, just passed my 10 year recertification. I have a young driver with a h/o POTS and needs a DOT physical.
I can not find anything online or in my recent course addressing this condition. She has a letter from her cardiologist saying she has “no cardiovascular restrictions relative to her DOT physical”
Is POTS a disqualifying condition or am I OK to pass her with the cardiology clearance?
Thank you in advance! This website has been so helpful
@ Dana G PA-C
Much will depend on the class cdl this driver holds. Class A, the guidelines are not specific and your judgement call will be best based on your over-all findings. Is she safe to drive and is she able to perform the duties of a CMV operator. Lesser class cdl’s will fall under her states guidelines and regulations. Best if you know both DOT/FMCSA and your states guidelines.
POTS can occur without syncope. If she has syncope, that falls under the rules for syncope. If she does not have syncope, POTS is benign and she is okay to drive.
is anything special needed for a dot exam in a young male with bigeminy
@ david s
If the examination is for a class A cdl, then documentation from the cardiologist will be needed. If a lesser class cdl, you will need to meet the state requirements. Confirm with your local drivers license department (DLD) for guidance.
If you have wolf Parkinson white syndrome can you still get a physical card and have a class a cdl?
@ Ted
It will require supporting medical documentation indicating proper treatment has been established and your situation is under control and stable. Then the CME will take all the available information and make a final decision.
If you have mild blockage on one artery on the front of your heart can you keep a CDL a license?
@ Scott m
It will require medical documentation for the CME to make his decision.
I’ve had Quadruple bypass about 3 years ago and stent 2 years I’m seeking to start a new job with DOD that requires a CDL Examination even though I’m not going to be driving a large truck , my cardiologist has me yearly check ups ,and control medication very well and on a physical gym work out , I’m into my third year since a major surgery and stable !
Advise please Thank you
@ George
Lots will depend on the class cdl you must carry for the job. Class A, you will need to provide additional documentation for the examiner. Lesser class cdl’s are state regulated and in most cases less stringent than a class A, which is federally regulated.
Can you have a class A OTR CDL after a heart transplant in Nebraska?
@ Sandra S-C
DOT/FMCSA has a one year waiting period following transplant. With proper medical documentation from your cardiologist, you can have a class A and your medical card examination must be done every six months.
Can a truck driver get a CDL if they have a LVAD?
@ roni
Class A, OTR, no. Lesser class cdl and intra-state only, maybe. You will fall under the states guidelines and variances.
If a person has an aortic anywrism of 4.5 does that disqualify them from cdl.
@ Shawn
4.5 does not disqualify from cdl. It does need to be asymptomatic. Your medical card will renew for one year at a time and will require a recent ultrasound, each time, to confirm no changes in size.
I was recently diagnosed with (Heart failure with preserved ejection fraction). Can I still carry my cdl with this condition?
@ Candy
Much will depend on the class cdl you carry.
I had a stent placed on October 23, 2023 I am a school bus driver My heart pumping is 35-40% can i be released to drive?
@ Donna J C
You fall under the states guidelines and variances not federal DOT/FMCSA, so confirm with your local drivers license department.
I had a annuloplasty. Heart valve repair. What are my requirements to pass my DOT medical exam. I will have a 100% release to drive a commercial vehicle per my Cardiology team. My medical card has expired during procedure recovery window.
@ Joseph K
With proper medical documentation and a full medical release from your cardiac team, you should be good to go. Medical card will be for one year at the time, from now on.
Had a heart attack in May of 2020. Came back to drive in January of 2021 with a echo showing my EF of 57%. I’ve gotten two medical card since the echo. It’s now past two years so wondering do I need another echo?? I understand the stress test needed every two years but can’t find info if a new echo is also required every two years?? Thank you.
@ Tim H
DOT/FMCSA, stress test every two years, yes. Echo, only if the CME feels he needs additional imaging.
Thank you!
@ Tim H
You are welcome.
I was diagnosed with congestive heart failure, after fluid was found in my lungs February 2023, due to an ultrasound of my gall bladder. No MI, No bypass, No stents, no blockage. I don’t have symptoms of syncope, dyspnea or collapse. All EKGs are NSR, blood pressure is normal. I have an EF less than 40.
@ Michelle A
And the questions is…? For a class A cdl, LVEF has to be above 40% to pass a DOT/FMCSA medical certification examination. Lesser class cdl’s fall under the states guidelines and variances.
I was diagnosed with Hypertrophic Cardiomyopathy. I was seen by an electrophysiology cardiologist who stated my condition was very mild. I’m not on any medications, no scar tissues, etc. Per the cardiologist, he didn’t see any risk factors. Will I be able to pass the DOT physical with this diagnosis?
Hello I’ve had Head and Neck Cancer and the Radiation shrunk my right Carotid Artery 100% shut ! I still have my left side which has no blockage and the veins up the back of my head supplying blood to my brain ! They put a pacemaker in me due to dizziness when I stand up from a sitting position! I have no problem with sitting and driving just when I stand up to quickly and start to walk . I just have to stand a moment to get my head together. I need to get my physical to reinstate my Cdl’s! I haven’t drove in 5 years and feel that I would be ok ! Just on a part time basis ? Any advice would be appreciated !
@ Greg P
Lots will depend on your class cdl and whether you are interstate or intra-state only. Best to start with your local drivers license department (DLD) and follow their process in having your cdl reinstated. Then go from there. Good Luck in your comeback, drivers are needed.
while on the subject, what is the wait time for a carotid endartectomy??
@ big john
If it was asymptomatic before the surgery, then a release to return to work and a medical release form from your physicians and a new medical examination. If symptomatic, it’s a whole new thing. The CME will have to explore what options you may have based on your condition prior to surgery.
My Question is I have a ICD ( implant Cardiac Device), I get mixed answers. I known I can drive interstate. I live in Los Angeles California I want to drive intrastate only and when I check the DMV website it state any cardiac condition that cause shortness of breath, fainting, etc is disqualifying I have any of those symptoms can I pass DOT certification, and you don’t have a clear answer can you point me in the right direction.
Hello thanks for the great information.
Question: had recent PVC ablation and not very many DOT Doctor’s seem to know the actual guidelines. Is there specific location where a PVC ablation DOT guideline can be found? I have a letter from cardiologist stating I am cleared for DOT physical with all the good bullet points, not a stroke risk, tolerates meds, successfully treated PVC arrhythmia, proper sinus rhythm and rate etc etc
Just nervous I’ll run into a road block of lack of knowledge of guidelines. Want to be armed with all the correct information if need to present to Doctor’s.
@ Keith
DOT/FMCSA guidelines, pages 87,88,254, and 259. One month waiting period post abolition and supporting medical documentation from cardiologist. Annual re-certification from this point forward.
Reading through the handbook 87,88,254 and 259 none talk about PVC’s directly. Is their a general category you go off of for PVC’s in the handbook? PVC’s are common in most people and benign, assuming they don’t cover much for that reason? And common sense comes into play or at list it should. Ran into Drs. whom feel it’s their job to make life miserable for a driver;) Thanks!
@ Keith
You are right, seems like some just want to be a pain in the A#%. Most, especially if they work with drivers all the time, use common sense with this issue. The DOT/FMCSA guides are just that a set of guidelines with some regulations that must be adhered to.
I have Afib and I am required to have a stress test every two years, I have done the treadmill in the past, I had a pacemaker installed this year and my cardiologist advised that I would need a nuclear test because of the pacemaker, will the dot still require the treadmill?
@ Steve
As long as the pacemaker does not contain a defibrillator, then you should be fine.
Q. concerning AFib. Newly diagnosed with AFib. Just started Eliquis 2 weeks ago. I have a cardiac clearance letter to drive CMV. Do I still have to wait 1 month?
@ Tamika J
If the cardiologist notes indicates that treatment to date has shown to be positive/effective with this medication and there have been no noted side effects, then it is a judgement call on the CME.
I had a PVC ablation on June 5, 2023 and went to renew my medical certificate today. They said they couldn’t do it as there was a 6 month waiting period. No one informed me of this and I’ve been driving after a two week recovery. Is there a wait period? And should I have been driving?
@ Richard B
There is a one month waiting period following the ablation. DOT medical card will be good for one year at a time. As soon as you were treated, you needed a new medical certification. Then one month wait and medical release from your cardiologist.
Did you ever get this resolved?
Hello, I have an ascending aortic aneurysm 5.0 and stable will i pass a dot Physcial ?
Thank you
@ Ger
For a class A cdl, you will need supporting documentation from your cardiovascular doctor. And a medical release form.
Lesser class cdl will fall under your states regulations and guidelines.
Is an Nstemi the same as an MI?
@ Edward
No, Nstemi is a severe narrowing of the coronary artery. MI is a full restriction of blood flow to the heart muscle.
How often do I need a med card after an MI is it one year or 2 years?
@ John M
Every year, 1 year at a time.
If you have a heart attack and 7 years later have a double bypass, can you still qualify to drive a commercial vehicle, after 3 months and pass a stress test and blood fraction test and cleared by your cardiologist?
@ Jerry
It will require supporting medical documentation, and a medical release forms from your doctors. Medical card will be good for one year at the time with stress test every two years.
What are the current rules governing Hypertrophic Cardiomyopathy?
I found this, but nothing showing since the 2015 recommendation what the ruling was.
Section 10: CMV drivers with cardiomyopathy
@ Ken PC
No major changes. It still falls to the medical examiner to take all available information, including supporting documentation from your cardiologist, into consideration as part of his decision making process.
what is the min. cardiac ef to have a cdl?
@ Douglas E C
LVEF must be 40% or better.
I have been driving for 5 years OTR,but I had a heart attack and need a defibrillator. Can I still drive?
@ Camille
Not as a class A OTR driver. You may drive as an intra-state only, so confirm with your local DLD for guidance.
Afib cardiomyopathy chronic heart failure
@ Jerry B
And the question is….? Class A, probably not.
I HAVE MODERATE AORTIC STENOSIS CAN I DRIVE A FMCSA
@ Wadden
All depends on the symptomatic condition of the stenosis.
If no symptoms then no problem. If you have symptoms, then the CME will request additional information before making final decisions.
I am an amputee above the knee on my right leg and I take opiates for phantom pain. Will this disqualify me from obtaining CDL
@ Tyson P
2 thing will be in play. 1. Your cdl is a state issued document, so you will need to check with your local drivers license department (DLD). 2. Much will depend on the class cdl you are striving for. Class A is going to be the toughest and any lesser class cdl will fall under your states guidelines and variances.
had by -pass 13 yr go do i have to do a Stress test early to renew my d.o.t Medical Card
@ Paul A F
Class A cdl, DOT/FMCSA, stress test every two years. Stress test results must be within the past two years.
Good Morning. I was diagnosed having elevated triponin levels and heart attack in April of 2022. During my catheterization, my Right Coronary Artery was 100% blocked. Of course the blockage was cleared and a med coated stent was inserted. Fast forward to April of this year. U cardiologist gives me a clean bill of health and encouraged me to live my life with the restrictions bring moderation and good sense.
Will I be eligible to receive a CDL and take a driving job??
@ Eric P N
Lots will depend on the class cdl you are striving for. Class A is going to be more difficult due to federal regulations. Lesser class cdl’s fall under the states regulations and requirements. Make sure your medical examiner knows the difference between the two.
Trucker Doc I need to know. I’m trying to get a NON CDL driving job. Emphasis on NON CDL. MEANING NO CDL REQUIRED I JUST NEED A DRIVER’S LICENSE WHICH I HAVE. ARE THEY ALLOWED TO BASE DECISIONS TO DISQUALIFY ME DUE TO AN ICD EVEN IF IT IS NON CDL
@ Robert
We know what a non-cdl physical means. NO NEED TO SHOUT, thank you. There are two standards here. 1. DOT/FMCSA for cld class A OTR drivers, that ain’t you. 2. Your states guidelines, variances, and regulations. This is you. The medical examiner in your state has to know the differences and evaluate you accordingly. Apparently your examiner held you to DOT/FMCSA standards and not your states requirements. Find a medical examiner that knows the difference.
I have afib What test is required for medical card?
@ 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.
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.
@ Mike
3 months with a post aortic valve repair.
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?
@ 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.
can someone send me some information on defibrillator if I can drive a commercial vehicle need it asap please .
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?
@ Aggie
For a class A cdl, yes.
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?
@ 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.
If I have a Pace Maker, would I be eligible for DOT clearance with authorization from my Cardiologist ?
@ 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.
Do you have to have a cardiologist letter clearing you every year after open heart
@ Debbie
A medical release form from your cardiologist at each DOT/FMCSA medical certification examination, for a class A otr driver.
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?
@ 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.
How long can I get a dot medical card with a trace mitral valve regurgitation?
@ Donovan S
Most likely one year at the time. And you will need supporting documentation from your cardiologist.
i found out that i have a abdominal aortic aneurysm it is 3.8 how big does it have to get without a stent in before i have to stop driveing
@ Kevin G
At 3.8 your chance of rupture is slight, but once it reaches a level of 5 to 6 cm, then it will become a major question by the CME.
what are the guidelines for recent (3 months) dx of CHF with EF currently at 40%? Can a person be certified with cardiologist clearing? is there a waiting period?
@ Iris M
With a return to work or medical release form from the cardiologist and a LVEF greater than 40 %, a driver can drive. Medical certification should be for one year at the time.
If you have had bypass surgery 23 years ago do you have to have a stress test every year.
@ Tony C
No, not every year. DOT/FMCSA wants a stress test every two (2) years.
I have had a aortic trans catheter heart valve replacement, what is required to get a dot medical exam back
@ Kenneth W
A one month waiting period and a return to work release. Medical release form from your cardiologist and a new medical certification examination. Medical card will be limited to one year at a time.
Is a stress test required after five years following bypass surgery.
@ John M S
DOT/FMCSA for class A interstate drivers, stress test every two years following cardiac surgery.
I’ve been told this is not a requirement anymore.
@ David
I guess it depends on who you got your information from and if they are in the know.
I read someplace that you only needed yearly echo for five years after stent. (Heart attack preceded stent). Is this correct or will I need an echo every year? I know the stress test is every two years.
@ Dean F
Echos for 5 years and stress test every two years.
My husband is about to go an Atrial Flutter Ablation. His doctor told him he has to be off work for one week. I can’t find anything in DOT guidelines for the specific procedure, as to how long before he is cleared to return to work.
@ Karen W
For a class A cdl, there is a one month waiting period following this procedure via DOT/FMCSA requirements and regulations.
I let my CDL A lapse and am interested in regaining it. However, a few years ago I was diagnosed with congestive heart failure, but I have a recovered ejection fraction. Would I need to get clearance from my cardiologist first before trying to get the DOT physical done? If so what would the document need to state?
@ Christine B
Note from cardiologist needs to indicate that your LVEF is above 40% and a medical release form from your physicians.
If a driver’s certification expires while he is out during 3 month wait after coronary bypass will he be downgraded?
@ terry h
Probably not if the drivers license department is aware of the situation. Check with your local DLD for guidance in their process for this issue.
Can you get you CDL after heart transplant?
@ Steve
It is possible with proper documentation from your cardiologist.
Do I need to disclose to the DOT medical examiner that I had double pass surgery two and half years ago if I have already been cleared by my doctor two years ago?
@ Brian
Yes. Your doctor can clear you for work, but the CME has to clear you through the DOT/FMCSA guidelines and regulations.
I had a stroke in 2016 and they have put a loop recorder in my chest my blood thickens and on a blood thinner would I get a 2 year or 1 year cert
@ dana
One year at a time.
I had heart bypass 14 years ago do I still have to do a stress test every two years
@ Allen
DOT/FMCSA for a class A interstate driver, yes, stress test every two years.
Can you keep CDL drive OTR with a Life Vest & being on Entresto & Aspirin?
@ Kim S
Highly unlikely, maybe intra-state only. But your CME will need supporting medical documentation from your physician before he make his final decision.
Open heart two valves will be repaired and will have one bypass. Will I be able to get my CDL up graded to interstate. After 90 days with stress test and ok from heart doctor?
@ Robert
The CME may have additional questions for your physician. Bring what you have for supporting documentation so the CME can decide what else he may need to aid in his decision making process.
This is my first time getting clearence for the DOT Medical card
I had bovine valve in 2007 – currently I am seeing a cardiologist.
This week I had two tests a echocardiogram and stress test.
My test showed 55 – 60% ejection fraction
The only issue is the Stress ECG was abnormal, conclusive and consistant with myocardial ischemia.
We will be doing a nuclear stress test on the treadmill this week to see if it is the case.
Otherwise, the heart rate demonstrated a normal response to exercise. Overall, my exercise capacity was good. I am very active and have had no problems with this at all. I am waiting on his recommendation saying that I can drive a commercial vehicle from a cardiology standpoint.
What are my chances on passing? Thank you for your help, I appreciate it.
@ Jason
Your chances are very good. You will need to provide supporting medical documentation and a medical release form from your cardiologist. Good Luck.
Driver had aortic valve replacement. How long before he can be medically qualified to drive a CMV?
@ Robert
Class A cdl, 3 months waiting period before he needs to have a new DOT/FMCSA medical certification examination.
My driver had a stemi heart attack and two stents put in. Is there a specific timeframe for returning to work beyond the 7 days?
@ Susan C
DOT/FMCSA class A interstate driver, 2 months. Medical release forms from physicians and a stress test. And he needs a new medical certification examination and medical card. It will be limited to one year time frame.
I had a defibrillator and a pacemaker placed in my chest in March 2023. I have a Class A license and have been driving over the road for about 2 years.
Can I go back to driving a Class A vehicle if I am cleared by my doctor and the DOT exam?
@ James B
If you get clearance from the CME, then you could drive.
Class A interstate medical certification examination will require supporting medical documentation and medical release forms from your physicians.
I had coronary artery bypass surgery in March 2023. How do I obtain recertification form for my Medical examiner.
@ Stephen W
You have completed the three month waiting period, now you need a medical release form from your doctors and a stress test. Then you can go for your medical certification card.
I’m about to have cardioversion, for afib .what is the wait for recertification? Thanks
@ Joe T
30 days post surgery.
Does a heart halter loop recorder implantation disqualify you? Cardiologist has cleared to drive. All my testing cameback normal with the exceptional anemia.. Made some medication changes.
Just wants to insert this as its good for 6 years and history of heart disease in the family. I’m not having it if it disqualifies me.
@ Tia
It is going to raise questions with the CME. He/she will want supporting medical documentation and a medical release form from your doctors. All to aid in the decision making process.
Had a pace maker put in how long do I have to wait to get recertified
@ Douglas W
One month post implant.
I have a left branch bundle block and have to do a treadmill stress test yearly. It is difficult to do. Why can’t I have a nuclear stress test instead. My Dr. Said that usually a nuclear stress test is done with a patient with a left branch bundle block. What does the DOT require.
@ Monica M
With proper documentation from your doctors, you could be fine with a nuclear test.
I have been told that was not an option who can I contact to get this done. That would be great. My cardiologist has no problem writing a letter I just don’t know who I would need to contact. Please if you could let me know.
Monica M
# Monica M
Depending on the class cdl you hold will determine who you need to be speaking with. Class A interstate drivers have the toughest time, while lesser class cdl’s or intra-state only drivers have to deal with the states guidelines and variances.
I am a Bus driver with a class S & P
@ Monica M
You are under the states guidelines and variances, not federal DOT/FMCSA. Your medical examiner must/needs to know the differences between the two sets of rules and regulations. You should not have any issues. Confirm with your local DLD.
I have defibrillator what type of Cdl can i get
@ Talesha B M
Class A will be out, but check with your local DLD for your states restrictions. Most states allow cdl’s of a lesser class or class A intra-state only. Confirm with your local drivers license department (DLD).
I had a tavr done in April and my cardiologist released me for full duty after 6weeks when can I renew my dot card
@ Pete
For a class A cdl, DOT/FMCSA requires a 3 month waiting period for interstate drivers.
if I have devloped afib can I still get my medical card for cdls
@ jean
The CME will request supporting medical documentation to aid in his/her decision making process.
i have afib and take eliquis. Do i need blood test results in order to be medically DOT certified for school bus.
@ Dennis
You, as a school bus driver, do not fall under the federal DOT/FMCSA guidelines, unless you carry a class A cdl. Best to check with your local drivers license department for guidance on this issue.
I have a new defibrillator with phone app n warning system connected to hospital can I get a DOT physical?
@ Larry W
It will depend on the class cdl you hold.
I had my mitral valve repaired on April 11. Not going back to work to July 12th. I had Afib, after surgery, but completely stable heartbeat after about 10 days. Without medication. Cardiologist says blood thinners and rhythm meds for 6 months. Does that affect my ability to get a medical card?
And, Medical card will expire on June 8th. Is there any way, to keep from being downgraded?
Had my echo & stress test , and all heart functions normal, plus ok on the treadmill stress test.
@ Rusty
For a class A cdl, DOT/FMCSA has a 3 month waiting period following the repair. Then you will need a release form from your cardiologist. Go to DMV now, explain the situation and they will have a process that will keep you from having to downgrade. DLD just needs to know where you are in the scheme of things.
I had a stint for a partial blocked artery over 12 years ago. Am I still required to get stress test every two years ?
@ Jesse
Class A, yes.
I dad two stents put in april 2021; stess test 2022 all fine infraction 60%. Blood pressure
fine and normal walk 3 miles every day. will i be able to keep my mass cdl?
@ bob
You should not have any problems.
I had a cardioversion and went to get my dot physical and was told I had to wait 30 days. is that true?
@ Green o
That is a DOT/FMCSA recommendation.
I had a blood clot in the left ventricle but it is gone now. They say the left side of my heart is contracting slow. But my ejection fraction is above 40. I am doing a stress test next month. I have been out of work for 6 months. Will I be able to drive?
@ Justin D
If all else is within normal limits and your LVEF is above 40%, you should be OK.
I had 1 stent put in after my heart attack 3 weeks ago and after doctor visit today I am cleared to go back to work no restrictions but am told that I have to wait 2 months for dot is this correct or an I co back now
@ William R P
Class A, you have a waiting period thanks to DOT/FMCSA. Lesser class cdl’s are under your states regulations.
Almost two years ago I had a heart attack.
I had an echocardiogram done and got a release letter from Cardiologist. Last year I took release letter from Cardiologist. I called the DOT clinic and was told all I need is a letter from Cardiologist saying I’m
able to preform my duties as a driver. Is this true I’ve heard I needed a stress test every other year.
@ Lenh
DOT/FMCSA requires a stress test every two years following a heart attack. The DOT clinic may be requesting a medical release form from your cardiologist. This would be needed at each DOT/FMCSA medical certification examination.
if i have aortic valve replacement can i pass a dot physical
@ richard r
With proper medical documentation and test results, you could be fine.
I may have pvc will I be able to drive a semi
@ Curtis
It is going to raise questions and will need supporting documentation from your cardiologist and a medical release form also.
can i get a dot medical card and only drive intrastate with a difibulator.will only drive in ny but employer wants dot medical card
@ David W
Most likely, but confirm with your states drivers license department (DLD).
I have congestive heart failure would that stop me from passing a dot physical or getting CDL license?
@ Louis H W
It will put a kink in the works, but if you are not going for a class A cdl, you may be OK. Check with your local DLD for their standards and guidelines.
My husband had a quadruple by pass in April of 2022. His ejection fraction stayed at 40% ..it is now up to 45%. His cardiologist is releasing him to return to work.
Is there a time frame on the ejection fraction? Does it have to be greater than 40 for a year?
@ Janean
If he is holding above 40% LVEF, then he should be fine.
I had an ablation done in my heart and am told I can not do the return to work physical for a month. Is this correct.
@ Pedro
For a class A cdl, DOT/FMCSA suggest a 1 month waiting period before the certifying examination.
Is it legal for my employer to make me see the doctor they choose for my medical card rather than allow me to choose my own doctor when I’m the one paying for it ?
@ Don
You would need to speak with legal council for the correct answer. Some companies use their own doctors to help rule out/disqualify a driver before they get hired.
I live in the state of GA I have kidney failure and I do Peritoneal dialysis every night. Will this medical condition disqualify me
@ Joseph
For a class A cdl, DOT/FMCSA medical certification, you would be disqualified. For a lesser class cdl, you will fall under the states guidelines and variances. Best to check with your local DLD for confirmation and restrictions.
I had a heart catheterization done that show’s no blockage or anything else. How can I get my class b CDL back. I have been cleared by the doctors. I have been off work for the last 2 months. I had a one night stay in the hospital when I first started having a problem 2/5/23
@ Rocky T C
Since you are a class b cdl holder, you fall under your states guidelines and regulations, not federal DOT/FMCSA. You should be able to get your class b without any issues. Just check with your local DLD for guidance.
Hey Doctor, I am a 61 YOM Class A driver, that is undergoing an Aortic Valve replacement, being replaced with a TAVR valve. How long after my surgery does FED DOT regulations require me to be out of work ?? Any help would be greatly appreciate. Thank You !!
@ Jim T
3 month waiting period and yearly physical for DOT/FMCSA class A.
If a diver can not pass a stress test after heart attack and placement of stent,what becomes of CDL and haz may endorsement
@ Corey
You need to check with your local DLD for best answer.
I had a Aortic dissection and now have a titanium mechanical valve in my heart. Would that stop me from getting my medical card? Im trying to start my own business
@ Stephen
If you are not going for a class A cdl, then you will fall under your state guidelines, not federal DOT/FMCSA.
Check with your local drivers license department (DLD) for guidance.
I was diagnosed with brugada syndrome and a 4.1 cm aortic aneurysm. Doc didn’t say anything about my not being able to drive and I asked. Will I be able to get my med card renewed?
@ Andrew
Your condition and your aneurysm are both going to raise questions with any CME. Take as much supporting medical documentation as possible to help aid in the CME’s decision making process.
I had a mild heart attack which resulted in singular bypass surgery in 2018. Every year since I have gotten an EKG an echocardiogram and a stress test before renewing my medical certificate. Is that required every year?
@ Keith N
Stress test every two years, DOT/FMCSA requirements .
i had my dot physical and passed but i have a ejection fraction of the heart under 40 never had a heart attack or stroke and feel find but nurse said she could not give me a medical card , What can i do to get back driving
@ hartsell v p
Too many questions as to why a nurse would be looking at your LVEF, if there were no heart related issues.
My husband had a heart attack with a stent placed on Monday. One overnight stay at hospital and cardiologist cleared him to work Wednesday (knowing he was a CDL A truck driver). He went to a urgent care today to get signed off from a DOT physician and they said he had to be out of work for 2 months before they could pass him and that he would need a stress test prior. Is this correct that he has to be out of work for a minimum of 2 months?!
@ Marcy
DOT/FMCSA for a class A interstate driver requires a three month waiting period and a stress test before returning to interstate driving. Intra-state only, goes by the states guidelines and variances. You could check with your states DLD and see if he can drive intra-state only for the waiting period.
Will a abnormal PVC count of the heart disqualify you from passing your DOT medical exams?
@ Troy
If the count is too low, then it could be a factor. Your DOT medical examiner will be looking for supporting documentation from your doctors regarding your situation. He will then base his decision on all available information.
We have a driver who went through surgery for an aortic abdominal aneurysm (AAA) literally the day before his medical certificate expired. He called the facility where he usually gets this exam and was told he would have to wait 3-12 months due to his having had this surgery. This isn’t very conclusive information, and they provided no further information for him. Is there a set procedure/checklist of to-do’s/timeframe he needs to go through, assuming his doctor who performed the surgery signs off on his health?
@ T.H.
DOT/FMCSA, 3 month waiting period and medical cards will be limited to one year at the time, for a class A cdl holder.
Is this the same for Class C?
@ T.H.
Class C cdl’s fall under your states guidelines and variances. Best to check with your states DLD for the best answer.
does my cardiologist need to clear me every 3 months ???? Do you expect me to have a stress test every 3 months
@ Bill
DOT/FMCSA requires a stress test every two (2) years. Your cardiologist will need to clear you every time you go for a new medical certification examination.
What are the guidelines for thoracic aneurysm certification?
@ Amy
Less than 3.5 cm and a yearly medical certificate.
We have a CDL OTR driver the got pneumonia and then we were told he was hospitalized as it transferred to the heart.
When he was released, we were told it was a infection in the heart from his pneumonia. Now he is going to renew his physical but the doctor that is doing the physical will not do one until he has a stress test.
Why would they require a stress test for this, or is there more than likely more that we are not being told?
@ Mark T
Most likely more than you are being told. The CME would not request a stress test on what you have told us, unless he is weighing the possible health risk to the driver.
how many times does my cardiologist need to clear me ??????
Have a driver that went to hospital for heart issues. no heart attack. While there, they found bad blockage, did quadruple bypass. he has been off for 2.5 months. He is now returning to work. Previously had 1 yr med card due to high blood pressure. Says his Dr. said he does not need to redue med card since he didn’t have a heart attack. What is the standard here?
@ Dave McQ
DOT/FMCSA class A drivers. ANY situation/injury/illness, etc. which takes a driver from behind the wheel requires a new medical certification examination.
I have a class A license. I had my aortic valve replaced with a prosthetic valve in May of 2021. After 3 months I had the Echochardiagram and renewed my medical card.
Summer of 2022 had another Echochardiagram and all is well.
My cardiologist said I don’t need another echochardigram until 5 years from now.
My medical card needs to be renewed in September 2023.
Does DOT require another echochardiagram before renewal?
@ Bob P
DOT/FMCSA requires, for a class A cdl, a new stress test every two years from your last one.
I worked for UPS for 10 years as a driver and was diagnosed with LBBB (left Bundle Branch Blockage) no other history dealing with my heart. I had to get a Pacemaker/defibrillator and was disqualified from DOT. My cardiologist said i was good to work and would write an letter if need be but the doctor was not having it. what should be my next steps.
@ T
It all depends on the class cdl you carry. Class A, you will not pass for a medical card unless you go intra-state only. Lesser class cdl, you are under your states guidelines and variances, not federal DOT/FMCSA. Your examiner must know the differences.
Driver has new onset Congestive heart failure 10/22. Cardiologist has given clearance letter with Ejection fraction between 40-45. Dot requires MET of 6 . Cardiologist says since he had cardiac cauterization he won’t do stress test.
Can this driver get 1 year certification?
@ Cynthia E
The CME will have to take all available supporting medical documentation into consideration. The drivers LVEF is within DOT/FMCSA’s requirements, so he is good there. The medical examiner may still require a stress test, based on his findings.
I had a stent put in 9 years ago been getting stress test every other year .
When can I stop doing the stress test getting a little expensive ?
@ Rick
DOT/FMCSA every two years stress test results are needed to maintain a class A cdl. No known deadline for the stress test.
What if an employee had a mild heart attack, no stents 1 overnight stay in a hospital. Can he return to work with just a release from his doctor? Does he have to get a new medical certification to return?
@ Donna W
He needs a new medical certification examination before returning to driving, if he is a class A driver.
i had an mi early jan! had to have a stent put in. Cardio has cleared me to return, and so has the DOT doctor i seen, have new physical card , yet company refuses to let me come back.what can i do? They want me to see their doc, stating my new card is invalid
@ Jon
DOT/FMCSA has a two month waiting period following an MI.
Employee had a heart attack on 2/12/22, had a stent put in. Cardiologist released him to full duty with no restrictions effective 2/20/23. His current DOT medical certification doesn’t expire until December of 2023. Can we let him come back to work now?
@ Donna W
Your driver must have a new medical certification examination before returning to driving.
I had an Afib episode on 2/4, returned to Sinus Rhythm in hospital. Company wants me to get recertification for DOT. Hospital Cardiologists said there were no underlying issues that caused the incident. Can I still get recertified??
@ Bill McB
You will need to bring supporting medical documentation from your cardiologist at the time of your re-certification.
Currently have my DLT certificate expires in March 1st discovered that I have a heart murmur add the procedure they found no blockages gave me some medication go back in 30 days Will I still be able to qualify for my DOT
@ Mike
Yes, just bring any supporting medical documentation you may have when you do your DOT/FMCSA medical examination.
Hello!
I’ll be having an ablation for WPW. Will that affect my fed med card?
@ Tricia
It will require a new medical examination, once released to return to work. The CME may request additional supporting medical documentation.
Retired from driving (class A) let my medical card expire. Had bypass surgery Jan 2011.
Can I get medical card for intrastate driving
without taking a stress test,?
@ Brian
If you are going to be intra-state only you will fall under your states regulations. They may request a class A medical certification examination first. Best to check with your local DLD for their requirements.
I had open heart surgery in February. 2015.Had the aortic valve replaced. . After5 years I had to do a stress test. How often do I have to take a stress test? I have been told every year. also been told every two years. which is it is my?
@ Russ B
For class A, DOT/FMCSA requires a stress test every two years.
I was diagnosed with paroxysmal a-fib way back in 2005. It is well-controlled with medication, and have not had any problem renewing my medical certificate annually. My current certificate expires on 2/3/23, but can’t see my cardiologist until 2/1/23. Can I have my DOT physical done before I see my cardiologist, or do you require supporting documentation from him?
@ John O
Best if you see your cardiologist first and then DOT medical examiner.
I was just diagnosed with a-fib. Does this dis qualify me from renewing my Cdl medical card?
@ Carl V
It will require supporting medical documentation from your doctors, but you could still have a medical card. It may be reduced to a one year at the time card.
I had cardiac bypass surgery in September 1998. During a DOT physical exam taken this week, the examining doctor provided me with a form to take to my cardiologist to gather more information on the state of my heart health. The data was submitted to the examiner but the cardiologist would not sign the DOT Medical Examiner Letter to Clinician: Cardiovascular letter. Could this document be signed off by another cardiologist if he/she were comfortable with the stress/echo results I already have?
@ Kirk R
Of course it would be best if your present cardiologist signed off. He does not understand that he is not taking on any risk in the matter. You may get another cardiologist to sign off if he has all the available data to make his final decision. The CME then has the final say in the matter.
I a LVAD. Will I be able to get a class B or even qualify for a CDL?
@ Joel F
Your class B cdl will have the states requirements and not federal rules and regs. Check with your local DLD for guidance.
I had a Myocardial infarction and had a cath procedure done on a 90% blockage. 2 months have passed and took a stress test so that i can return to work that came back positive. Cardiologist is clueless as to why, I’ve lost weight, have my sugars in check 5.9 A1C, doing cardiac rehab.
Question is do I just take that positive stress test report to the DOT examiner with a letter from cardiologist? I’ve schedule an echo cardio stress test just to back up the original stress test. But the cost is adding up on trying to get back to work.
@ Ken B
The CME will need as much supporting documentation from your doctors as he can have. All the information is an aid in his decision making process. The CME may want to see the final results of the echo also. If so, he may provide a short term card until those results are completed.
Does it make a difference on what type of echoe is done?
Or trans echoe ( thru the throat ) of thru the chest? As one will be different reading from other
Just wondering for the ejection fraction
@ William B
LVEF must be 40% or better. That is what the CME will be looking for. And a medical release form from your cardiologist.
After a transfemoral aortic valve implant, when can a school bus driver resume duties.
I am a cardiovascular surgery Nurse Practitioner and have a patient asking.
@ christine B
Class B drivers fall under the states guidelines and variances, not federal DOT/FMCSA. Best to check with the states drivers license department for your best answer.
I had open heart surgery to replace aortic valve on 12/13/22 my company said I can’t return to work in till 3/13/23 is there a mandatory rule on this for Michigan
@ Craig H
For a class A interstate cdl holder, your company is correct. If a lesser class cdl or an intra-state only driver, you would fall under the states guidelines and regulations.
I had aortic value replacement what is the rules and regulations so I can go back to work driving semi’s locally surgery was 12/13/22 my company said I can’t come back to work in till 3/13/23 is this Michigan DOT rule
bypass with class b cdl what is required
@ Shawn R
It fall under the states guidelines and regulations, not federal DOT/FMCSA. Confirm with your local DLD.
I just had a pacemaker implanted, what is the required waiting period before I can return to driving a CMV?
@ Steve
1 to 3 months based on the reasoning for the implant. Medical card will be limited to one year at a time from this point on.
Can I get a cdl after a heart transplant?
@ Mike
With proper documentation and the abilities to operate a commercial motor vehicle, yes.
I have had AFib for over 10yrs and always have been give 2yr. Medical card ,I was just renewing 12/31/2022 and was told That I was only good for 1 yr. And needed a cardo letter for clearnce to drive what law has changed that I should know
@ Donald A
For a class A cdl, DOT/FMCSA has always been a one year medical certification. You are a class B driver and fall under your states guidelines and variances. Best to check with your local drivers license department to determine if there are exceptions to the DOT/FMCSA standards.
I just had a pacemaker put in for sick sinus syndrome. Just one lead to the right atrium. Also started taking a blood thinner and a beta blocker. Is it still a minimum of one month plus a clearance from my cardio physiologist before I can drive?
I have no other medical issues. I’m 69 yrs young.
Thanks
@ Jeffery J
The waiting period allows for things to settle in and make sure there are no complications as well as tolerating the meds.
Hubby had an MI in 2017. He had all the necessary work done to be Abe to drive bus again. He had an exercise stress ECG last year and was given his DOT card. New Dr is saying he must have his ETT result and an EF result. They left it quite late. What do we do now.
@ Carrie B
Depending on which class cdl your hubby holds should determine what test are needed. Class A, he needs to meet federal standards and requirements. Lesser class cdl, then he fall under the states guidelines and variances. If this is the case then check with your local DLD for guidance.
Post Cabg- after 3 mo waiting time, is yearly ETT after 5 years required?
@ Shannon
It may be indicated and the CME may request both the ETT and a LVEF result demonstrating 40% or better.
Wearing cardiac life vest defibulator and stage 5 kidney failure
@ Dean
And the question is?
I have a implantable cardiac monitor. Would I be able to get a CDL?
@ Erik n
You will have to provide medical documentation for your medical card. Your cdl is a state issued document, so check with your local drivers license department. (DLD)
Do you know what the restrictions are following a trans catheter aortic valve replacement/TAVR (through the artery in the leg)? The recovery period is 2 weeks. There is no sternotomy (open chest). I have not been able to find any updated data on this.
@ Kim
A 3 month post procedure waiting period, medical release form from cardiologist. Medical card will be for one year at a time.
After bypass surgery how many years do you have to get a stress test and echocardiogram done
@ Casey
Once every two years, as long as you are driving or trying to maintain your class A cdl.
I’m having a Cardiac Ablation. Would you no what the required time that the DOT will require before I can return to work. I have Flutter on the right side and AFIB on the left. Both will be repaired.
@ Ernie J
DOT/FMCSA, one month post procedure and clearance from your cardiologist. Medical card will be for one year at a time from this point on.
So I was diagnosed with hypertrophic cardiomyopathy back in June 2022 it’s now November 2022 and he says my condition has improved but I can’t find anything on DOTs regulations for it and it’s all out dated these are my new updated measurements after being on metoprolol
LV Diastolic Diameter PLAX
4.2 – 5.91 3.9 – 5.3
cm
LV Systolic Diameter PLAX
2.1 – 4.0 cm
IVS Diastolic Thickness
LVPW Diastolic Thickness
Estimated LV Ejection Fraction
LV Eiection Fraction MOD 4C
IV Ejection Fraction 4C AL
4.3 cm
1.7 cm
1.9 cm
1.7 cm
75 9
67.18
66.7%
DOPPLER
AV Peak Velocity
AV Peak Gradient
AV Mean Gradient
1.9 m/s
14.6 mmHo
8 mmHg
* Indicates values subject to auto-interpretation
LV EF:
75
FINDINGS
Left Ventricle
Hypertrophic cardiomyopathy with obstruction – 2.3 cm septal thickness,
1.7 cm posterior wall thickness.. Peak velocity is
4.3 m/s. 77 mmHg.
The left ventricular eiection fraction is visually estimated to be 75%.
I have had no symptoms of HCM I want to get back in the truck but my cardiologist advised me not to drive commercial until further notice, what are the guidelines and where do I find them, im a Nevada CDL holder if that helps thank you very much
@ Justin
DOT/FMCSA recommend that a driver with your diagnosis not be certified until fully cleared by your cardiologist. Then you will need a medical release from the cardiologist and DOT/FMCSA medical examinations will be yearly
6 years ago my husband was told by the DOT physician that he had heart arrhythmia and he had to see a cardiologist. He followed all instructions and after EKG, stress test and wearing a monitor that he did not have arrhythmia. This was confirmed by his primary physician as well. For 3 years he could only get a 1 year card. 2 years ago he was issued a 2 year card but told if they heard anything he would have ro go thru process again. Today he was refused his card and told that his cardiologist has to sign off. He does not have a cardiologist because he does not have a heart problem. His card expires Dec 18 and due to not being esrablished patient he can not get an appointment with a cardiologist until after 1st of year. Nothing was heard today but because this is in his file they a requiring the sign off before a new card is issued. Is this correct? Very frustating for him that a DOT physcian thought they heard arrhythmia and now he has to go thru time and expense. Any recommendations
@ Sue
Go get a second opinion somewhere else.
I have a ascending thoratic aneurysm. 4.1 cm not bleeding. Can I still get a dot health card
@ Marcus c
It may raise questions, but you should be fine. The CME may request additional documentation.
I have been diagnosed with pvc heartbeats. It is 12% of my beats. I have had a echo cardio gram. My cardiologist said it was normal. I then had my dot physical and provided them with the information along with clearance from my cardiologist to drive. My dot doctor would only issue me a three month card and said if it doesn’t clear up in three months I will not be issued a new card? Based on Every thing I have read I think the doctor is wrong. What can I do?
@ William K
You go get a second opinion.
I have had a pacemaker/ICD since I was 6yrs old. I am now 22yrs old. I visit my electrophysiologist every 3-6 months for a EKG, Stress test, and Pacemaker interrogation. I recently got offered a job for highway operations technician trainee NJDOT. I was denied my CDL because of my ICD. I did not know that having an ICD disqualifies you from a CDL. My question is, am I still able to get an exemption for my CDL since I will only traveling intrastate (within the state of New Jersey). Ive also been contacting the FMCSA for the past 2 months trying to get an answer on whether or not I qualify for an exemption but they have not given me an answer. Every time I call I get the same response “all we can do is send your request up to our medical review board. All you can do is wait.”
Thanks for the help.
@ Skylar A
Check with your local drivers license department (DLD). Your CDL is a state issued document and not federal. Also, you will fall under the state guidelines and variances, not Federal DOT/FMCSA. So don’t waste time there. If you have a valid drivers license, then it is highly likely that you can have a intra-state only cdl.
Confirm this with your local DLD.
I have CAD, my widow maker has some blockage in it, but not enough requiing a stint or anything, & have no problems from a nuclear stress test. Do I need a letter ir anything for my DOT Physical? If so, is there an example letter that I can print out and signed by the appropriate people. Thank you!
@ Arlyn C
You will need a medical release form from your cardiologist stating your present situation and prognosis. Your doctor should already have this type of form. If not, get a copy from your DOT medical examiner.
I have been diagnosed mild left ventricle hypertrophy. Will this disqualify me for my cdl
@ Randy
If the condition does not interfere with your ability to operate a cmv and still fill the job requirements of a cmv operator, then you should be OK. The examiner will request some supporting documentation from your cardiologist.
My husband had aortic valve replacement and aortic root replacement. A week later he had a pacemaker implanted. His surgeons have cleared him to return to work but when he went to DOT doctor to provide paperwork he was told he couldn’t return until 3 months after valve replacement surgery. Is this correct? He drives a public transit bus. Are there any rules regarding pacemakers?
@ Robin G
If he holds a class A cdl, then the medical examiner is correct. But, if he holds a lesser class cdl then he falls under your states guidelines and variances. Make sure the examiner is using the correct guidelines. Confirm with your local DLD for clarification.
How many stents are you allowed to have before you are disqualified? Already have one from six years ago. From WI
@ Kenneth De J
It is about hearth function not number of stents. Cardiologist documentation and a medical release with a stress test every two years.
I had a stress test done in March 29, 2022. We are in Oct. of 22. Will my stress test in March 22 be sufficient for Oct. 22? My state if Alabama
@ Mike B
DOT/FMCSA needs a stress test every two years, so you are good to go.
I had an irregular heartbeat but I did a workout and the car says it’s just cardiac arrhythmias and not atrial fibrillation. Can I be approved for my medical certification?
@ Sam
The CME may request additional information from your cardiologist to support your claim.
What do I need to get from cardiologist for my CME every year after my bypass to get recertification
@ Andrew S
A medical release form from your cardiologist and a stress test result report to be done every two years.
what is the mandatory waiting period to go back to work (CDL Class A) truck driver per DOT after having 2 stents placed in the veins in my abdomen?
@ Scott
It will depend on what other conditions prompted the procedure in the first place.
I have a driver that is having an ablation and then will be able to go off medication. When will he be able to return to drive? We are an Indiana DOT Public Transit provider. Our D & A guidelines are determined by FTA and our Fit for Duty physicals are governed by FMCSA.
@ Betsy
One month waiting period and medical card certification will be reduced to every year.
I have no heart disease of any kind but had a PFO closure done not on any meds for it either so why am I being told that I must have a release from my cardiologist that states I am allowed to resume normal activities and return to work with no restrictions three months after having the surgery done?
@ S Proper
DOT/FMCSA sees it as a cardiac procedure that may have been prompted by symptoms. Possible likelihood of stroke or mini stroke is what warrants the waiting period. Clearance from risk factors are requested from the cardiologist, since this is his field of expertise.
Your cardiologist knows your condition and situation, but does not have a background in DOT/FMCSA regulations and guidelines.
With a letter from my cardiologist, can I get MDOT certification if my ejection fraction number is under 40?
@ Scott
For a class A cdl, DOT/FMCSA wants a LVEF of 40% or better. Lesser class cdl falls under the state guidelines and variances, so check with your local DLD for confirmation.
I have a severe phobia of needles. Is a blood test required?
@ John
No blood work is required for a DOT/FMCSA medical certification card.
How long do I have to wait to return to driving after having a Heart attack and stents
@ Robert H
2 months, with yearly DOT/FMCSA medical evaluation.
Had an EVAR 6 weeks ago, had my follow up and scans and have had a cardiac clearance by my vascular doctor and have been discharged by the vascular surgeon. My dot physical is up for renewal in October. Went to have renewed and they told me to come back after 3 months (from procedure date), this was not an open surgery, it’s just a stent graft. Does the 3 month apply if I’m compliant with my doctors followup, which I won’t see for another 6 months? And if so how do I keep my CDL from being downgraded? The clinic told me I could seek a second opinion, should I?
@ Terry
According to the DOT/FMCSA guidelines and regulations, there is a three months waiting period before returning to driving, for a class A driver. You could get a second opinion, but most likely will end the same way.
As for the cdl, it is a state issued document and you will need to contact your local DLD, explain your situation and follow their recommendations.
every how many years do you need to have a stress test or other tests to determine your heart condition
@ Mohammad
If you had a heart attack, every two years. For as long as you are driving with a class A cdl.
Had a cardiac cath 9 years ago. No stents and no issues. Do i need any testing done before my dot physical
@ fred
CME may request a medical release form from your doctor.
How soon do I have to have a Stress test and DOT physical after 2 months off driving. I had stents .
@ Robert H
Once completely released to return to work, without restrictions or limitations, you can get your medical examination. You will need stress test results when you go for your certification examination.
I have to have a heart fibulator put into my chest can I still drive semi truck
@ Sherri
Depends on your class cdl. Class A medical certification will have new steps for you to follow.
I recently had an Aortic valve replaced and a mitral valve repaired. What is needed to pass the yearly exam?
@ Steve M
Letter of full release to return to work, without restrictions or limitations. Medical release form from your cardiologist.
Refraction score 35/40 can I drive commercial truck
@ Bill T
DOT/FMCSA for a class A cdl is 40% or better LVEF. Lesser class cdl’s fall under your states guidelines and variances.
Passed DOTphysical have refraction score 35-40 can I drive
@ Bill T
Depends on the class cdl you hold. LVEF must be 40% or better for a class A, according to DOT/FMCSA.
I had a stress test done recently and it said i have frequent pvc was curious to know if that would disqualify me from getting certified or not?
@ James s
PVC during stress testing is normal and unless your cardiologist sees some issue with it, then you should be fine for your medical certification examination.
I’ve been diagnosed with severe mitral valve regurgitation with no symptoms. Can I continue to drive until I get scheduled for the repair. It my take up to six moths before the surgery.
@ Lon
If there are no symptoms, then yes.
What is the ejection fraction required by the Colorado DOT to qualify to drive a school bus?
@ Bill K
States may have different requirements from federal class A drivers. DOT/FMCSA requires a 40% or better. But confirm with your local DLD for your states requirements.
I had bypass surgery in 2013 with no complications. How often am I required to do the ett test at age 67. Every 2 years or yearly? Had issues wearing a mask yet achieved 7 Mets with no complications.
@ Spencer McN
DOT/FMCSA requires a stress test every two years.
I recently had a myocardial infarction and received a PCI to correct the problem. How soon can I return back to driving.
@ Lyndon J
2 month waiting period and then a full release to return to work, without restrictions or limitations. A medical release form from your cardiologist and a new DOT/FMCSA medical certification examination.
I may have to have mitral valve repair or replacement. If this is done, will I be able to pass the CDL physical to drive
@ Richard M L
Once fully released to return to work, without restrictions or limitations, you should be fine.
It is my belief that medical examiners fall under FMCSA and 19-A compliance. They do not follow under any Intrastate bus service, which only serves within a particular state. They’re not authorized to disqualify a driver’s medical condition if the driver is an intrastate driver. Is this all true?
@ Clyde P
Yes and no. The medical examiner should know the difference between federal DOT/FMCSA guidelines and regulations and his/her states guidelines and variances.
Some states have adopted the federal guidelines and others have not. So it can vary state to state. Too many examiners have wrongly assumed that a lesser class cdl driver or non cdl medical certification examination is the same as a class A, OTR driver. In our state, we had to follow, by state request, the federal guidelines. If the driver failed the examination due to a condition which would cause such a failure, then he/she would take the information to the state and the state issued a intra-state only license. But it all operates on a state by state basis.
How long will I have to be out of work after having a heart ablation. Do I have to renew my medical card after the ablation.
@ Anthony R
One month, then you will need a full release to return to work, without restrictions or limitations. And a new medical certification examination.
I had stress test that was a nuclear stress test. Can this be used instead of ett test
@ Marilyn
It should be acceptable.
I had an ablation procedure done a few weeks ago. Does this disqualify me from passing another dot exam
@ Don C
With a full medical release to return to work, without restrictions or limitations, you should be good to go.
My question is I had heart surgery when I just came out of my mom’s wound they told my parents they had to do ER surgery because I wasn’t getting any oxygen to my brain they did the surgery and since the surgery I haven’t had any problems thankfully I’m 29 I’m trying to get my CDL license would a doctor pass me on the DOT
@ Christopher P
You should not have any issues with this, as long as all else is within normal limits.
I have a infection fraction 40% why can,t I get c s l medical cerficate
@ John A
Your LVEF is at 40%, which is OK to take the medical certification examination. Make sure you bring a medical release form from your cardiologist.
2017 had 2 stents, had stress test ok to Drive.2019 echocardiogram slight improvement ejection fraction 46 late 20/22 echo cardio gram ejection fraction 47. My
cardiologist said at this time an echo cardiogram is not medically necessary because of no symptoms and gradual improvement. can I still get my physical recertified without an echocardiogram? I only have a one year medical card and have been tested every other year since 2017
@ Keith
DOT/FMCSA for a class A driver, stress test every two years. We know of no exception to this ruling/regulation.
What is the lowest heart injection infection percentage for DOT certification
@ Reggie M
40% LVEF or better, DOT/FMCSA.
What is the regulation concerning Irregular heart beat
@ Susan S
The CME will have to guide you through this and it may require documentation from your primary physician or cardiologist.
My doctor ,is working with me , building my heart up , I seen in a text , A. Here of a 40 ,percent , is this the , infection fractor ,,40 percent,
@ Merlin b
DOT/FMCSA requires a 40% or better reading of a LVEF,(Left Ventricular Ejection Factor).
can i keep my dot physical after a Watchman Device and keep driving comercial vehicles
@ edward p
You will need to have a new DOT/FMCSA medical certification examination done before returning to driving. Once you pass the medical you will be fine for driving. Medical card will, most likely, be limited to one year at the time.
I just had a heart attack and had a stint put in, my medical card doesn’t expire until Dec 2022 do I have to get another DOT done now to go back to work
@ Daniel
Yes, DOT/FMCSA requires a new medical examination to determine ‘fit for duty’ status.
Hi i have defibrillator my hart doctor call it Borgata syndrome going on 12 years never gone off. it may in my deep sleep between 2 and 4 at night when hart beat is the slowest . Can i get medical card
@ donald h
All will depend on the type of work/driving you will be doing.
After bypass surgery how many years do I have to continue to get the infraction echo and treadmill test.
@ Jeff j
DOT/FMCSA for a class A interstate driver, every two years.
Why when you have no symptoms? My Doctor forces me to get one every year, even though I do not have any symptoms.
My husband had a “mild stroke” in May. He was found to have high blood pressure and has since been placed on two different low dose blood pressure meds with control. He has been released from physical therapy and has no long term impairments. His CDL we just found out was cancelled. We’ve been told everything from he can’t drive for a year after a stroke, to one month, to 3-4 months. Obviously he’ll need to get another DOT physical before going back. But can you tell us if there is a true “time limit” of him being able to re-take his physical and get back on the road. He drives in Colorado and Kansas. Thank you.
@ Lyn
For a class A cdl holder, traveling interstate, DOT/FMCSA has a one year waiting period following a stroke. You could check into intra-state only. It falls under the state guidelines and variances and are more lenient during his waiting period.
I HAD SURGRY ABOUT 33 YEARS AGO, WHEN I WAS ABOUT 2 MONTHS OLD. IT WAS TO REPAER THE VALVE BETWEEN THE HEART AN LUNG. IT JUST HAD A LITTLE HOLE IN IT. I JUST DONT HAVE ANY PAPER WORK ON IT AN HAVE NEVER HAD ANY HEART PROBLEMS OR ANYTHING. WHOULD THEY DISQUALIFY ME ON MY DOT?? BECAUSE OF IT…
@ Austin
No, you should be fine.
I went in for physical 4 months ago they said I have a stent but I don’t went in for heart cath end getting blood clot in leg in hospital heart cath came out good that was back in 2004 .now they saying I have to go in for stress test mydoctor cannot figure out way went to cardiogus give me ekgs said I didn’t need a stress test send letter with me saying I was good to drive and I don’t have cad a they still want stress test
@ Bruce e
Go somewhere else for a second opinion.
They put hold for 45 days so I didn’t think the work they I can’t drive until they clear me
@ Bruce E
This does not make any sense.
My husband had a two-way bypass 15 years ago, he’s been hauling trailers with DOT regulations for about 10+ years now. The past few years he’s been told he has to have an echo and a stress test every year for his DOT PHYSICAL, and they’re only good for one year. My question is , does he ever get a reprieve and be able to go two years or more in between, and does he still have to have a stress test every time? He sees his cardiologist yearly and is followed without any problems since his surgery.
@ Anna
Not sure why the examiner is requiring a stress test every year. DOT/FMCSA for a class A driver is a stress test every two years. That has been the requirement for many years. If he has a lesser class cdl, then he falls under the states guidelines and variances, which are more lenient than the DOT/FMCSA.
This is good to know. Do you know if there are different regulations in California because that’s where we live and where his license is?
Thanks for your help
@ Anna
You need to check with California drivers licenese department for their rules and regulations.
I’ve had a pass maker put in to control my AFib. Is that a disqualification. Assuming one passes all other guide lines such as a stress test.
@ Roger G
The medical examiner will request some supporting documentation to aid in his decision making process, but the pacemaker is not a disqualifier.
Had Triple bypass 6 years ago, did a stress test that says negative, but this note here is what I question:
Exercise
Test was stopped due to fatigue. Symptoms: DOE. Arrhythmias: rare isolated. I got up to 154 bpm just missing the 160 for 100% blood pressure maxed out at 178/88?
@ Kenneth
The test was still negative and with good results. Should not be a major issue.
I had two stents put in april 2021. All is fine benn working on a golf course
maintenance no problems. I just took a job driving a local bus.
I have aalway had a cdl; had a recent stress test in 2022 showed no problems
and infraction is 60%. blood pressure is great no problems walk 3 miles
every day. can i still get a cdl and maintain it.
@ bob
You should be fine.
I was just diagnosed with AFIB and was prescribed medication, can this disqualify me for my renewal of my DOT card?
@ Douglas
It will depend on the severity of the condition and the medications. You will need to be on the meds for 30 days or so, to rule out ab-reactions to the medication. You will be ask for some supporting documentation, to aid in the CME’s decision making process.
I will have my 5 year anniversary of a heart attack and stents prior to my next medical card renewal in December 2022. My last stress test was December 2021.
Is it accurate that after 5 years you have to have a stress test every year?
My understanding was stress test every other year with yearly release from heart doctor. What should I prepare for this renewal?
@ Rob
Stress test every two years, no changes via DOT/FMCSA.
I had a heart valve replacement with a mechanical heart valve what forms if any do I need to get my medical card Asking the fmcsa is useless they cannot answer my question on the matter
Thanks
@ Robert B
You will need a medical release form from your doctors and a full return to work without restrictions or limitations. No special form is needed from DOT/FMCSA. The CME may want stress test results to aid in his/her decision making process
I had an SCA due to a bad arrhythmia 13 years ago. Since then I’ve had a CRT/D and medications that have kept my ventricles synchronized, and the defibrillator has never fired. Can I get a medical card?
@ RonH
Class A interstate, DOT/FMCSA says No. Lesser class cdl’s or intra-state only, maybe. Check with your local drivers license department for their regulations regarding a defb. unit.
What if I’m a recovering alcoholic with a rehab stint a year ago and clean since and get a Vivitrol shot once a month? Will I get medical clearance?
@ Zach
The CME mat request some additional information from your D/AAC and physician, but if all checks out you could be OK.
What if I had a Cardiac Arrest a year ago and was given CPR and survived and am in the best physical shape I’ve been in years. Will they give me a medical clearance?
@ Craig
The CME is going to request additional information from your doctors and may request stress test results from within the past two years. It will depend on the CME’s opinion given all of the information and examination findings.
How much time do I need to take off after an aortic valve replacement that was done by open heart surgery before I can resume my truck driving job I drive all 48 states
@ Victor C
3 months and full release from cardiologist with a LVEF of 40% or better. Medical card will be limited to one year at the time.
Someone with a triple bypass over five years what is required to get a medical card for my cdl
@ Anthony
Medical release form from your cardiologist, without restrictions or limitations, and a stress test done within the past two years.
Will an implanted loop recorder disqualify me from getting a DOT medical card? I’m having one placed because I showed a 4-5 second pause on a 30- day event recorder, but that event had no symptoms.
@ Joe L
It will raise questions with the examiner. The CME may only provide a short medical card until results are in.
Can you still keep your cdl with a catheter
@ Dale
Your cdl is a state issued document, so most likely you would be able to keep it. You will have to provide additional documentation when you go for your DOT/FMCSA medical certification examination.
Had CHF for 2 1/2 years EF is now normal and ICD is turned off can I return to work?
@ Paul B
Possibly, depending on many factors. First is a full release to return to work, without restrictions or limitations, from your cardiologist.
Ok I just got what they call a LVAD put in 2 months ago… i get to do my Ejection infraction now on the 31st of this month… if my LVEF is more then 40% will i be able to get my DOT card… and I live in New York state
@ Juan C D
Your situation is going to have some questions raised and will need some additional documentation. But it is possible to get your medical card back.
I have a driver who had a heart attack whose last 5 EKGs and EJECTION fraction numbers have been hood. Does he still need the EKG yearly?
@ MELVIN K
Yes. DOT/FMCSA requirement.
Cant find any mention of Bradycardia? All else is working fine on me 6 years after triple bypass but my rating heart rate as low as 48 at times.
@ Ken
The CME will request additional documentation from your cardiologist, but you could be OK.
I had open heart surgery five years ago for bypass because of the cholesterol
Where I sometimes felt pain in the chest when I exerted a hard effort or jogging. after the operation all the symptoms disappeared.
The doctor prescribed me atorvastatin for the cholesterol and it is now at the normal level.and Metoprolol as a precaution ,
I did not suffer from high blood pressure at all stages before and after the operation. All tests are normal and the last one was two months ago.
I live my life working and exercising without any problems or symptoms
Can I get DOT Physical and medical certificate.
This is the first time.
@ Amin A
Yes, you would most likely be qualified for a medical certification examination. The CME will request some additional documentation from your cardiologist.
I had open heart surgery to repair my mitrol valve 2 months ago. I have been released by my cardiologist to go back to work but the doctor doesn’t understand what was fixed and keeps calling it a disease and it’s not.
@ Michael O
Either get a note from your cardiologist explaining the repair, or go else where to get your medical card renewed.
My DOT medical card expired in the middle of getting treated for bypass surgery will I have to start all over again or do I have a grace period before I can get reinstated.
@ James
Given the circumstances, we suspect there would br a grace period. But, confirm with your local drivers license department.
Can i pass a dot test after my heart transplant
@ Jay
As long as you can perform the duties of a cmv operator, without restrictions or limitations, you should be fine.
Be aware that there is a one year waiting period before eligibility to take a new medical certification examination. Medical card will be limited to one year at the time.
I had a heart attack July 19th, 2021, do not take meds anymore & no longer see a heart Dr, will I still need a note from a cardiologist to take the DOT Physical ?
@ Stormy
The CME will be looking for a medical release form from your cardiologist and possibly some additional supporting medical documentation.
Bummer
I Had Open Heart Surgey In Dec.15, Pacemaker Installed Dec 23 Before I Left The Hospitol (It’s Not A Defibrillator Pacemaker). Then I Had A Stent Put In April 28 . My Medical Card Expired March 25.Trying To Get Resertified DOT Physical. Doctor Told Me Have To Wait 3 Months Before I Can Get A Ejection Fraction And Exercise Tolerance Test. Is This True?
@ Gary
3 months from your last procedure and then looking for a LVEF of 40% or better, that is DOT/FMCSA guidelines recommendations.
LVEF is the Ejection Fraction measurement? -or….
@ Stormy
Left Ventricular Ejection Factor.
I had my stress test done. It was the myoview with the IV medicine so it showed my lvef is 64% and i did the treadmill. It was not an echocardiogram though so will i still need to do that even though it shows the lvef?
@ Dale
This information should be satisfactory. It will fall to the CME to make his final decision on what actual information he wants to use to aid him in his decision making process.
I had open heart surgery 4 years ago for a aneurysm of the aorta and valve replaced do I still need a cardiologist report before getting a dot physical
@ Michael A M
The CME may request additional information to help aid in his decision making process. Best to be prepared with a report in hand.
Does starting coumadin requiring a waiting period before I can get my new DOT card?
@ Whitney
30 days, looking for any type of ab-reaction or negative side effects. Then good to go.
Had a cardiac ablation. How long before able to return to work?
@ John D
1 month, then a new DOT/FMCSA medical certification examination. The CME may request additional documentation and will need a release to return to work, without restrictions or limitations.
Hey there, thanks for the great info and insight.
Will taking metoprolo for afib disqualify cdl med card?
@ dave
It may require some additional information from your prescribing physician, but is not a disqualifier, in and of itself.
Can someone who has been prescribed Eloquis still drive or do they need a re-examination. His current cdl is good through 10-23; but employer wants him to check with a DOT Dr. ….
@ Mary
There was a reason this driver was placed on these medications. Those reasons need to be re-evaluated by the DOT/FMCSA medical examiner. The medication itself is not the challenge, the reason for the prescription is.
I recently had a defib/pacemaker placed in December, I have no physical heart problem but had 1 episode in December, it was placed as a safety precaution, why should I be made to lose my CDL completely, is there a away I can fight this. Especially if this device hasn’t fired in 6 months.
@ John
You don’t lose your cdl because you have a defibrillator, but by DOT/FMCSA, for a class A interstate driver, you have restrictions. Lesser class cdl’s are under the states regulations, just like an intra-state driver. If you want to fight it, DOT/FMCSA.gov.
If I need to take chemo for blood/bone disease and I have a year left on my current medical. Can I work with my company during my illness or do I loos my medical?
@ AK
DOT/FMCSA for a class A driver. Your medical card will be invalid once you start your treatments. You would need a new medical card examination, once released to return to work. Lesser class cdl’s are state regulated.
My doctor wants me to get a pacemaker, will I still be able to get my DOT physical card
@ Mike
Once fully recovered, you should be fine. You may need to provide some additional documentation for the medical examiner, but the pacemaker is not a disqualification. A defibrillator is another story and would be a disqualification by DOT/FMCSA for a class A.
I drive a airport shuttle van in Minnesota. I’m a non CDL driver transporting less than 13 passengers to and from the airport 60 miles away.
Last week my family doctor diagnosed me with AFIB and prescribed ELIQUIS. Next week I need to renew my DOT medical card.
Will I be disqualified because of my new condition?
@ Mark
Since you are not a class A driver or a cdl holder, you fall under your states guidelines and variances. Make sure the examiner knows you have no cdl and you are under the states requirements, not federal DOT/FMCSA.
I had a pacemaker put in on March 7, 2022. It does not have a defibrillator. I have a CDL class 8. What do I need to do to be able to get back to work ASAP ?
@ Glen G
Since you are under the states guidelines and variances, not federal DOT/FMCSA, you will need a return to work notification. Your state may have some requirements that must be met, so check with your local drivers license department for guidance.
I just recently had congested heart failure and congested pulmonary failure will this disqualify me to get my CDL a
@ Chris
Your cdl A is a state issued license, but you must be able to pass the federal DOT/FMCSA medical certification examination. This will be more difficult with your conditions and will require medical documentation and releases from your physicians.
I have cdl -a, been told that I need a pacemaker. Otherwise healthy will I still be able to keep my cdl. Live in Washington state. Thank’s
@ Terry
Pacemakers are not too big an issue. It is the defibrillator that becomes the issue. You will need a medical release, without restrictions or limitations, to get a new medical card.
It’s funny I’ve been in a big truck for 37 years without a chargeable accident but when I had my pacer/defib.put in.I was disqualified and done driving that day. They say because of what could happen if defib did go off I would have a higher chance being incapacitated.. Using that reasoning shouldn’t all rookie drivers be disqualified because there’s a much,much higher chance that new driver is gonna have an accident causing a fatality or serious injury than I would.Do you see where I’m going here. If we start going by statistics than there are many groups such as age,sex,race that if they have higher rates of accidents shouldn’t they be disqualified No because they would be crying they were being discriminated against as they should. I guess my govt.making a rule that restricts my ability to make a living and support my family is unamerican but the truck driver gets it in the hiney again.
If i have been diagnosed with afib, is this a problem
@ jackie
It will raise questions and may require some medical documentation from your physicians, but is not an instant disqualifier.
Hi, I have a driver that needs to have a pace-maker surgically put in and I’m just trying to confirm that he CAN return to work (class-8 CDL, Inter-State). after release from his Cardiologist and completes a new DOT physical, am I correct?
@ Robert C
He should be fine to return, once fully recovered and a new medical examination is completed.
I live Nebraska and am applying for a job that requires driving a 16 passenger bus. I have not had a CDL before so not sure what class I need. I had a pacemaker implanted about three years ago but do not have defibulator. Does the pacemaker disqualify my from getting a CDL? Thank you
@ ED B
Since your cdl will be less than a class A, you will fall under your states guidelines and variances, not federal DOT/FMCSA. In that case you should not have any problems getting your cdl. Make sure you explain that you are not a class A driver when you go for the physical. The examiner has to know the difference between federal requirements and states requirements.
I’m interested in applying for a shuttle driving position at the airport and it requires a DOT medical card but no CDL. I am a heart transplant patient 17 yrs post op. Can I apply or am I disqualified?
@ David A
You should not have any problems with this. Make sure the examiner knows you are a non-cdl holder driving a shuttle bus, not a class A cdl holder. He must know the differences between what the state needs and what the federal DOT/FMCSA requirements are.
I have had a triple bypass 7 years ago. Have had a stress test every year for the past three years . Do i still need to take a stress test every year or every 2 years. Reason I’m asking i just took a Dot return to work physical for my company. After a shoulder repair, ask that Dr. About it because i knew my Dot Cdl was coming in June 2022,he looked at my stress test and he said i only had to take them every two years,that is my question,every year or every two years.
@ David
Every two years, according to the DOT/FMCSA.
I’ve drove boss for 25 years, I have to have a pacemaker and defibrillator, I know that dis disqualifies me from driving school bus but my question is can I be a bus monitor
@ Cheryl
First, have you confirmed with your states drivers license department that you are disqualified as a school bus driver? For a class A, this is true, but at the state level it may not be true. And your question is going to be best answered by your DLD.
I have had my CDL for 32 years. Can I obtain a recertification medical card if I have gained weight. I am still very physical feel healthy not suffering from anything other than I can’t seem to lose weight because in the past 2 years I bought my own truck. And truck stop food is not healthy. I don’t have trouble sleeping I don’t fall asleep or get sleepy at red lights or stop signs.( How could you? In these times a driver must be alert. Because everyone else is texting and driving.) My neck is 20″. I’m 5’9′ 330lbs. But like I say my only problem is my belt buckle digs in my belly after long drives. So I take breaks more often. I recognize the older you get your body changes. So I no longer drink beer, smoking is not an issue. My rig now has freezer and refrigerator. So I will carry my own healthy food from home. My concern is with my recertification coming up soon. Is there anything I can do to keep from having to do a cpap or sleep study because of my neck size, and belly fat.
@ Ray
It seems that the ‘doc in a box’ and chain like facilities are sleep testing happy. It’s a conflict of interest issue. There is money to be made. And if for some reason you do present with the multitude of possible symptoms of OSA, then any good CME is going to request a sleep study. Best bet is to look for one of our driver friendly CME’s. They seem to have a better understanding of the federal rules and the states regulations. The beauty of the federal medical certification examination is that you can have it taken in any state. Just make sure you get your part back to your state and registered as soon as possible.
I am a school bus driver in Pennsylvania. I recently had aortic valve replacement and I’m doing very well in my recovery I am in cardiac rehab right now and they are telling me that I have to reach a level seven on a stress test in order to keep my school bus endorsement I’m not sure this is true I think they are thinking I have a DOT and I do not drive out of state. Can you please tell me At what level I need to be on a stress test to pass and keep my school bus endorsement. Thank you very much. Also I have a class B cdl
@ Vicki s
Your cdl falls under your states regulations and variances, not federal DOT/FMCSA. You will get the best answer from your local drivers license department.
Can a public school bus driver in Arizona, return to work after a triple heart bypass?
@ KH
Since you fall under your states guidelines and variances, your best answer will come from your local drivers license department.
I drive a box truck in new Jersey I have a class B Cdl but no cdl is required for this truck . I don’t have a medical card and 10 months ago had a DEFIBRILLATOR put in but never has it needed to activate am I required to have a medical card although the truck is not a cdl required and I have been driving it for 22 years and if so would I be disqualified from driving it due to the DEFIBRILLATOR implant 10 months ago
@ Troy
Since you are a class B cdl holder, you fall under your states requirements and guidelines, not federal DOT/FMCSA. So your best answer is going to come from your local drivers license department
How long do I have to wait to go back to work after a heart ablation?
@ Ashley
Depending on which area of the heart and for which situation. Once fully recovered and a full release to return to work, without restrictions or limitations, you can take your new DOT/FMCSA medical certification examination. The CME may request further medical documentation, depending on the area of the ablation. This aids him/her in the decision making process.
Can you drive with an LVAD with no issues in 18 months. My defibrillator is turned off all the LVAD.
@ Pastor Isaiah W. M
It will require supporting medical documentation from your cardiologist, but it is possible.
I received a new stent after 2 from 18 yrs ago and a first heart attack how long til I can go back to work when my cardiologist released me?
@ Terri K
Once fully healed and released to return to work, without restrictions or limitations, you should be fine to return to driving. The CME may request additional supporting documentation from your cardiologist, only to support his decision making process.
Can I pass the DOT Physical in Virginia if I have AFIB diagnosis? I don’t have any pacemakers or defibrillators.
@ Angela S
It is possible, but will require documentation from your cardiologist. The CME will need this information during his decision making process.
I am a school bus driver in a district owned fleet. I had a mild heart attack 5 yrs ago. Our examiner doesn’t issue medical cards because as district owned we are exempt. Examiner still requires a stress test every two years even though my cardiologist says it’s not necessary. Since I have exempt status do I have to take the stress test every two years. Cost is out of pocket and is high. I am in Missouri…
@ John B
unless you are a class A cdl holder, you fall under the states guidelines and variances, not federal DOT/FMCSA. Check with your state DLD first to determine if you need to carry a medical card for bus driving. If so, make sure the medical examiner understands the difference between state and federal requirements.
I was in the process of getting hired to drive an ADA Mini bus for the local transit company, but was denied the DOT medical card because I have a defibrillator. My health is close to 100% and even with a Doctors note from my cardiologist I was denied. Because of not needing a CDL for the position, why was I denied the DOT medical card?
@ Brandon L
The examiner does not know the difference between class A, federal DOT/FMCSA, and your states requirements. Go else where, make sure the examiner know the difference and you should be fine.
I have a driver that one Doctor wants to put in a defibrillator which we know is a disqualifying event. He has had a 2nd opinion and that Doctor wants to start him on Entresto and then another heart scan after 4 weeks of starting the medicine. What are the chances of this driver getting a medical card again? Will we have to wait until the 4 weeks is up and the scan results are in?
@ Dave Z
He will need to wait for the scan results, and because he is starting a new drug/medication, he would have a 30 day wait to rule out ab-reactions/side effects.
Thanks for your reply. I thought that we may be in for a long haul here either way.
@ Dave Z
You are welcome, hope all turns out for the best for everyone.
I had a heart valve replacement. What do I need to do to return to work. I have a class B license
@ Bob O
You fall under your states guidelines and variances. Check with your local drivers license department for guidance.
I had an aortic bypass, due to an accident, when I was 18 years old. I am 52 years old now. I have high blood pressure which has been under control for years. I went to get my annual DOT physical and was given a three-month period to see a cardiologist ND have an ETT and ECG but I cannot get any CPT codes to find out exactly what this is going to cost and exactly what I need to have done to stay in compliance. The Minute Clinic will not order the tests. They say I have to go to the cardiologist who want to know what I need to have done by giving them the CPT codes. I have limited insurance with a $7,500 deductible. I’m at a loss. Any advice?
@ Butch
Go get a second opinion elsewhere. A ‘Doc in a box’ facilities is not your best choice as a driver.
I assume their report is in the system so it will be out there that I have had this surgery and I thought it was a DOT rule with this medical history. I haven’t seen a cardiologist in many years.
I had a heart attack with Stent placement in 2016. My cardiologist says a stress test isn’t necessary based on my ekgs and regular visits so insurance won’t cover it as it isn’t medically necessary. I have been able to get a cardiologist waiver until today, the cdl Dr said there’s no such thing. Can you please confirm whether or not that’s true, please. Thank you
@ Angie
For a class A driver, a stress test is required every two years via DOT/FMCSA. If you carry a lesser class cdl, then you fall under the states guidelines and variances.
If I have a stent, but I did not have a heart attack, is a stress test still necessary every two years for my class A medical?
@ Bob
DOT/FMCSA guidelines recommend it.
Diastolic dysfunction but all tests show strong heart can I still pass dot with this?
@ Adam
Make sure you bring your medical documentation and medical release form from your cardiologist to the examiner. He/she will base their final decision on all of the available information at the time of the examination.
I had a stent nine years ago, and my stress tests have been normal. Is it still necessary to have a stress every two years for my class 1 medical?
@ Bob
For class A, yes, every two years is still required by FMCSA.
If you are diagnosed with AFIb and request to wear a heart monitor for a couple weeks to confirm diagnosis, will that affect your CDL? PA.
@ Martie
Since cdl’s are state issued, it is unlikely that this situation will effect your license. It will effect your medical card, if the diagnosis is confirmed.
I had a triple bypass in the fall of 2015. I am applying, for the first time, for MN-DOT Certification. I’ve been doing great, no problems, but my last EKC was in 2017. Do I need a more recent one at this time?
@ David
Depending on the class cdl you are applying for. Class A will require a stress test every two years. Lesser class cdl’s fall under the states guidelines and variances. So check with your local drivers license department for clarification.
I’ve had a pacemaker put in along with my aortic valve, was installed 2 years ago with no problems can I still obtain health card and drive otr
@ John L
You will need supporting medical documentation for the CME. But, you could be fine to go OTR, if all else is within normal limits.
I had bypass heart surgery 14 months ago and had no problems cleared for full duty by cardiologist . Had cdl physical and every thing was great, but dr said I had to have eco cardio test every year before he would issue me my card is that correct ?
@ Dan
DOT/FMCSA requirements are every two years, not every year.
I had OPEN HEART SURGERY IN 1964 FOR A CONGENITAL HEART DEFECT WHICH WAS REPAIRED AND I HAVE NOT HAD A PROBLEM NOR BEEN UNDER A DR’ S CARE FOR OVER FORTY YEARS, WAS I REQUIRED TO SEE A CARDIOLOGIST.
@ Renda T
For DOT/FMCSA, class A cdl, a letter from your cardiologist should be sufficient. For a lesser class cdl, it would depend on your states guidelines and requirements.
I have pvc s uncontrolled and hypertension well controlled. Will these disqualify me from getting a commercial license?
@ Cynthia M
For a class A, it will require some additional information before a final decision could be made. For a lesser class cdl, you may be fine, because it falls under the state s requirements, not federal DOT/FMCSA.
If someone has bicusbes aortic valve that was found during Altra sound and that say it needs to be replaced does that disqualify you immediately or after surgery
@ V Craig
Your condition may be a risk to yourself and the public at large. That needs to be taken into consideration by you. Once the surgery has been completed, and you are released to return to work, without limitations, you will need a new DOT/FMCSA medical certification examination.
5 years ago,I was diagnosed with CHF,Cardiomyopathy,Pulmonary Hypertension and High blood pressure.Since them,I’ve been taking meds to stabilize my condition.My last Echo shows an ejection fraction of 55 and ekg results were good.Im looking into a trucking career and want to know will I be able to obtain a DOT card.
@ Chris C
If all else is within normal limits on the physical examination, you should be fine. Your card will be limited to one year at a time. The CME may request additional documentation, but it should not be an issue.
On Jan 27-2022 i had the Svt ablation for my heart done
Was told by cardiologist Who performed their procedure that I can go back to work after a week of healing
Went back 2-9-22 to be cleared by the work doctor and was Told I had to be symptomatic for 4 weeks due to me having a CDL license is this true
@ Jason C
For a class A, interstate driver, yes. For a lesser class cdl, you will fall under the states guidelines and variances. So you would need to check with your state DLD.
I had a Myocardial Infarction on March of 2013. I have had regular stress tests bi-annually and there have been no other complications. Am I still required to have a release letter from a cardiologist every year? Since there have been no other issues and my BP is being managed very well with medication, I do not see a cardiologist anymore.
we are required to get a dot even though i do not drive i have a heart condition but the dot doctor failed me even though my heart doctor says i can drive with the condition what should i do
@ Deborah
Your medical examiner does not understand the differences between federal DOT/FMCSA guidelines for a class A driver and your states variances. Find a CME that does. Take your doctors documentation for the examiner so he understands and explain that you are under the states guidelines and variances, not federal.
@ Ken W
DOT/FMCSA requires the release for every DOT/FMCSA medical certification. See if you can get it when you do your stress test every couple years.
I am cdl holder drive for a living recently had ablation procedure on heart I am told have to be out 30 days before returning is this correct?
@ Richard
Wait period 30 days, then a new DOT medical certification examination before returning to driving.
Cdl Renewal following Carotid stent. Waiting period?
Thank you
@ Shauna
Thirty days and a full medical release from treating physicians, without restrictions or limitations, for a class A cdl. Lesser class cdl’s fall under the states guidelines.
Is Mitral valve a disqualifying heart problem.
@ Michael O
In and of itself, no. And there will be additional questions and request for medical documentation from the CME.
I have myocarditis as a side effect of COVID in December. Do I still have to be off the road for 2 months? No prior heart issues.
@ Bailey
The CME will want to see a full release from your doctors so he/she can make an informed decision.
I had a aneurysm on my aorta, do I fall under the guide for a stress test to get my medical card and do i have to have to retest?
@ George
Could you please give us a little more information regarding your questions. When did you have the aneurysm? What and when was something done about it? ect.
Had mild attack Jan 2019. No stents no nothing and they released me clear to drive. CDL is Ohio how often is a stress required?
Med being used.
Baby aspirin 10mg
Merooprolol 50 MG
Atorvastatin 25 MG all daily
@ Greg S
Class A, DOT/FMCSA, once every two years.
My cardiologist will not fill out my DOT Medical Letter to Clinician. I had a MI 14 years ago with 1 stint. Now my new job I want to start as a truck driver requires this letter. Can my medical doctor fill this out if my cardiologist provides the proper documents?
@ Johnny
As long as your medical doctor has the information and supporting documentation, then it should not be an issue.
I am mot a driver in am a dispatcher but we have to do a dot are we held to the same standard as a driver
@ Deborah
You should not beg held at a class A DOT/FMCSA standard and your examiner should know the difference. Make sure that he understands your situation and that you should be held to your states guidelines and variances.
What are the requirements to pass the DOT physical if you’ve had an mechanical heart valve installed
@ Robert B
It will depend on the class cdl you will be applying for.
I had two stents put in me 16 years ago. Since then , I haven’t even had an “inkling of pain or discomfort. My primary Doctor tells me I’m a “healthy young man”. My DOT Physical is due. I’ve followed all the requirements such as , a stress test. Now , the receptionist were I scheduled my physical is telling me (last minute, without even seeing me.) I’ll need results from a stress test and an EKG. Stress test I understand. But EKG ? I don’t remember needing this in previous physicals.
@ William B
Go else where for your medical examination.
Driver with newly diagnosed uncomplicated DVT on Carleton what is. Waiting period
@ Michael B
3 months. Fully released without restrictions or limitations. A new DOT physical, with supporting documentation from your doctors.
My state does not require a DOT Medical card for a class B, for school bus. Will I be able to still hold my class B license for a school bus after open heart surgery due to an aortic valve replacement?
@ Nicole
Check with your local drivers license department for the best answer.
Can I get a dot medical card after open heart surgery to replace a aortic valve.
@ Greg
Once you have been fully released to return to work, without restrictions or limitations, you should be fine to take the DOT/FMCSA medical certification examination. You will need to bring a medical release form from your doctors along with any needed supporting documentation.
Thinking about getting a CDL in Washinton state, I had a mechanical heart valve put in my aorta in march 2021, will this disqualify for the medical requirements
@ eric m
It will raise questions with the CME, so be prepared with medical documentation and a medical release from your doctors. The valve will be one of many things that must be taken into consideration.
If you hold a CDL and have a Thoracic Aortic Aneurysm that is 4.3CM and is asymptomatic and cleared by a vascular specialist can you keep your DOT physical or are you DQed?
.@ Tammy G
If asymptomatic and cleared by your doctors, then you should be OK. Make sure you bring your doctors medical release form and his note regarding your condition. With all this you should be fine
Hello, What do I do if my license expires on 2/15 and I just had a heart transplant on 11/8. They want a medical certification but I will only be 4 months post transplant. Is there a way to suspend my class A until I reach the year mark? I’m in CA.
@ Steven J K
This is a question for your local drivers license department in California.
I recently went for my medical card,I had 2 stents placed 16 years ago..had my stress test done, passed with flying colors, but was told I had to get an echocardiogram done which I understand both will have to be done every other year. But the nurse practitioner also said I had to get the records of what done 16 years ago. My understanding is that the DOT is only interested in what is pertinent now. That is, am I getting the test requirements done and am I passing them. Is she overstepping her boundaries?
@ Richard G H
As a CME she can request the information, but 16 years after the fact is not necessary. The test results should be sufficient.
on october 18th i suffered a major attack and went in cardiac arrest with v-fib twice had to be shocked , turns out my lad artery was blocked they called it the widow maker , they put a stent in and i was stable. i have to wear a external defibrillator for 3 months after that my cardiologist will determine if they want to implant one or not . im a heavy equipment field mechanic, i drive a service truck that rated for 26,001lb i have a class a . what will i need to do to be able to drive it again ?
@ Wesley
A defibrillator will disqualify you as a class A driver, unless you go intra-state only. Otherwise, you will need a return to work without restrictions or limitations letter from your cardiologist.
so if they do decide i need a ICD i will be still able to drive itra-state ?
@ Wesley l
Intra-state only puts you under the states guidelines and variances and not federal DOT/FMCSA. Confirm with your local drivers license department.
I am 21, just had a birthday, have some heart problems but was denied a DOT card due to my Aorta being dialated past the 3.5 limit….i have been monitered for over 8 years and my doctors wont intervene until/if it worsens….i was denied my dot card today…breaks my heart…do i have any other options? The doctor here was not very helpful. Yes this was the only red flag she had… please email me a response? Not sure how to see my question if its answered.
@ Skylar C
Unless there were additional issues, you should have been cleared as long as your doctor is monitoring your situation. The CME can request additional information. But, DOT/FMCSA recommendations start at 4.0, not 3.5. All you should need is supporting documentation from your doctors.
I was diagnosed with Heart failure in 2019. With medication and blood pressure control I am considered normal function. 57LVEF. I have had no problems passing my last 2 DOT physicals with the echocardiogram numbers. This year I only get a couple months because this doctor thinks I am supposed to have a stress test too? She expects me to schedule and get it done. I thought that was only if you have a heart attack? My situation is hard to find information for. I want to make sure she is right before I ask my cardiologist to do one and my only worry would be would my beta blockers for blood pressure cause an issue.
I may have already had a stress test done on a table they just couldn’t find it. Just double checking if it’s needed.
@ Joe H
The medical examiner is looking for supporting information and the stress test would provide it. She is covering her bases and wants more data to aid in her decision making process.
I recently renewed and received my medical card in Colorado 2 wks. ago. I am scheduled to have my pacemaker replaced in a few days. Do I need to renew medical card again? And how long do I have to wait to drive again after surgery.
@ Martin V
Yes, you will need a new medical card. And you will not be eligible until fully released to return to work, without restrictions or limitations.
I am currently going through the process of dealing with Bradycardia. If I do not end up getting a pacemaker, should I anticipate problems with my DOT physical due in August, 2022?
@ Bruce S
If it all works out and you do not have a pacemaker, them the CME may request additional medical information. Then based on the information you supply the CME will make his decisions accordingly. But it should not be a major issue, if all else is good.
One of our drivers undergo mitral valve replacement. His surgeon has released him after 4 weeks. What does he need to do before he can legally drive a semi again? Does he need to be recertified?
@ Larry T
If your driver has been released, without restrictions or limitation, then he will need to be re-certified before returning to driving.
Was diagnosed with afib in 2016. Have had 4 ablations that have held for 2-3 years at the most. Been having recurring hiccups of a-flutter with increased heart rate. Oral cardiac meds are not helping anymore. Recently was told by my cardiologist the last option is to have a AV node ablation/pacemaker inserted. I live in MN, have my CDL, have passed medical recertification yearly. Would/will this procedure disqualify me medically from renewal of my DOT medical recert?
@ Nancy
Your situation and condition will raise questions with the CME. As long as they do not install a defib. unit, you should be OK. Have the procedure, get fully released with a return to work slip from your surgeon and medical release forms from your physicians. The CME may request additional documentation, which will aid in his/her decision making process.
If I have a fibilator can idrive school bus in Virginia ?
@ Roy C
Since you will fall under the states guidelines and regulations, you need to confirm with your local/state drivers license department.
My cardiologist cleared my for the second time in two years to work as I had two stents placed in a major artery. As a UPS driver I am suppose to have a DOT card in order to work even though I only have a Class D license. The DOT medical examiner refuses to clear my card based on the METS value of my recent Stress Test. The examiner wants MAX METS to be 6.0 or higher per requirement but my Cardiologist insist this is not possible as I am on Beta Blockers and he will not perform the Stress Test if I go off them for 48 hours to meet this number as he believes that it is risky. How do handle this situation? I am stuck between two doctors of different opinions about what I can or cannot do. This costing me a great deal of lost income.
@ Joseph M
You are not a class A driver, but your examiner is trying to hold you to a class A drivers physical standard. He is incorrect, you fall under your states guidelines and variances, not DOT/FMCSA. Make sure the examiner understands the difference.
I approached the examiner with regards to the differences of not having any CDL qualifications on my license. She was adamant they have to follow DOT guidance and the state guidelines have no relevance. Is there somewhere in the regulations that I can point to in order to get them to reconsider? I can certainly appreciate where they are coming from and when I requested a copy of my DOT exam there immediate response was to ask me to request another stress test. My Cardiologist is not keen on this as he believes the Beta Blockers prevent me from attaining the Max Mets per DOT. He himself cleared me to work with no limitations and he has me in his office every six months to monitor my health. The State Of Massachusetts does have a waiver system but truthfully it is for Class A B and C drivers. Under the RMV rules regarding cardiac patients I can continue to drive with my Class D license. Any guidance you could give me is much appreciated.
@ Joseph J M
The CME is being unreasonable on this issue. DOT/FMCSA guidelines and regulation standards are for class A, over the road, long haul drivers. The states guidelines and variances are different in each state. She is mistaken that a class D driver has to be held at a class A standard. If she does not know the difference, then go elsewhere for a second opinion. Make sure you explain your a class D, non-cdl holder. And if possible talk to your local drivers license department and explain your situation. Some states rely on the CME’s findings and then issue a separate medical card.
Joseph, I’m trying to get on with UPS as just a package delivery driver, but I have a defibrillator, do you know if you can still drive if you have a defibrillator…thanks
@ Jesse
If you are not going for a class A license, then you fall under your states guidelines and requirements. If you are driving now with a standard state issued license, then it may be possible to drive for UPS with a defib unit. Those questions are best answered by your state DLD and UPS.
Thank you for your response.
My husband is looking at a possible CRT-D pacemaker, not a Defib and he has his CDL. We are in the state of Maryland. We are just starting to research this since driving is all he’s ever known. Is it possible he will be able to continue to drive?
If it is a CRT-D it is a defibrillator, CRT-P would indicate a pacemaker without shocking function.
@ Helen C
The CRT-P will raise questions, but once he is fully released to return to work, without restrictions or limitations, he could be OK. He will need medical release forms from the doctors and documentation regarding the device and its possible risk for the driver.
Sorry, but a CRT-D IS A DEFIBRILLATOR. That’s what the -“D” stands for.
@ Dr. Smith
You are correct, somehow it got assumed that the driver was getting a CRT-P for a non class A examination. Thanks for keeping us on our toes.
My husband has an ICD defibrillator. He does not have a cdl and did not pass his physical due to his defibrillator. He had it put in 6 years ago and has not issues. He does not have syncope and it’s used for HCM. He drove a patrol car for 10 years and was never questioned about his ability to be safe because of his ICD. We are in Idaho. Do you know if he can get a doctors letter to pass?
@ Krista JL
Your husband falls under the states guidelines and variances, not DOT/FMCSA. The medical examiner should know the difference and should follow your states guidelines and regulations.
Had angioplasty surgery two weeks ago and have been by Cardiologist. What is not clear – does the mandatory two months waiting period apply and get a physical before I can legally operate a CMV?
The above answer states that I need a stress test within 3-6months- not before I return to work. Could you please clarify my situation?
@ ken g
You will need the stress test results in hand before taking your DOT/FMCSA medical examination, after the 2 month waiting period. You will need a medical release to return to work, without restrictions or limitations.
Do you know what states allow drivers with an ICD Defibrillator to have a CDL for intrastate driving?
@ Dale
Each state is different with varying regulations and guidelines. If you are an intra-state only driver, then you will fall under the states guidelines and variances. Check with your state DLD for your best answer.
Will employers pay for stress tests required by DOT for their their drivers tin order to maintain their certification?
@ John B
Check with your employer, most will not, but you never know until you ask.
I have had a defibrillator put in three or four years ago and have not had any issues with it and I just local I’m not even close to a interstate road well I still be able to drive I drive dump truck .log truck and move machines for people in my area this is in MO well I be able to do this thank you
@ Shawn
This depends on your class of license. Best to confirm with your local state DOT. You, most likely, fall into the intra-state only category and that final decision is made by your states DOT/drivers license department.
I had a stint put in 12 years ago been getting nuclear stress test every two years I was just in to see my heart doctor for check up and ekg all good as has been last 12 years.He see’s no need for nuclear test just do regular stress test .He checked all my past ekgs and tests all normal.I can’t find anything in the DOT that says I need nuclear test just stress test can you help please.
@ Carl
A stress test every two years for DOT/FMCSA class A drivers is sufficient.
So you only need a stress test every 2 years for stents not every other year?
@ Tina
Stress test within a 24 month period.
I had an assending aortic dissection. I had open heart surgery and it was repaired with a graft. It has been 8 months now. I have completed cardio rehab and the surgeon and Cardiologist both agree I can return to normal physical work as a P&D driver class “A” without restrictions. I am not on blood thinners only a 81mg aspirin per day and have been checked for AFIB and I am clear. I will have a CT Scan with contrast done every 12 months to ensure the repair is stable and intact along with a 14 day heart event recorder every 12 months as a check up. My question is will I still need to undergo a stress test before my DOT physical if I am getting the CT Scans and Event recorder check ups every 12 months??
@ Mike C
DOT/FMCSA guidelines require a stress test every two years. The additional information is very helpful to the examiner, but he will, most likely, require a stress test report.
Had stress test done and it showed an abnormality but since I showed no symptoms my cardiologist released me to continue driving. Already have stints and chose to have them checked and we’re 90% blocked. Card expires in two weeks. What do I need to do now?
@ Jimmy
Are you saying you have a 90% blockage to the stints? If so you need to be talking with your cardiologist about what you need to do next.
You will need a medical release form from your cardiologist and a copy of your last stress test.
Hi there. I had a pretty bad Angina attack last October. Afterward, I went to a Cath lab and they found some blockages. They recommended bypass surgery. I went another direction and now am down to a reasonable weight. My lipid count is all normal. My A1c is about 6. I have had no symptoms since December. I just saw my Cardiologist yesterday and she said she felt that I could go back to work as long as I stayed medicated and continued with the lifestyle change. What do I need to do now to get a new medical card?
@ William C
Need a medical release form from your cardiologist, along with a return to work letter, without restrictions or limitations. The examiner may request additional documentation to aid in the decision making process.
I HAD A QUAD BYPASS LAST SEPTEMBER. NO HEART ATTACK. I WAS OUT FOR 3 MONTHS. IN NOVEMBER I WAS CLEARED AND RELEASED. DID THE DOT PHYSICAL AND WAS ABLE TO RETURN TO WORK IN DECEMBER. THIS IS JUNE. NOW IT’S TIME TO DO MY YEARLY DOT PHYSICAL. WHAT DO I NEED TO BRING.
@ B.Y.
A medical release form without restrictions or limitations. A copy of your last stress test.
I had quad bypass two years ago.How long after this must I have a stress test to keep driving?
@ William
Once every two years.
I have a high heart rate ever since birth that runs 90-110 sitting still my whole life. I was seen by a cardiologists 18 years ago and had an echo Graham and EKG and everything is fine just something I was born with . My blood pressure is fine 117/79 is there a requirement on heart rate ? That is my only concern.. thank u
@ Bernice
Best to bring a note from your primary doctor to the CME explaining your situation, should not be an issue after that.
I had an episode of lightheadedness or dizziness last march and was referred to a cardiologists by my pcp. He has diagnosed me with hypertension.But has only ran an ekg and bloodwork.Is there any other tests i need from him or my pcp in order to be passed for a cdl-a dot physical.Its been over a year ago and im just getting in to visit him this month.
@ Jim
You will need to have your hypertension under control and inform the CME of your condition and medications. A medical release form from your doctors will be a huge help for the CME in his.her decision making process.
If I am released by my vascular surgeon following an endovascular abdominal aorta repair do I have to wait the three months as stated by the examiner based on the examiner’s handbook? My surgeon signed off on the job description (I’m a P&D driver) and released me to return to work. I’m four weeks post op. Can they make me stay off even if released?
@ Tom J
If you are a class A driver, then the CME is correct on the 3 month wait post op. If you are not a class A driver then you fall under the states guidelines and variances. You should be able to return to work based on your states guidelines. The CME should be able to guide you in the right direction regarding your states requirements for non-class A drivers. Or check with your local drivers license department for guidance.
Why would there be a 3 month waiting period for an endovascular repair this is a closed procedure no incisions and a stent is used which require only a 1 week wait? This is ridiculous
@ Woody
Welcome to the world of DOT/FMCSA. Primary reasoning is vague possibility of stroke or other unforeseen incidences.
I have had a heart loop recorder since 2018. The CME advises that monthly readouts are now required to qualify for a CDL A. Can you cite a FMCSA regulation? No other CME has requested this information. My cardiologist has given me full clearance. Thanks
@ Thomas
There is no regulation from FMCSA on this issue, only a risk management guideline. The loop recorder is looking for something regarding your present cardiovascular condition. The CME is being cautious in this case. You could go for a second opinion.
I had a heart cath done only to find out the stress test was a false positive. No stents we’re introduced. How long do I need to be off work after this procedure? The doctor released me to back to work after 5 days. My employer is not letting me back yet.
@ R.C.
You will need a new DOT/FMCSA medical certification examination. Bring your doctors release to return to work, without restrictions or limitations, to the CME/medical examiner. With a new medical card you should be able to return to work.
I work in a cardiology office – is there a specific form my providers can use for cardiac clearance. In the multitude of information from the DOT, it stated that the applicant needed a stress test within the last 2 years. The PCP forms do not contain that requirement. I’m sure I’ll be using this information a lot.
@ Jennifer J
The DOT/FMCSA requires a stress test every two years, for class A drivers. The driver only needs to bring a copy of the test results and a medical release form stating that he is released without restrictions or limitations. This applies to class A drivers only. We know of no specific form for the cardiologist for this purpose.
Does this have to be feom a cardiologist or can my pcp clear me after a stress test
@ laura g
Best from the cardiologist, with release forms.
Ive recently been diagnosed with heart failure. My last echo has The estimated LVEF is 30-35 but The EF calculated is 40.13%. Will the dot guidelines accept the calculated EF factor?
@ Scott
DOT/FMCSA, for class A drivers, is 40% or better LVEF. The CME needs all available information to determine the possible risk factors.
can my dot medical card be disqualified if i have low risk Ischemia?
@ Kevin
It would require a new DOT/FMCSA medical examination and will need supporting medical documentation. Because it will raise questions regarding risk factors, treatment protocols and response to treatment, the CME will need more information to use in his/her decision making process. Also a medical release form without restrictions will be needed.
Have stents but no ETT test in user 2 years. I have a clearance letter from my cardiologist stating further testing not required at this time would this due?
Will I be given a 30 day card to get stress test done?
@ Rdr
If you are a class A driver then the stress test is mandated by the DOT/FMCSA. so the clearance letter will be helpful, but will not suffice. It is highly unlikely that you would get a thirty day card, again if you are a class A driver.
Been diagnosed with a 5.5 by 4.8 cm infrarenal abdominal aortic aneurysm. Have not seen the surgeon yet so don’t know if will require surgery but DOT/CMV recommendations are to disqualify at 5.4 cm or if surgery is recommended. Recommendations also say to now lift over half of your body weight. I’m P&D driver, not line haul. Does it look like I’m disqualified and if so, if repaired can I ever return?
@ Tom K
Get with your surgeon to gather all the facts, restrictions and limitations, if any. With a class A license there will be lots of questions and if repair is needed, there is going to be a recovery period and some waiting time before returning to driving. But you may be able to return to driving in the future.
I’m getting a pacemaker replacement only, leads are good, original diagnosis 10yrs ago was pvc’s and bradycardia, what is the minimum days required days off before getting recertification? I’ve seen 30 days to 90 days. Thanks
@ Ken K
Most likely 30 days with supporting documentation and a medical release form from your cardiologist. The CME is looking for possible risk factors and the documentation of a devise replacement only will be very helpful.
What are the New Mexico DOT regulations/restrictions for a class D driver that had a Ventricular Dysrythmia episode followed by the placement of a defibrillator and stent? I cannot seem to locate this information anywhere online.
@ Lauren
Class D guidelines and variances fall within your states drivers license department. They should be able to guide you through their process and definitions.
hey i have read a whole lot of these answers and some are getting close to what i need .with the left infraction number at 40 mineis lower then that .My heart dr says i am plenty heathy to drive class a .Question 1 is what type of paperwork and or forms does my heart dr. need to fill out to back up is diagnosis of me being heathy enough to drive.Question 2 is if i cant keep my cdl license and i work on getting my infraction up to 40 will i have to do written and driving test again . thanks
@ John P G
DOT/FMCSA require a LVEF of 40% or better. We agree that your cardiologist may believe that you are just fine to drive class A, but that does not fit with the FMCSA regulations. Of not above 40%, no forms or paperwork is going to change the DOT’s regulations. If you drive intra-state only, then you fall under your states regulations and guidelines. There is no reason to loose your cdl, just have your state place you intra-state only until you can improve your LVEF.
my nephew has been a truck driver for 12 yrs. he had a descending aortic dissection a few yrs back. he gets a check up every yr but his dr refuses to release him to go back to driving as she says she doesn’t want to be responsible if he had an accident. as long as he keeps his BP under control she said he will be fine. he loved his job, i want him to go to a cardiologist as his old one is going into research. should this condition keep him from driving? this is about the only job he can do because he can’t lift over 25lbs and can’t stand on his feet all day as required in so many jobs. anyone can have a heart attack behind the wheel, anyone!!
@ Betty D
With his present restrictions, he won’t pass a DOT/FMCSA medical certification examination for a class A driver. He could look into intra-state only. By going that route he falls under the states guidelines and variances and not FMCSA regulations.
Yes he can. Will have to get all the paperwork from the dr.
Hello I recently had a Difibrillator-Pacemaker installed on January 27th 2021 can I continue to drive a Commercil Vehicle Class B? Thank You
@ pete
Since you are a class B driver, you fall under your states guidelines and variances. Check with your local drivers license department for the best answer.
I am a CME who also happens to be a physician assistant with the PCP for the driver I will be certifying. He’s a 74 year old male who underwent CABG 10 years ago. He is asymptomatic. He recently had a stress test which was normal but also had an echo which showed an EF of 30-35%. FMCSA only requires the stress test annually 5 years after the CABG, not the echo, but now I’m not sure what to do with that result since it is less than 40%.
@ Sarah V
FMCSA is requiring a 40% LVEF. Best consider the drivers capabilities due to age and medical condition. A medical release from the drivers cardiologist, making sure the cardiologist has a full understanding of the drivers requirements. As a class A driver, he must be able to maintain life on the road and you must consider his possible risk factors.
I just had an exam that consists of a echocardiogram and nuclear stress test. My LVEF from echo was 40% but the Nuclear stress had a LVEF of 33%. Does this place me for disqualification for DOT medical card.
@ James R
DOT/FMCSA require a LVEF of 40%, so the CME must take all information into consideration before making a final decision.
I have preserved ejection fraction with heart failure my ef is 65 I only have trouble when I eat salt or too much fluid .Can I pass my dot physical
@ Jerry
DOT/FMCSA require a 40% or better LVEF. At 65%, you should be fine, if all else is within normal limits.
I received a nuclear stress test administered by my cardiologist. Will this test be accepted for my DOT physical?
@ Russell S
If it was done within the past two years, it should be fine for DOT.
My Husband had an episode of AFib and Chronic Congestive heart Failure with an EF of 20%. He had a Cardiac Death. Was put on a life Vest for 4 months. His heart is functioning at a “normal” rate and AFib is staying at bay, with the Beta Blockers, Blood Thinners and other Meds he’s on. They are talking Cardiac Ablation and a Loop device as an implant under the skin. We live in Illinois. With all that said, what are the legalities of him driving again? He does have a current Medical Card and CDL. He is 59
@ Michelle W
If he is a class A driver, then there are going to be lots of questions and requested medical documentation. If he has a medical card at this time, then he has already gone through the process. As a lower class license holder he will fall under the states regulations and variances.
Thank you. We have a cardiologist appt today and will find out more on his condition.
@ Michelle W
We hope that all is well.
One of our drivers had a heart attack 10 years ago. He is healthy and has no residual issues but when he went for his DOT physical last week the Doc is telling him he has to get a stress test in order for him to clear the driver. Can a DOT Doc require this? I would think a medical release/opinion would suffice?
@ Annie C
DOT/FMCSA request that the medical examiners have a copy of a new stress test every two years, for a class A driver. Outside of class A the driver then falls under the states requirements and variances.
Thank you!
Annie C.
@ Annie C
You are welocome.
In New Jersey can I get a cdl with passenger endorsement with an implanted defibrillator? Trying to get a repairmans position at my job. Bus
@ Solcez
With a lesser class cdl, not class A, you will fall under the states rules and variances. Check with your local drivers license department.
I was diagnosed with a 4.1 cm Aortic Aneurysm. If my cardiologist clears me, can I still renew my medical card
@ James H
If the situation is asymptotic and you bring a letter for your specialist, you could re-certify for a one year card.
Thank you
@ James
You are welcome.
I recently had a Pacemaker Implanted, is it possible to get a CDL?
@ Christopher M
You will need supporting medical documentation indicating you have been released to return to work without restrictions or limitations. You will have a three month waiting period and once you pass the DOT/FMCSA medical exam your medical card would be good for one year at the time.
My 20 yr old son had an LVAD installed 1st week of DEC 2020. He also has a defibrillator, altho it isn’t functioning anymore. Will he be able to obtain a CDL for intra-state driving ? I understand it disqualifies him for inter-state driving? We live in NW Wisconsin
@ Philip M
Not sure about any states cdl requirements, but in most cases he would fall under the states regulations and variances, Check with Wis. drivers license department for the best answer.
If I had a mild TIA in 2003 went back to work ant then passed a road test given by the state to verify I was qualified to drive a commercial vechicle with my CDL-A license. Can a medical examiner deny my medical card 18 years later if I have had no further stroke problems what so ever.
@ William (Bill) D
The examiner may request additional information from your primary physician, but in and of itself a TIA 18 years ago is not an automatic disqualification.
I had a heart transplant July 1st 2020 can I GET A medical certifacate to drive commercial trucks. Dr says ok but what do’es dot say?
@ Charles A G
DOT/FMCSA require a one year post transplant surgery before going for your next DOT medical certification examination.
thank you so much. I have 5 1/2 months to go then.
Are there updated guidelines on medical clearance for a driver with aortic stenosis who has undergone TAVR? Surgical repair/replacement requires 3mo post operative but with less invasive procedure do drivers still have to be off work 3mo? I have been unsuccessful finding any new guidelines for this procedure.
@ Elizabeth A
To our knowledge there is no new guidelines based exclusively on TAVR. DOT/FMCSA guidelines still recommend a 3 month waiting period. You may try going to a CME with medical documentation, a full medical release to return to work, without restrictions or limitations. And a medical release from the surgeon. An explanation of the TAVR and its ability to be less invasive with a faster recovery. The CME needs to fully understand and use all the available information on hand in his decision making process.
DOT/FMCSA Recommend to certify if:
The driver has:
• Mild aortic stenosis that is asymptomatic.
• Moderate aortic stenosis that is asymptomatic and the driver has no disqualifying findings and/or conditions.
• Severe aortic stenosis that has been surgically repaired and meets all aortic valve repair surgical guidelines.
I recently was diagnosed with atrial fibrillation after a successful cardio version, after second one, I’m in normal rhythm . Do I need to pass a stress test to comply with DOT?
@ Tom H
Once you go through your waiting period, you will need a medical release from your cardiologist. A return to work without limitations or restrictions, but should not require a stress test.
I am new to performing DOTs and I am wondering about a patient that has Afib, treated with xarelto(so no INR), in regular rhythm, no issues and follows his PCP/cardiologist q6 months. He has been certified yearly for over 7 years with condition. Do I need to require anything from him or just do my physical and certify for one year.
@ SMidd
If the driver is following up as needed and he has a medical release form from his cardiologist with all else being with in normal limits, then examination for a one year card.
If I have a 100% clogged carotid artery, is that a disqualifier for my CDL license? The doctor is telling me that they can not operate.
@ Dell M
It creates may questions and since the risk of a stroke are possible, even if it is a very slim possibility, the CME may not qualify you.
The CME must take you, the driver, and the public at large into his/her risk factor decision making process. It is not a cut and dried decision maker, but will require medical documentation in support of reducing risk factor possibilities.
I had a pacemaker put in. How does this affect my medical card
@ Charles R
Once fully healed and released without restrictions, you will need a medical release form from your cardiologist. The CME may request additional information to help in his decision making process. And your medical card will be limited to one year at the time.
I had a open heart surgery in Feb 2018 to replace a defective aortic valve. There was also a pacemaker installed subsequently afterwards. I have no problems since. Are the open heart surgery or pacemaker installation disqualifying defects for renewal of my CDL-A?
@ David G
Your situation will need to be supported with medical documentation and medical releases, but if all else is within normal limits, then you could be OK. Your medical card will be limited to one year.
I have a couple of stents and my stress test will not be current when I try to renew in 2021. My cardiologist says a stress test or ETT is not medically necessary and therefore won’t approve insurance billing. Is there any way around the stress test requirement? Or any way to bill insurance when doctor says it’s not medically necessary?
@ Bob
If you are a class A driver and your last stress test is more than two years old, you will need to have a new stress test done before you go for your next DOT/FMCSA medical certification examination. Let your doctor know that it is needed for your license and your livelihood, by federal regulations.
I have a patient who had an MI 2 months ago and is now wearing a Lifevest. Can he drive (CDL) and if not when can he return?
@ A Morgan MD
DOT/FMCSA for a class A drivers recommend that the driver be asymptomatic, tolerates medications. has a satisfactory exercise tolerance test (ETT). He will also need a resting left ventricular ejection fraction (LVEF) greater than or equal to 40%, and no electrocardiogram ischemic changes.
2 months waiting period is the guidelines recommendation. Patient needs to have a medical release form from his cardiologist, without restrictions or limitations. And a new DOT/FMCSA medical certification examination.
I have to have a stress test for dot since I’ve had a heart attack. Does it have to be a nuclear test or will a standard stress test be enough?
@ Mark S
FMCSA wants a ETT, exercise tolerance test, a standard stress test.
Does the chemical version of the nuclear stress test count toward cardiac clearance, or does it have to be done on the treadmill?
@ Rachel
FMCSA request a ETT, Exercise Tolerance Test, be completed. If your cardiologist can support your findings with a nuclear stress test, then the CME may take it into consideration. But as a class A driver, they may follow the DOT/FMCSA guidelines to the letter.
I have hypertrophic cardiomyopathy and have a defibrillator. I was always granted my medical card for one year. This year, the nurse said the rules changed and the card is now only good for 6 months. Is this accurate?
@ Gordy
The CME is weighing the risk factors of your situation against the DOT/FMCSA guidelines and regulations. Within the appendix of the guidelines, there is a section on defibrillators and pacemakers. It is then left up the examiners discretion to decide how long before the medical certificate expires. It’s not a DOT/FMCSA decision, but the examiners.
Thank you Gordy. I just got mine this morning. Best wishes!
Can you drive school bus, in Michigan, with a cardiac pacemaker?
@ Bob
You need to check with your local drivers license department for your answer. You fall under the states variances if you are not a class A driver.
I had a heart attack in 2017. Had the stress test and echocardiogram done and returned to work. Do i need the echocardiogram and stress test each year to qualify to keep my CDL?
I have been scheduling both tests each year and someone told me that I only have to have the stres test done every other year. Is this correct? Or do I need the echocardogram?
Dot license with Afib?
@ James c
License is state issued and DOT medical cards are federal. Is there a question here?
@ Nadine W
Keeping abreast of your present situation is a good thing. DOT/FMCSA requires a stress test every two years for the medical certification examination.
I have a CDL B and drive a school bus. I have had several angioplasty procedures and 6 stents since 2008.
I also have had an MI 3 years ago. I am required to have and pass a stress test each year and my cardiologist sign a school bus wavier form in order to maintain my school bus license. If I would not pass my stress test will I still be able to keep my CDL B?
@ Jim
Your cdl is state issued license. Your question would be best answered by your local drivers license department.
Back in June I was in the hospital for congestive heart and lung failure. I’m anticipating going back to work in November I’ve lost weight and the doctor said my blood test numbers are down to good rates. She has me on bumetanide , Klor-con and metformin she said I was pre diabetic but the meds are just temporary. What should I expect at the dot physical ?
@ Gorden
You will need a full medical release, without restrictions or limitations. A medical release form from your doctors. and the CME may request additional documentation from your doctors. With everything in place, you may be fine, if all else is within normal limits.
I have been told I have left ventricular hypertrophy and take 100mg atenolol once a day is this disqualifying me from getting my dot med card
@ Doug
It is going to raise questions by the medical examiner. Depending on the length of time you have been on the medication and how you have responded will be taken into consideration by the CME. He/she may request additional information from your prescribing doctor before making a final decision, if all else is within normal limits.
I have a Michigan cdl class A. I drive only Intrastate only. I have had a difibrillator installed last year. Can I still pass a Michigan DOT medical exam? And keep my CDL.
@ Michael D
Most likely, but confirm with Mich. drivers license department
I’m a cmv driver that’s been on medical leave. I had a icd implant since last year I haven’t had any shocks or other problems since my surgery. Will I be able to return to work driving with this icd implant? Can I pass a dot physical and get my medical card back?
@ corey
Your situation is going to raise questions and will require medical documentation from your cardiologist. That being said, with medical release forms from your doctors and the needed documentation, you may be able to return to driving.
I need the waiver for my DOT physical until Sept 30, 2020. My current physical expires this week but my cardiologist appointment was rescheduled til later this month. I went to get my DOT physical done, but they refuse to sign off on it yet because I have not yet had my stress test. where can I get this waiver until I can get the stress test scheduled?
@ Gary S
We know of no DOT/FMCSA waiver for this situation.
I’m required to have an exercise tolerance test every two years. My last one was in March, 2018. If I go for a physical before the end of 2020 is the last test still valid or was it only good until March, 2020?
@ Bob
FMCSA requires one every two years, we doubt that the CME will accept a report that is older than the required time frame. The CME will, most likely, require a new stress test.
I have to many PVC’s (that do not bother me at all I am not out of breath, or tried and I do exercise ) but it has effected my heart, the LV is 40% and the right is 50% the cardiologist wants to do an ablation to try to stop the PVC’s how long after the ablation can I go back to driving? What will have to be done to get my CDL? Thank you for your time and I look forward to you answer.
@ Jeff
Your conditions are going to raise questions and will require supporting documentation from your doctors. As far as your cdl, that is state issued and you will need to check with your local drivers license department for the most accurate answers.
How long after the ablation is done can I go back to work?
@ Jeff
DOT/FMCSA guidelines recommend a 1 month post ablation wait period. You will need a full release without restrictions or limitations and a medical release form from your doctors.
Can you drive in the State of Ohio if you have a Pacemaker.
@ Steven S
If you are not a class A driver, then you will need to check with your local drivers license department.
HI I have been diagnosed with peripheral artery disease (PAD). I have 3 stents in one leg and getting another surgery for my other leg next week. I was released back to work a week after my first surgery. Went for my DOT physical for my CDL yesterday and they did not pass me. Stated I needed to wait 3 months after my surgery have a stress test done and if that is good they will pass me. Than said I needed to wait until my doctor releases me. They sounded very confused themselves as I am about this. Please help me understand what I have to do after my next surgery to be able to get my physical done to be able to drive truck again. Do I need to wait 3 months or can I go back after I am released. I explained to them this has nothing to do with the heart.
@ Kevin A
After you next surgery and you have been completely released, without restrictions or limitations, from your doctors care, you will need a medical release form from your doctor. The CME may request a 3 months wait following your last surgery, due to the risk factors of a possible blood clot. But with proper documentation that may not be unnecessary. No stress test needed, this is not a cardiac condition.
My question pertains to having a heart transplant, I’m about a 11 months post transplant and started having Minor rejection that can be fixed with some more meds. My question is when I’m rejection free can I qualify to drive commercially or am I permanently disqualified? I spoke with a DOT doctor who mentioned I had to be a year post with no issues.
@ Henry B
Yes, you could drive if:
At least 1 year post-transplant; asymptomatic; stable on medications; no rejection; Consent from cardiologist to drive commercially.
That’s great news. I had to give up my CDL with a
Defilb but post 3 years with a Transplant. I miss
Driving and yes at times it suck a lot but the open roads were beautiful
I may go back into driving
I have a lot of friends still driving so may just go back Texas regional
I’m looking into truck driving in the state of Georgia however I have a pacemaker/defibrillator that was installed 20 years ago as a preventative to a possible but not proven heart condition. I have not had it shock me or cause any problems in the entire time i’ve had it nor have I had any medical issues arise with my heart or body as of late and i’m looking to either have it “deactivated” or let the battery die, whichever one is the best option. If it is “turned off” and I went through the testing would it still pose an issue?
@ Willis
It will raise questions, but it is possible with supporting documentation.
I know I need a stress test and a Dr. letter before my next Physical. My qauestion is how far in advance can I do this? I see my Doc at the end of July but physical is beginning of December. Thanks for your help!
@ Randy H
Stress test are required every two years. If your test is done in July, then you will be good for your next two medical cards.
The question I have is if you have a Loop recorder implant can you still hold a CDL if so can I operate interstate or intrastate?
@ De La T
More questions will be ask about the conditions which prompted the implant, than the implant itself. It will be up to the CME to make the final decision based on your answers and supporting medical documentation.
I had a heart attack 13 years ago and had stents,I know I have to have a stress test every 2 years but does it have to be a nuclear stress test
@ AL G
Exercise stress test should be sufficient.
Hi. I can’t be on a computer long enough to read ALLLLLLLL of the comments so, My question is, I have Paroxsysmal AFIB; it occurs whenever it wants to and then goes away the same way it came. AFIB lasts anywhere from 1 minute to 7 hours, I never know how long its gonna last. Does anyone here know what I mean? I did not know myself until I looked it up. I have Doctor appt in two days again…. I am about to enter driving school in two weeks. Don’t want to waste good money if I cant drive. I dont know where to go to get the Right answer. Can I drive a commercial vehicle? Thanks so much for your time
@ Roger W F
Everything, right now, is going to be base on the final results of your testing with the cardiologist. Save your money for now and get the results done first. Then based on the proper treatments, medication or other interventions you may be able to drive.
I had a stroke over 2 years ago. I have become medically qualified twice since then. Recently I was getting my med certificate renewed and the doctor said they could not qualify me because i was taking anticoagulant. Is that correct? Can someone that has had stents put in or a heart attack be on anticoagulant and be qualified? Whats the difference? I have no noticeably disabilities from the stroke and pass the DOT physical with flying colors.
@ Donnie
Your examiner is misunderstanding the FMCSA guidelines and regulation. Unless there are additional issues, you should be qualified for one year at the time. Make sure you have medical releases from your prescribing doctors with any additional documentation that will help the CME in his/her decision making process.
Hello i had mitral valve replacement surgery in February 2020 got a mechanical valve put in and currently have afib also and its control by warfarin i got a echocardiogram done 8weeks after surgery results were normal and i had injection fraction of 58% currently am not driving right now but have cleared to go back to my non driving job do need medical clearance from my cardiologist and take another echocardiogram before i apply for CDL jobs and would i get a 1 year card or more also good bood pressure too
@ Willie
The cdl will require a valid medical card. When you are released completely, without restrictions or limitations, you will need to bring a medical release form from your doctor, along with any supporting documentation from your test results.
I have a driver who had a STEMI and we work under our vendors DOT number and they requires us to have DOT card but do not require us to have CDL’s? Trucks are just over 10,000 lbs. Is this STEMI a disqualifying event? If it is, how long does my driver have to wait to recertify? Will he have to have a stress test done? Only drives within WA State.
@ Tonya S
The medical examiner must understand the difference between federal DOT/FMCSA requirements and your states variances for non cdl drivers that need a medical card. If the drivers condition has been stabilized and he has been released to return to work status, then he should renew his medical card. The examiner may need additional supporting medical documentation and a medical release. But your driver falls under the states requirements, which are less strict that class A cdl requirements.
I was cleared by my cardiologist and a certified DOT doctor after a stress test but was disqualified by my company for an ischemia related to an occluded small posterior branch of my right coronary artery. My ejection fraction is 46%. Is this a DOT disqualification or a company disqualification?
@ Austin G
FMCSA requires a 40% or better ejection factor. Sounds like a company policy.
How hard would it be to pass a DOT Exam for CDL in Tennessee with the following? Also no current issues from any of these conditions.
Aortic Valve (Bovine) Replacement in 2009
Lumbar L4 – L5 Fusion in 2011
Left Knee Replacement in 2015
Left Hip Replacement in 2015
Right Hip Replacement in 2016
@ G. W
None of these conditions will disqualify you. The DOT examiner is going to be looking for any physical restrictions that may be present and limiting to your ability to operate a commercial motor vehicle, by FMCSA standards.
Trucker Doc. I am jumping in on this one. I have an artificial bovine aortic value also. Haven’t driven truck for 25 years but want to do so now. I have maintained my CDL and have 1 year Med Cert. The Med Examiner told me going forward after this one expires I may have to get re-certified every 3 months do to federal guidelines so be prepared. My valve surgery was 10 years ago! There is no problem with my valve. Beyond that I have well controlled hypertension. What is the federal requirement for med cert renewals term with people with artificial heart valves please?
@ Doug
DOT/FMCSA allows for situations like yours and only provides guidelines for the CME. Then it is the CME’s opinion as to the length of the medical card. Your valve replacement was 10 years ago, so the CME may be being very precocious regarding possible risk factors. You can always request a second opinion. The guidelines do allow for a yearly recertification with a valve replacement.
If you have a defibrilator and pace maker, can you still work a DOT job in Raleigh, NC.
@ L
Your situation will raise questions with the medical examiner, especially if you are a class A driver. If you are going to operate in NC only, then you will fall under the states variances and not FMCSA. Check with your local drivers license department for their guidelines and regulations.
Can I get a dot card when you have CHF and your fraction rate is 35 to 40% my cardiologist said that it’s not an exact science but she says I’m able to drive in this DOT medical doctor says she needs more paperwork or should I go to another licensed medical aid examiner to get everything taken care of because I’ve been passing for the last eight years and then all of a sudden I’m having a problem this year with this doctor
@ Rafael G Jr.
DOT/FMCSA guidelines want a fraction above 40%. If nothing has changed in the past eight years regarding your cardiologist, then you might try for a second opinion. You will still need medical documentation from your cardiologist so that the CME can make an informed decision.
HI, I HAD AN ECHO DONE WITHOUT CONTRAST IN JAN 2020 AND ONE DONE IN MAY 2018 WITH CONTRAST, IT SHOWED THAT MY AORTA WAS 4.6 SO THEY WANTED ANOTHER ECHO DONE WITH CONTRAST BUT THE DRS OFFICE ORDER THE ECHO WITHOUT CONTRAST. THE DR SAID THAT THE TEST WAS HARD TO READ AND ORDERED A MRI, I DO HAVE PVC’S AND I HAVE A LOT OF THEM, THEY COME AND GO, I DID A MONITOR FOR A DAY AND IT SHOWED THE PVC’S WERE NOT THAT BAD THE CARDIOLOGIST PUT ME ON CARVEDILOL 3.15 MG TWICE A DAY TO HELP CONTROL THE PVC’S AND ITS WORKING, I DO NOT HAVE HIGH BLOOD PRESSURE ITS 110/65. MY QUESTION IS WILL THE MED CARVEDILOL TAKEN IN THIS LOW DOSAGE MAKE IT SO I CANNOT GET MY CDL? I AM ON A ONE YEAR FOR THE PVC’S.
PLUS I AM A VERY TALL MAN 6’5 AND WEIGH 300 LBS AND VERY BIG BONED.
Can I drive if I have afib
@ Barbara W
The CME will require additional information and medical documentation from your doctor to aid him/her in their decision making process.
@ Jeff
The medication will raise questions, but will not interfere with your cdl. You will need supporting documentation and a medical release from your prescribing doctor when you go for your yearly medical certification card/examination.
thank you so much for your quick reply and your time.
I had a heart tranplant 9 months ago can I get a dot physical saying I can drive
@ Hans K
FMCSA recommends a one year waiting period following the transplant and will certify for 6 months at a time from now on. Make sure you can provide supporting medical documentation and a medical release form from your doctors when you go for the DOT/FMCSA medical certification examination.
I have a Contractor who has been diagnosed with Symptomatic Sick Sinus Syndrome. He has had a pace maker (no defibrillator) installed and will be under a doctor’s care for a minimum of 3 months.
After he is released from the doctors care, will he be able to be re-certified at all with a Pace Maker?
@ Steve W
Yes, he will be re-certifiable. He will need to provide a medical release form from his doctors, a return to work-without restrictions-and medical documentation regarding his present status, at the time of the medical certification examination for FMCSA.
I had a triple AAA operation in 2017, my surgeon said at post operation i was ok no restrictions.
He cleared me to go back driving , went to work they sent me for a physical that doctor found out i had to stay out for 90 day which i did, then went back driving. Now my med card is running out i went for a physical passed and this doctor wants the surgeon to sign off and me get checked out by the surgeon, Ihave not had any problems im getting checked again with ultra sound , Will I have to do this every time I get Med card physical. The doctor i went to this time said DOT is not clear about Triple AAA Thank you
Cell Phone (deleted by admin for privacy)
@ Dennis H
It will be up to the CME as to what he will want for supporting information and documentation. A medical release form from your surgeon and/or primary physician should be sufficient each time you go for your medical certification examination. The ultrasound is probably the single best verification that all is well and may need to be repeated yearly, just before going for your medical card exam.
I had a oblation done for a flutter how long am I out of service
@ Harold
1 month waiting period before re-examination and medical card for one year at the time.
I had a blockage 6 years ago. No stents, no surgery. Just a lifestyle change. No incidents since. I am not on any heart meds. Do I still need a stress test to maintain my med card?
@ Patrick H
The CME may want a recent stress test to confirm that all is clear. If you had a stress test and have been seen by your cardiologist within the past couple years, you may use a medical release form from your doctor. With your pre-existing diagnosis the CME is going to be looking for supporting documentation.
I have a non-CDL license but drive a 20,000lb service truck in MA.
I have CHF (heart failure) with an ef of >30 can I qualify for a medical card?
If not I may lose my job. What are my options?
@ Jeff B
FMCSA guidelines were established for class A long haul drivers. You do not fall under FMCSA guidelines, but the states variances. You must find a CME that understands the difference and evaluates you as such.
Is a heart murmur disqualifying, or the underlying condition? Leaky valve, etc
I have CHF(congestive heart failure)and my ejection rate is 25-30. How high do I need to get it to get certified for my medical card again?
@ Casper R
FMCSA guidelines require a 40% or better to certify a class A driver.
What about a class d driver non cal that drives a 19000lb service truck
I currently have a Class A endorsement and hold a medical card. I have had angioplasty surgery and stents. My current job does not require me to need the Class A endorsement or medical card. Do I need to have the Exercise Tolerance Test done within the 3 to 6 months or can I wait until a job requires me to hold the medical endorsement.
@ Jim C
If your license is a class A cdl, then you fall under federal regulations and guidelines. Not clear as to a class A endorsement. You need to confirm your states requirements for the endorsements. If you carry a class A cdl, then you need a exercise tolerance test within a two year time span.
Can I maintain my CDL if I have been Diagnosed with LBBB?
@ Andrew N
It will raise questions and will need supporting medical documentation from your doctors. But it may be possible, based on the extent of the condition and its effects on you. Good documentation will be vital in the CME’s decision making process.
My son had a defibrillator implanted because he had a one time experience of afib. The hospital insurance would not pay as they felt it was not necessary. The insurance company also told the hospital not to bill the patient. Can he still have a CDL in NJ?
@ Ruth J
CDL’s are state issued and each state has it’s own set of regulations and guidelines. You will need to check with the state first for an answer.
If you are in the hospital when your DOT physical expires, are you exempt or is there some kind of waiver you need ?
@ Tim H
No exemptions or waivers. Once released from care, without restrictions, go get a new medical card and turn it into the state. If they have any questions, simply explain the situation and you should be good.
Can I drive interstate with a pacemaker if my doctor clears me?
@ Don J
You will need medical documentation and medical release forms from your treating physicians.
Can I keep my CDL if I have a defibrillator? I drive in the state of Indiana only.
@ Michelle C
If you are marked as a intra-state only driver, then the states variances are in question. Check with your local drivers license department for the best answer.
Just to be clear if I have a cardiac cath because I had SOB and had it checked out I would need to get a new dot medical card after being cleared by my heart Dr. This was not done as a emergency it was scheduled after a week from the the time my Dr did a nuclear stress test.
@ Richard
Correct.
If I can’t pass a treadmill stress test, but I can a nuclear, would I be disqualified for my medical certification?
@ Brittanny
You will need a medical release form from your cardiologist and all the supporting documentation, with test results, before going to the CME. That information will be taken into consideration in the CME’s decision making process.
what is the CME and how do I contact them. I cant pass the stress test they want me to carry 70 lb and keep my pulse rate below 128 doing 3 different series of test
@ Michael S
CME is a Certified Medical Examiner with federal DOT/FMCSA. You can find a local CME in your area, either here on this website or by going to the FMCSA National Registry. Depending on the class drivers license you are working on will determine the requirements used by the CME. FMCSA guidelines were established for over the road, long haul and heavy haul drivers. Your state has its own variances for cdl’s that are not class A.
I have an enlarge heart and my doctor is helping me to use a pacemaker with defibrilator is that a motive of desqualification ?
@ Alejandro M M
The FMCSA guidelines state that a non-defibrillator pacemaker itself is NOT disqualifying however, the underlying disease may be. You will need a medical release form from your cardiologist and supporting medical documentation at the time of your DOT medical examination.
I have a 70% blockage in my LAD and the doctor does not want to stent it. He said I’m fine to go back to driving, can you pass aDOT physical with a 70% blocked artery?
@ John
As a class A driver, your condition will raise many questions and require further medical documentation. Check with a local CME for further guidance.
Can u get a class a liscense after heart transplant
@ Jason
Yes. It is a one year waiting period , post surgery, and a max of 6 months medical cards.
I have a defibrillator but my cardio dr said he could turn it off would I still be disqualified from passing a dot exam
@ Paul
As a class A driver, you would still be disqualified.
WHAT ABOUT AS A CLASS B DRIVING A TRUCK UNDER 26,000LBS
@ WILLIAM R
You fall under the states variances, not federal. Check with your state drivers license department.
If the defibrillator part of a pacemaker is “turned off” WHY would you say he is STILL disqualified? It would be as though he did NOT have one! What is the need for the defibrillator is no longer present? My husband’s health has improved since the time an ICD was installed and his doctor told him if the choice was made NOW, that they would NOT have installed it. So we were going to have it “turned off” so that he could get his CDL.
@ Linda H
An active defibrillator and an inactive defibrillator are two different sets of guidelines to follow with the FMCSA. The guidelines allow, with proper documentation, for a driver to operate a cmv with a defibrillator that has be turned off. The CME will need to follow the guidelines based on your husbands status.
If I have AFIB that is controlled by medication is this disqualifying?
@ Berl G
Afib is not a disqualifier by its self, but usually has other symptoms that will require further documentation.
I have afib also do I need a an ok from a cardiologist every time I renew my d o t physical card
@ Ray v
Yes.
Hi. I have a doubt. It is not for the DOT exam; however, maybe you can still provide some guidance. I need a physical exam as I am applying to be a Chauffer for a private school bus company in Fl. I was diagnosed with arrhythmia many years ago and I have been on propafenone for years. My last electrocardiogram was normal, I have no symptoms and the doctor said that i am stable with a normal sinus. The doctor that did the exam did not felt comfortable approving my exam until I had another electrocardiogram. This is my first time applying to this type of job and will appreciate any guidance. Thank you in advance.
@ Edwin
Your examiner is applying class A, DOT/FMCSA guidelines, to a driver that falls under states variances not federal regs. FMCSA would like to have a new stress test every two years, for class A drivers. If you are a class A, then the examiner is correct in his request.
I have had a fib for 12 years and do take medications I am applying with a new company their doctor says I need to have echo Graham my cardiologist had already released me Apparently you have to have 40% or better to pass DOT requirements I have my CDL class a now and will be doing over the road will this be a problem for me
And what can I do to get my percentage up for my echo Graham
@ William K
DOT/ FMCSA wants a LVEF of 40% or better. A medical release form from your cardiologist and your most recent test results should be all that is needed.
So I should be fine to drive OTR guess I will find out Wednesday how my test is if by chance it’s below 40 Does that mean I could lose my CDL
@ William K
If your LVEF is below 40% you will not receive a medical certificate. Your cdl is state issued, so you want to check with your state for the best answer.
If you have less than 40% blood flow in your heart can it be fixed , to pass DOT
@ William K
Possibly, talk to a good cardiologist and get his opinion.
I got the test results back from my echo it shows 35 to 40% staying at 40% will this pass DOT requirements ?
@ William K
Staying at 40% or better will pass.
I have a current DOT card and have Applied out of state for a job , I know I would have to see their company doctor to pass Physical ? Would that void my present DOT card in my state ?
@ William K
A new DOT medical card will supersede your old medical card, once placed in the national registry. And, you will need to send a copy of the new card to your state licensing department.
Is there a procedure that can be done to get your echo up if you have a fib ?
I HAD HEART BYPASS SURGERY AND HEARTSTENTS IN 2007 MY LAST STRESS TEST WAS IN October 2018 RENEWED MY MED CARD IN November 2018 WILL I BE REQUIRED TO RE TAKE THE STRESS TEST IN 2019 TO RENEW MY MED CARD AGAIN IN 2019?
@cHARLES s
New stress test every two years.
Not true read the guidelines, it’s five years from date of bypass. Then annually. I’ve had two separate bypass surgeries and heart attack. Your medical card willl be a yearly renewal.
@ Steve
Not sure of the question, but 3 month waiting period following any by-pass surgery. FMCSA guidelines. And a CME who feels that the driver is a high risk may want a much longer wait period. He will be looking at a much fuller patient picture.
I was informed by our M.O.H.A that after bypass surgery I had to have stress test every 2 years until year 5 then annually.
@ Bruce
That is correct, according to the FMCSA guidelines.
Stent placment 10/18. EF at discharge was 55%. Passed stress test on 1/19 to stage 4 but echo showed EF to be 34%. Had new echo, PET scan and nuclear stress test 8/19). Passed all of them. EF back into 40%. Can I use the nuclear stress test or the test from January which shows I passed the excercise part even though it has the old EF. Insurance will not pay for excercise stress test. It seems I tcan’t get one on my own as they want physician order.
@ Alan
Use your most recent test results, showing that you passed, and have a medical release form from your doctor, without restrictions.
have had heart bypass surgery plus stents October 2018 had stress test which I pass with no problems renewed my CDL physical in November 2018. will have to take another stress in 2019 to renew my med card for 2019/
@cHARLES s
New stress test every two years.
How did you get your EF back into the 40s I’m just curious , as I have a fib as well , this is for Charles S
I have brachycardia, I had a DOT physical in April 2019 where I informed the doctor. Due to mostly hypertension my physical is only good for 12 months. This month I was kept in the hospital for 24hrs because a ER doctor was concerned about my resting heart rate. Once my cardiologist came in, he said this was normal for me and released me. My company says I need a new DOT certification to return to work. Is this legal?
@ Kevin
We do not know about legal, but FMCSA requires a new physical following any situation that takes a driver from behind the steering wheel for any period of time.
I have had and aortic valve replacement. What are the EFG numbers I will need fro the DOT physical to return to truck driving?
@ Carol M
You’ll have a three month waiting period before you can retake the DOT medical certification examination. Make sure you bring your latest test results and a medical release form from your treating doctors and a return to work, without any restrictions or limitations.
Have stents places in 2006 and 2014. Was overweight. Lost 50 lbs. see doctor every year for heart health. Being forced to PAY for a stress test every other physical is quite costly. Had physical in July and Stress test in Feb. in July my next physical wants a stress test again. If I get one now in Sept. obviously I’d be ok for next July BUT would I still be good for the following July? As this would be still less than two years. I would need one before the following July.. no?
@ Raymond W
Get the stress test in Sept and that test is good for two years. Yes you would be good for two Julys and then need a new stress test before the third July.
It’s been 15yrs since my mild heart attack, in the state of ky, how long am I required to take the stress test for the dot medical card.
@ flip
FMCSA wants a new test every two years.
Had triple bypass surgery October 2018 going back to work after 4th of September. Dot physical expire September 27th 2019 and I have to visit my cardiologist for a check-up September 11th 2019 and the company said I need a stress test from my cardiologist is that right
@ William B
FMCSA and the CME will want to see a recent stress test. FMCSA wants a new stress test every two years.
I have svt but my cardiologist said I was ok and didn’t need medication or surgery if I was to get on beta blockers would I still be able to qualify for my cdl?
@ shallon
Make sure you have a medical release form from your cardiologist, along with any copies of recent test results.
I suffered a heart attack on June 6, 2019, and had 2 stents put in my heart, my doctors have released me to get back in the truck, it is now July 24, 2019, my safety director says I have to wait until August 8, 2019, before I can go back to driving, because of dot regulations, shouldn’t I be able to go back driving now that the doctors have released me?
@ Scott H
Your safety director is correct. FMCSA wants a given time frame following a full release, without restrictions, before returning to driving. Your cardiologist know hearts, but not the FMCSA guidelines. The medical certification examination must follow the guidelines.
I have an Aneurysm but have never had any problems whatsoever since being diagnosed even have a regular heartbeat my question is if I get cleared by a heart doctor am I good to go
I was diagnosed back in 2000
@ Carlos O
Clearance from your heart doctor will be a huge help, especially if the aneurysm is relatively small with no changes is the past few years. Bring any documentation from your doctor that you can, it helps the CME in his decision making process.
Well now this sure is confusing. The article is supposed to be explaining the D.O.T. regs on different health issues which clearly states after a stent you can be cleared as soon as a week to go back to work but your telling him no??
Per 2002 Cardiovascular Conference Report Recommendation Tables, Page 37: s/p PCI, certification at least 1 week after procedure, approval by Cardiologist, tolerance to medications. ETT 3 to 6 months after PCI. page 36 notes certification at least 2 months post MI and post-MI ejection fraction >/= 40%.
Can I renew my cdl license after mitral valve pro lapse surgery?
@ John
CDL’s are state issued, so check with your states drivers license department. FMCSA will have some wait time following the surgery before performing a DOT medical certification examination.
My husband had a heart attack and was placed with 1 stent. How long does he have to wait to drive with his CDL license and what DOT requirements does he need.
@ Beverly H
He will need a new medical card and a full medical release from his cardiologist, with supporting documentation.
I had a heart attack in 1997. In 2017 I had a stress test done and found out I had a panic attack. Does these things disqualify me from getting my cdl? I’m in az.
@ Robert
It should not do any more than raise questions and a request for further medical documentation from the CME.
I was diagnosed with cardiomyopathy and LBB back in March. My cardiologist said I would be ok to still drive a school bus with my class b license. My med card is good through April of 2020 so I didn’t renew it with my updated health concerns. Is this ok given my cardiologist gave me the go ahead?
@ Sarah LaM
Your state may require a new medical certificate before returning to work. You could check with them for confirmation.
If You don’t agree with 1 examiners evaluation Can you get a second opinion from another? Or are you stuck with the first examiners opinion?
@ Jim
If you disagree with one examiners findings, then you have the right to a second opinion.
I had a heart cathedral done and was found to have nothing wrong. Does the DOT require me to have a new physical done even thought they had nothing to repair?
@ Fran
FMCSA guidelines require a new DOT medical certification examination be done anytime a driver is taken out for further evaluation.
I was denied my medical certificate because I had an aortic aneurysm of 4.7 and AFIB. I had surgery to replace the defective aortic and also had a MAZE procedure done to stop the AFIB. I will not be released by doctors for 12 weeks what do I need to get my CDL back
@ Mark N
You will have to provide some supporting medical documentation. Get fully healed and released, without any restrictions, from your doctors. Then go check with a CME to determine the information he will need to proceed with a DOT?FMCSA examination.
Does Louisiana have an approved DOT FMCSA Medical exam facility?
@ James
Yes, check with the states at the bottom of the home page for this website..
i have had mitral valve prolapse my entire life I am 50 yrs old. I have never had to be treated for it no medicines or anything. will this keep me from passing the dot physical
@ kenneth r w
Your situation will require a signed medical release from from your primary care physician.
I had open heart surgery in 2014 and I’m trying to get into truck driving i was cleared by my heart doctor but the doctor at the school I’m try to go through won’t clear me because he says that my LVEF has to be at 40% & it’s at 38% is this a DOT regulation?? for Texas?
@ Antoine H
LVEF of 40% is a requirement from the federal DOT/FMCSA guidelines for class A drivers.
I have AFIB and I went for my DOT physical and the doctor said it’s required to have an Echo and stress test every year to get my DOT physical, I provided him with the release from my Cardiologist, he says it’s a DOT guideline is that true..
@ David LeC
FMCSA request a stress test every two years and your medical card will be good for one year at the time.
Hello. How will vfib and an implantable loop recorder affect my ability to get my med card? I have also had two stents but my EF is fine.
@ Francesca G
You’ll need medical documentation from your doctors, a medical release form, with no restrictions, also.
My dad is in a mess. He had lost his CDL in Alabama due to having an internal defibrillator. When he went to the license office to get the cdl took off they asked why. When he told them that he had a defibrillator they made note of it. He got contacted from Montgomery and said he had to get paperwork from his doctor that he is ok to drive his regular vehicle. He has been to his heart doctor and his regular doctor and neither wants to accept this responsibility. They are afraid of lawsuits if they give him the green light and he has a wreck. Any suggestions? He has not had any issues with his heart since his surgery about 3 years ago.
@ Keith
As an OTR driver we understand the situation, but we do not understand the states position. A note from his physicians indicating that he has had no issues for the past three years should be sufficient for the state. No risk involved in telling the truth. Your doctors are over-reading some unwritten guideline.
I was diagnosed with CHF in March of 2017.Is this a disqualifying medical condition eventhough it’s stable?I had an EKG done in June of this year and everything checked out good.
@ Chris
Your condition will require you to bring in supporting documentation establishing your condition is stable. Also a medical release form from your prescribing and treating physicians.
I just reached my 5 year anniversary this January since I had aorta valve replacement and my DOT medical Dr told me last year that once I reached the 5 year mark I have to take some other tests. Is it the stress test or something else?
@ Curtis L S
You want to check with your DOT medical examiner to determine what test results will satisfy his need for decision making.
I have afib that is controlled with warfarin, I’m trying to pass a dot physical and the doctor said I have to be cleared by a cardiologist, problem is I’ve never been to a cardiologist and the only medical I have is the VA. I reside in California
@ Kenneth T
Medical documentation from the VA may be sufficient, but the CME may still require further documentation. The examiner is looking at risk factors and will require documentation to reduce any possible risk to you and the public at large.
How do you know you have a condition without seeing a cardiologist?
My regular physician is also my DOT physician but I still have to go to specialists for decisions like that
I was born with a bicuspid valve in my aorta. It was repaired when I was 12 and have had no problems ever since. I aquired my class A licence in August of 1998 and have never had a problem passing a physical until last week. I’ve been working out for over 30 years as well and have never had a problem either! Can you help with my situation please?
@ James C
Where is the question?
Hello, I oversee the License and DOT Medical card. We operate in (2) states. Can a driver in Missouri/Kansas be on dialysis and maintain their CDL?
@ Marvino G
Possibly, if an intra-state only driver. That way he falls under the states variances and not FMCSA/DOT.
Since 2012 I have had two open heart surgeries. The last surgery I had in 2015 was to replace my tricuspid valve with a mechanical valve. Since my last surgery I have been living a normal life. I am about to start school to get my Class A CDL with the tankers and hazmat endorsements. Will this prevent me from getting my CDL?
@ Teresa
You will need supporting medical documentation for the FMCSA medical certification examination. But with the proper paperwork, you should be OK, if all else is within normal limits.
I had heart surgery in 2002 and have not had any problems since. I need a DOT card to drive a LOCAL shuttle van, no passenger endorsement required. What are my chances of passing the DOT physical?
@ Jim H
Since you are not going to fall under the DOT/FMCSA requirements, you should be fine, if all else is within normal limits. Make sure you explain to the examiner your situation and your drivers classification. He will need this information to make his final decision.
If you have a difibelator and have turned can I get a d o t medical card to drive a 18 wheeler
@ John
FMCSA is pretty adamant about defibrillation and truck driving. Even with the unit turned off. And even removed, you would need to provide medical documentation.
in january i was hospitilized for a heart condition , it determined i had afib ,nonischemic cardiomyopothy,acute systolic chf , mitro regurge. was treated in hospital and had had low injection fraction 35 % was treated four days in hospital with meds and had echo, had cardio version after release from hospital ask for and received a letter allowing me to return to work with no restrictions still on meds though cant get recrtified by my companies dot doc . she says cant recert me all my numbers are good now ejection fraction well in yhe fifties is there any thing i can do i heard changing from interstate to intrastate might might help me get back working or any suggestion thanks
@ Scott
Need to know why the dot doc is not qualifying you. Meds? Time frame for what condition? Present physical condition? Intra-state lets you fall under the states variances, along with the fMCSA guidelines. Check with your state DLD for that answer.
I had open heart surgery I. 2008, with a single bypass. After 5 years I have had a stress test anually through my cardiologist, with no issues through the facility that issued me a D O T physical. In 2018, I performed my anual stress test, received my approval through my cardiologists office and went for my D O T physical only to have the Doctor giving the exame telling me I now have to have a echocardiogram as well or she would not give me a medical card. I disputed this issue and received the card. Is this a ongoing practice for medical facilities to add requirement or is the Doctor right?
@ Brian
Some facilities like to do add-ons$$$ Stress test every two years, card good for 1 year at a time, if all else is within normal limits.
Recently I found out that EF had dropped to 35. My cardiologist found no blockages during a subsequent catheterization. My stress test was a little erratic but the dr. was unconcerned once he did the cath. Still in the state of Michigan I’m required to have an EF of at least 40. I fear I my loose my job if I cannot be licensed. Is there any thing I can do to bring the EF up or get an exemption.
@ Robert L S
FMCSA is very strict on the 40% EF. Work with your cardiologist on getting better number.
I had on 12/11/2018, thru 12/16/2018 8 minor heart attacks ,hich i though was a bad case of flu or bronchitis. I did talk with my manager about, and went going thru my work, on Thursday 12/13/2018, i did see my doctor for annual physical, was all good, but the discomfort as i was breathing ,did continue, since doctors said i was good, i got Friday the 14, off on personal day, but started to get harder and harder to breath, my wife want me to go to the ER, bit i did not went, thinking i had a flu, i did preferred wait until next monday morning, 12/17/18, to see my doctor, ER in waterbury ct, usually make you wait at least 5 hours, before you go to triage, and then they send you home to see your family doctors… its ridiculous.
Sunday the 16 was miserable, and on the 17 ,i left home.to go to work, set up my load,and by 9 would see my doctor.. them one voice inside my head, believe you or not, said loud as someone, screaming at me. “” go.to the ER NOW, i tried to ignore, but it repeated, and i went… that place parking lot, saint marys hospital in waterbury ct, was full, i parked on handicap spot, it was the only one available, walked in but the ER was empty,, no one soul there, only the recepcionist, i asked for.help. saying that i was having a bad case of viruses, flu maybe, she looked at me and call the triage nurse, even that tooked about 20 minutes for the nurse call.me, and the place was ghostly empty. In 5 minutes i was on OR, with 95% of my heart stoped with blood cloth, and got 35% of hearth muscle damage,, i still.pf.work,, employed, but unable to get back to.work by doctors advise, ,the company i work.for, didnt got me any benefit, i had too beg the state for food stamps and health insurance…because the company says i am not qualified…30 years driving experienced, safe record, 1year with this company, and no assistance at all… my mortgage and bills are behind, my credit score is getting very low, my savings and my kid college fund i had to use, to pay bills and keep the house warm, i may have to give my car back to the bank, and maybe my home to.. i still.have my DOT medical card, valid, i only need a.doc release, but they will.not give it for at least another 3 month… i am.trying to learn other trade. But those medicines doesn’t help.much on concentration. I am.lost.not knowing what to do and what tomorrow will bring..even unemployment i cannot collect, because i need to be available to work..if.anyone can.advise i aprexiate
Can a North Carolina medical card be renewed if a defibrillator has been put in.
@ Ali T
All depends on the class license your are trying to re-new. Other than a class A license may fall under the state’s variances and not Class A FMCSA guidelines.
In 1997 I had a cardiac ablation done do I need to provide any results in order to keep
my CDL? Why and for how long,
@ Chris
CDL is state issued. FMCSA medical certification is federal. Not sure if your state requires a valid medical card to maintain a valid CDL.
I’m looking to start training for my cdl free of charge with a certain trucking company. I have coronary artery disease and have had two open heart surgeries with the last being back in 2006. I’ve had to have stents placed since then and in 2012 I had to have a pacemaker installed due to bradycardia. My ejection fraction is above 60 and I dont have angina unless I need another stent put in. I feel fine and can do anything, no restrictions from my cardiologist.
So my question is will I be able to ho through training with this company?
I’m positive that I will pass the cdl physical and I have clearance from my cardiologist to drive long haul which I believe is a class B license. I’ve been on disability for years now but I just cant survive on the amount that SSDI gives me per month any longer.
My left eye has a partially torn retina since I was 12 years old but I can see perfect with both eyes and good enough to drive with only the left. My only problem with the left eye is reading normal print. My perifial vision is also fine in both eyes.
Can you tell me if a company will give me a chance or will I be seen as a liability like all other jobs see me as? Hopefully I’ve included enough for you to give me an answer.
Thank you
Harold
@ Harold N
That will be up to the company and its policies. You will also have some difficulties passing the DOT medical certification examination. Be prepared to supply medical documentation for the DOT medical examiner.
I was born with tricuspid atresia repaired at an early age with the Fontan procedure does that disqualify me for CDL
@ Jesse
You need to check with your state DMV for the CDL requirements. CDL’s are state issued.
I got a defibrillator in 2018, would I be able to keep my CDL in the state of Pennsylvania.
@ Donald K
Check with your local drivers license department for the correct answer.
Can a CDL driver drive with a implantable defibrillator in Oklahoma?
@ Hal
Depends on what class cdl and whether it will be interstate or intra-state only. Check with your state drivers license department for confirmation.
If I have AFIB does it stop me from getting my CDL?
@ Matt
Not if you can pass the DOT medical certification examination. You will need a medical release form from your doctor and any other documentation that the CME requires.
I have an Lvad (left ventricle assist device) that was installed a year and 2 months ago. I’m currently back working at my full time job with a 50 lb lift restriction and a no-mandatory overtime restriction (so basically a 40 hrs max per week). I’m considering signing up for a CDL school as my current employer offered to pay for my CDL education. My only concern is whether I can get thru a DOT physical exam. What documentation will I need to pass the DOT physical? My health is actually better now than before the Lvad. Do I also need a list of meds etc?? If I can’t pass the DOT physical its not worth taking the course??
@ Russ B
Not sure which cdl level you are going for. As a class A driver, you won’t pass the DOT medical certification examination. As a class B intra-state driver, you will need to check with your local DLD for better information. So it depends on which class license you will be shooting for.
I have cardiomegaly will this prevent me from getting a DOT medical card
@ Darryl W
With a medical release form from your cardiologist and copies of your most recent test results at your disposal, you should be fine.
Hi I have Valvular A-Fib and had a stroke in Oct/2018 which left n o residual effects. I take Metoprolol and Eliquis. Whats your opinion on my ability to pass the DOT physical to obtain my Class A CDL. Before I invest in the schooling and exams.
Thanks
@ Charles T E
The stroke put you on the side lines for a year and the medications are going to raise questions. After a year you will need to provide recent test results and medical releases from your doctors.
I am 39 years and hold a Class A CDL in Utah. I was recently diagnosed with 3rd degree AV block and I go in for pacemaker implant at the end of January 2019. I have not gotten the results from the echo yet however they have scheduled me for the implant. My heart does stop for over 10 seconds at a time and I have never passed out although I have come close but never while driving. I am considering going to work for UDOT as a plowboy or going to work Trucking OTR. How will this pacemaker implant affect my career currently I am unemployed and under doctor’s orders do not drive at all at least until I get the pacemaker. Also how long after I do get the pacemaker can I get behind the wheel of a CDL requiring vehicle
I know if you work for PADOT you don’t need a CDL physical only a CDL license, maybe you state is the same.
I have a heart mummer and my cardiologist does a echocardiogram and said all is fine. How long is the echocardiogram and doctors note good for? Do I have to get another one before I renew dot physical?
Can I still drive commercial vehicles if I have ascending aortic aneurysm
@ Darryl
Depending on size and location, it would require further medical documentation from your medical doctors. That way theDOT examiner can make a well informed decision.
I have the a similar condition… My CDL is out of Texas… I have, Ascending Thoracic Aneurysm, Angina Pectoris as well as Hypertension… My doctor monitors my aneurysm every 12 months via CT scan and echo cardioghram along with EKG. and the he has to sign off b4 I can get my med certs. Just another expense… What you have to worry about is a dissection of the aorta, tearing searing pain that starts in the chest moving into the neck shoulder and back. Clear sign of dissection and possible rupture.
@ Chris
As long as you are following up with your cardiologist, and he signs a medical release form for you, you should have no issues. It would be a huge help to the examiners if you were retested every couple years by your cardiologist.
I had bypass surgery about 9 years a go do I need a stress test before I get my dot card
@ Dwayne P
FMCSA wants a stress test every two years.
What are the ejectionfactor requirements to have CDL.
@ Pam J
Greater or equal to 40%, rest LVEF. FMCSA guidelines.
If I have a pacemaker can I still renew my CDL license In Pennsylvania
@ Valerie
You need to check with your local DLD. Things change from one drivers class to the other. As a class A, FMCSA guidelines say no to a new medical certification, Class B intra-state could be completely different DLD can answer your questions regarding your cdl.
Have a CDL license in Missouri. My medical card does not expire till March 2019. I went to get it done earlier because I would not have to take off work again after having neck surgery. The new DOT doctor stated I needed to having clearance from my cardiologist for 7 years ago having a 5 way bypass. I have had multiple CDL renewals since then and only needed a note from my primary doctor. Why is it that now he is needing more information? Is my license still good till March 2019 even though the doctor said he was going to only give me 3 months to get it fixed?
Dot requires a stress test every 2 years if you have had a heart attack. So you will need that and a clearance from your cardiologist
What are the stipulations when you’ve had a heart attack and had 3 stents put it ?
@ Shaun
You’ll need medical releases from your doctors, a stress test every two years, full recovery-without restrictions, and the ability to pass the remained of the DOT medical certification examination. With that you will receive a one year medical certification, each time.
I cannot find the requirement by Federal DOT regulations to have a stress test every 2 years. I would appreciate anyone citing the FCCSA section that mentions that requirement.
@ Kevin S
If the CME reported a 3 month card to FMCSA, like he is supposed to, then that’s what you have. FMCSA is much stricter on the examiners now that they are federally certified.
I had mitral valve repair 12/17. My cme says he won’renew my DOT until i do an ETT. Is this correct?
@ Greg T
Yes, the CME is looking for supporting documentation before moving forward on his decision making process.
I underwent aortic valve replacement surgery and after recovery renewed my dot med card, I took the stress test a passed by almost double the test minimum needed to qualify yay me, with that said I do now have to renew my dot card yearly now which I am good with, but do I need to do another stress test, dont find any info on it and it can take awhile to set up one, my last took 1.5 months to set up, just dont want to lapse licence waiting til last minute.
@ Frank A R
You need a stress test every two years and a medical release form from your cardiologist each time you go for your DOT medical certification examination.
I have an old PA CDL (I’m 62) and I’m now retired in PA and I wanted to work for Penn Dot for a few months in their winter maintenance program.(I worked there many years ago) My health: About 3 years ago I was diagnosed with Hypertropic Cardiomyopathy my cardiologist said at my last appoint. 3 months ago. I should have NO problems doing the job.So I applied and then scheduled my appointment and seen the DOT “nurse” . Anyways, my physical was good (I passed everything “else”) and she said at first IF my cardiologist writes a letter to clear me (regarding my heart condition) I’d pass.. Then later that day she called me and said that my diagnosis of Hypertropic Cardiomyopathy automatically disqualifies me. Note: My Cardiologist didn’t get back to her yet. So which is it? Can my cardiologist clear me or not? I question if she (the examiner) is correct or not. I got 2 different answers from her… Very Frustrating! ( The “nurse” meets me one time and knows more than my doc does about my general health and my condition) DOT needs to train their examiners better! SO HERE IS THE QUESTION DOES MY CONDITION: HYPERTROPHIC CARDIOMYPATHY AUTOMATICALLY DISQUALIFY ME in PA for a Class 2 CDL? and why? NOT everyone who has this condition is on deaths door. Some forms are less severe, which mine is.
@ Brandy
The CME is correct at the moment and can take other information into consideration. But it will require an evaluation by a cardiovascular specialist who understands the functions and demands of commercial driving to confirm or rule out a diagnosis of hypertrophic cardiomyopathy.
Unless something has changed PADOT does not require a DOT physical card to drive. Only a CDL licence. You may want to check this out.
I’ve had a pacemaker since 2001.
It is not a defibrillator.
I have what’s called syncope .
Does this disqualify me from a DOT physical?
@ Lemuel
You will need supporting documentation and a medical release form from your doctors. For a class A medical certification, you will have great difficulty. A lesser class cdl may work better.
You should be more specific. The FMCSA guidelines state that a non-defib pacemaker itself is NOT disqualifying however, the underlying disease may be.
This is clearly outlined in Appendix D of the medical examiners handbook.
I was recently diagnosed with a first degree heart artery block and i am being treated with medication I was put on isosorbide Will this disqualify me as a driver
@ Joann
Until you have been on your new medications for at least thirty days, without incident, you are disqualified. And will need a medical release form from your doctor stating that you can return to driving without restrictions.
I’ve recently had a LVAD(left ventricular assist device) implanted to help my heart pump blood. Would I be disqualified on getting a CDL ? Alabama…any class
@ Ken S
Not a disqualifier, but will require some documentation to pass the DOT medical certification examination.
I had a pace maker put in on 10/15/18, my cardio doctor cleared me to drive a school bus on 10/22/18 but the DOT doc says he will not clear me for 30 days 11/15/18 and he wont fill out my short term disability form as i am on a no pay status. Does he have the right to refuse to fill it out?
@ Michael DO
The examiner can’t pass you on the examination for DOT, by FMCSA standards. And, it is not his responsibility to fill out any additional paperwork. That is out of his field of expertise.
well it says in the FMCSA that Pacemakers are not disqualifying as long as they dont have defibs in them
I had to have a Pacemaker put in recently I was wondering if I would Still be able to for driving Class A commercial Vehicle..
@ Tammy C
Not according to the FMCSA regulations.
You are giving incorrect information. A driver can drive with a NON-DEFIB type pacemaker with documentation and a non-disqualifying underlying disease.
Appendix D in the Medical Examiners handbook.
@ Christopher H
Thank You for your in depth understanding of the appendix D.
My husband had a heart attack october 14 2015, he was off work 3 months and had to get a stress test to return driving and get his medical card.My question is after a heart attack how often does a driver have to take the stress test for his dot medical card,every year or every two years? He also had 5 stents put in .We live in texas.
@ Janie B
Stress test every two years and supporting information with a medical release form from his cardiologist.
I had triple bypass surgery 8 years ago and have to get a stress test every year. I am
trying to find out which kind is required for my medical card. A standard one or a
nuclear one. I know they changed the rules federally recently. I am a CDL driver
over a 5 state area.
@ Edward C
A standard stress test every two years is sufficient for FMCSA, unless there are other questions from the examining physician.
One of my Class B school bus drivers had to have a pacemaker put in. Can he still qualify to be a intra-state driver in Minnesota . Or is he out of luck? Thanks.
@ Kevin B
Your driver falls under the states variances and you need to check with your local DLD for the best answer. And he should be OK to continue under the intra-state classification.
I know after my mitral valve prostheses that i must be off for 3 months. but is that 3 months like from the 1st to the 1st, or is it 12 weeks, or is that defined by the examiner. there is 2 and 1/2 weeks difference in the 2 situations.
@ Henry r
3 months starts the moment you have a full medical release, without restrictions.
I had a defibrillator put in January 2017 my heart doctor just turned it of because my infraction went from 20 percent to 45 percent as of 10/5/2018 and said I can go back driving a truck again
@ Ronald T
Is your doctor on the FMCSA registry? If not then you might be able to drive intra-state but not interstate, according to FMCSA guidelines.
I have had a Triple bypass surgery. I have been driving almiost a year 48 state area. The time as come for me to renew my Dot physical. What exactly will I need to renew my physical. I am a resident of the state of Texas.
@ Michael R S
The same things you had to do last year and your latest test results along with a medical release form from your doctors.
I was recently hospitalized with blood clots in my lungs now I’m on blood thinners they said it was okay for me to drive and my family doctor did a echo cardiogram on my heart it showed my right ventricular was slightly dilated can I still drive with this condition
@ Mark K
Once you are fully released and have a medical release form signed by your treating physicians, you could re-test for your DOT medical certification. Make sure you bring your medical release forms with you and your latest testing results.
I have a pacemaker – hold my cdl in the state of MN – can I still drive a CMV?
I currently have an aortic aneurysm that grew From 4.7 to 5.1 cm in the last 3 years on my last check up in August of 2018. Am I still qualified on my medical card.
@ Carl
You would be considered a risk and will need supporting documentation from your doctors before a CME could pass you on a DOT/FMCSA medical certificate
I have an aneurysm that measures 4.2 . it has not grown in three years and has actually shrunk.Can my cardiologist sign off on this saying I am safe to drive?
@ william
You will need a medical release form and possibly additional supporting documentation at the time of the certification examination.
What is considered supporting documentation?
@ James O
A copy of your primary doctors test result and a medical release form from any PCP who is caring for your health issues.
Curiosity question..I have afib..no medications
Chad score of 0 and I’m asymptomatic..I never feel out of rhythm…I have to get recertified every year so I always revisit my cardiologist before my physical..
My question…If I have a successful ablation..would i be able to return to 2 year certifications?
@ Brian W
Most likely not. Once a hearth condition comes into question, the DOT medical examiner must follow the guidelines more rigidly.
I just Had a cardiac ablation done 2 weeks ago. my doctor says im ok to return to work but my company said I need to be off 30 days and then get recertified for dot medical card with a letter from my cardiologist stating I had no recurrence of afib. Is this true? I live in NJ
@ Tom
Yes, FMCSA requires it and apparently so does the company.
dot physician say i need letter STATING THAT I CAN DRIVE A COMMERCIAL VEHICLE from cardiologist before they can sign off on med card . Cardiologist says all i need is letter saying no restrictions ? Do i need to get a lawyer to mediate this ? this is just crazy since i past cardi and dot physical requirements .
@ Ken S
You need a medical release form from your cardiologist, then it is up to the DOT examiner to determine your physical, mental and psychological abilities. Your cardiologist is correct, the examiner has the final say, not your cardiologist.
I have had a diffibulater implant for 17 years, and never had any problems with it, or any problems getting my medical card renewed but this year I was disqualified even though I have a clearance from my cardiologist stating it’s ok for me too drive, I’m just really concerned about this since I drive for a living
@ Kory D W
FMCSA has pretty struct guidelines regarding defib units. Much will depend on the type of driving you do and your drivers license class you carry.
Just had a balloon used to clear a clog by a stint installed March 2017 after that echo has shown as of today my ejection fraction is 40% – can I now get my dot physical card for CDL A
@ John M
If fully released and a medical release form from your doctor in hand and you should be fine. Make sure you bring in a copy of your latest test results.
Should i be driving a tractor-trailer if i have an aortic aneurysm of 4.8 in size?
@ Ron
It will raise questions, but falls into a questionable range and may require supporting documentation from your cardiologist.
Hi,My problem is I had a bypass in 2000 I went and took my DOT Physical and passed But needed to have my two year stress test and echo witch I did, My cardiologist signed off that I passed all test fine.So the Dr that passed said said as soon as I bring the documents and clearance from my cardiologist he would sign it off.My problem is I cant see this Dr at the clinic so can i get another Dr at the same clinic that is certified to sign my certificate off?I will be driving Interstate and I am in California.The DOT physical is in the clinic computer.
@ Jim
Office policy varies from office to office. It would require a new physical from the new examiner in most cases.
I recently May 2018 had a successful Cardiac Ablation performed at Duke Heart Center and I have had my first follow up which was good. I would like to get my CDL license back. What steps and forms need to be given to the Cardiologist and to the DMV before I can get my license back. My heart function is normal now and I am off many of the heart medications that I was previously on. Please advise.
@ William L F
Check with your local DLD, many states start with a valid medical certificate, each state different so DLD first.
I had PCI three weeks ago and i just went to renew my medical card, I have my cardiologist release letter, now they are telling me that I have to have an ETT before I can get renewed is this true, I thought I had three to six months to get it, thanks.
@ Mark L
If the DOT examiner has any doubts about your over all physical condition, then he can request the ETT.
The LifeVest™ is a personal defibrillator worn by a patient at risk for sudden cardiac arrest (SCA). It monitors the patient’s heart continuously, and if the patient goes into a life-threatening arrhythmia, the LifeVest delivers a shock treatment to restore the patient’s heart to normal rhythm. Can I still drive with a CDL commercial over the road with it?
@ David A
By FMCSA regs’s and guidelines would prohibit you from OTR driving. But, may still qualify, by states variances, to drive intra-state only. Check with your DMV.
9 weeks ago I had my aortic heart valve replaced. My cardiologist has reviewed my return to work requirements and signed off. When I called the dot doctors office they said dot regulations require 12 weeks off.
My questions are first is that right and second what is the regulation number. I’d really like to look it up.
P.S. my license is out of Washington State if that helps.
@ E A
12 weeks from the point the cardiologist released you to return to work before the CME can perform the DOT medical certification examination. That’s a FMCSA regulation for the CME’s. You could pose your questions to the Federal DOT/ FMCSA website for regulation #’s.
Will having leaking right side heart valves cause someone to fail a dot physical?
@ William C
If it prevents you from performing the duties of a CMV operator, then yes you would fail. You will want to have a medical release form from your cardiologist with you. Make sure you look at the job description for a CMV driver before seeing your DOT medical examiner.
I have a current dot med cert, I have since been diagnosed with congestive heart failure and will be receiving a biventricular ICD, I was hospitalized for 4 days and am currently being treated with meds…my question is do I surrender my cdl or does the state get notified and suspends it?
@ Ron
Your medical card is invalid as of the hospitalization, your cdl is state issued and only they can answer your question of surrender. Most states have policies in place for situations like your, so check with your local DLD for the best answer.
Is there any special requirements for a portacath? Would that disqualify a driver from receiving their medical card?
@ Alan
It all depends on the reasoning for the port. It will raise questions, so be prepared with a medical release form and the doctors explanation as to why and how long the port will be in-place.
I am due to renew my CDL I had a heart attack May 31st. Cardiologists inserted a stent, said no heart damage. Second post op visit coming up. At the first post op visit the Cardiologist said all was good, no post op issues and will be good to go for CDL renewal. I plan to renew my license before it expires in August and I will bring the required Medical Release Opinion that will be completed by the Cardiologist. Will I have any issues with the DOT Physician examiner? I’m supposed to start driving locally (30 miles or less) in August. Employer is aware of stent and said I will only be driving locally and no lifting of any sort (great company). Should I bring in a note from the employer along with the Medical Release Opinion? I’m concerned. Thanks.
forgot to mention, CDL and employer in Virginia
@ Louis
Bring as much documentation as possible to the DOT examiner. He may need some additional information, but you should be fine.
i have sleep apinea,can i drive a school bus in texas
@ herbert w
Check with Texas DMV for the best answer.
I have heat murmur can i optain a cdl
@ Abdititah M
If the murmur creates any known symptoms, then there will be questions and a medical release form will be needed from your cardiologist. If no symptoms, have your cardiologist pen a note indicating his awareness of the murmur and it’s lack of influence on your hearts performance.
I know many school bus drivers in Texas with sleep apnea. Provided you take your compliance print out from your cpap machine, no problem with medical. Check with the relevant school district as some districts have their own rules.
had heart attack 3 year ago got 1 stent back driving time for physical doc did stress and cath said he just saw scar tissue from attack no clog stories ejection factor resting 35 co. say I cannot do co. d.o.t.physcal
@ roger mck
Ejection factors need to be above 40%. That is a FMCSA guideline/requirement.
Can a driver use antiarrythmic medication such as dofetilide which my cardiologist rx me for my atrial fib
@ William
You will need proper documentation from your prescribing doctor. If you have been on this medication for some time, all the better.
Start with a medical release form from your prescribing doctor. Have him explain your condition and his working prognosis.
Can I drive a cmv after a heart transplant?
I letter from my doc.saying I can go back driving a cmv my blood flow thur my heart is 55% blood flow it needs to be around 55% t0 70% to be good am go on that I got a defibrillator out in 2016 as not went off it’s been 2 years can you tell me why I ca
Not go back driving a cmv on interstate now.Thank You
@ Terry
Based on an assumption that everything regarding your health else is well within normal limits, then all you should need is proper documentation from your doctors. Ask a CME what he/she will need before coming in for the DOT medical certification examination
@ Eric
Yes, you will need proper documentation from your doctors. Be prepared to answer lots of questions from the CME, it’s his job.
I got a stress test done for a pass heart attact I had years ago stress test normal but I got a mildly leaky mitral valve will this affect my dot physical and if so what more paperwork or test do I need from my doctor for my dot physical thanks
at my last dot exam I was told I have a-fib. Went to cardiologist , have done 2 nuclear stress tests, heart echo, I have no blockages or valve problems. He did tell me I would probley never get rid of a-fib. Curently on beta blockers and blood thinner. Also take blood pressure med. What do I need to get current medical card. Doctor said he didn’t see any reason I couldn’t drive Is he right?
@ Fred F
Just make sure you have all the present documentation and a medical release from your doctor when you go for your DOT medical certification examination. You should be fine, if all else is in normal limits.
@ Fred F
just make sure you have had a stress test done within the last two years.
i have a pacemaker do too hypertrophic cardiomyopathy can i still get dot physical to drive box truck for fed ex ground
@ Nicholas
You will need a medical release form from your cardiologist. If all else is within normal limits you should be OK
I have afib controlled with eliquis and tikosyn can I still get dot medical card?
@ Ben S
Make sure you have medical release forms from your doctors and a copy of the results from your latest testing.
I understand that a Stress Test is now required from my Cardiologist.
Is the stationary bike stress test or a treadmill test required for a Cardiovascular Assessment Approval?
Please Advise, Thank You
@ David A
Both should be acceptable.
You have congestive heart failure can you still have a CDL
@ John
With a lot of questions, documentation, and a positive standing prognosis from your cardiologist indicating that he feels you are not a risk, along with the ability to fulfill the job description of a cmv operator, it’s probably not possible to pass the medical examination required to validate your cdl.
I have had a heart transplant and was wondering if that disqualifies me from getting a CDL license in Michigan
@ Alan F
Check with Mich. state drivers license department for the best answer. If you plan to drive class A, there will be lots of questions and request for supporting documentation before any CME will do a DOT medical examination, but it is possible.
I went to renew my medical card 1 month after my heart attack, had 3 stents put in. Passed the test and had clearance from my cardiologist to return to work, but was told DOT regulations required me to wait 2 months before returning.
Is this true?
@ Mark L
Yes, according to the FMCSA guidelines.
what is the wait time for stable/unstable angina before stent and stable after stent (PCI) and no complications? i was cleared by 3 cardiologist and the doctor for the company i work for says i have to wait 3 mths? if heart attack is 2 i dont understand. is this correct?
@ Kevin
For class A interstate cmv operators, FMCSA request a 3 month wait before returning to OTR.
When I was 9 years old, I had open heart surgery. It was an aortic valve replacement so I have a mechanical valve now. I am now 31 years old and have never had problems since the surgery. My blood pressure is usually around 125 over 80. But I do take Coumadin as a blood thinner. Can these issues cause me not to pass a DOT physical? I’m only asking because I will be enrolling in school in the next two weeks and I’m trying to prepare myself for the worst or best
@ derrick
The medical examiner is going to need a medical release form from your prescribing doctor indicating the length of time that you have been on your medications and what likelihood these medication would/could have on your ability to safely operate a cmv.
I have an employee who has been diagnosed with Myocarditis. I do not know all the ins and outs of how this affects his DOT physical. He does not currently drive for us, but wants to move into that position. Will this condition prevent him from obtaining a DOT medical certification from a qualified physician?
@ James R
The medical examiner will ask the driver questions and then should request further documentation from the cardiologist before making his final decision.
I had a heart attack last year and was diagnosed with non compaction heart a heart disease my doctor has no restrictions on me would I be able to drive with this heart disease
@ David S
The heart attack will cause the first series of questions and the non compaction condition will be a contributor to those findings. Once you have a medical release form from your doctor explaining your situation and the possible likelihood of a non risk prognosis, you may be able to continue driving. But you are going to be ask to provide all the supporting information for the CME to make the final decision.
I am a local CDL A driver.
I have had a bicuspid aortic valve since birth. The valve finally failed after years of monitoring.
I had a mild event/heart attack (feb 4)the Dr then chose to replace my Aortic valve,(feb 13) this required cracking my sternum and opening my chest.
I am schedule to get my updated DOT physical May 9th. (which is 90 day from surgery as required) I have a full release letter from Cardiologist.
Am i required to take a stress test as well? And if so follow up stress test?
And if…
Do i get a temporary medical card pending stress test, or do i have to wait for results to be verified by DOT physical Dr?
I am also of the understanding i should only need the Cardiologist release letter for the DOT physical. Is that correct?
@ Kenneth
You have to be fully recovered, without restrictions, Medical release form from your cardiologist, with stress test results in hand before you can do a DOT medical certification examination. And you will need a new stress test every two years if you continue too drive.
I had a MI back in Nov.2017 2 stents, and was just hospitalized Apr 2018 with Angina, they performed a cardio catherization and found no abnormaties or blockages. My cardiologist and primary care doctor botb released me to return to work, do i need another DOT physical since i just took one in December? The DOT doctor says i need to be off for 3 months even though ive been cleared to go back to work. This true?
@ Guy C
According to the FMCSA guidelines, Yes it’s true.
In this case he did not have surgery. The driver did not have his sternum cracked.
The way i read the language says only if sternum cracked is 90 days off work required.
Cath. Replaced valves in fact state you can return to work almost immediately couple weeks.
Am I reading this incorrectly? Thank you for your time.
I had bypass surgery 11 years ago do I by law need to have a stress test every 2 years….especially if my heart specialist does not see the need?
@ James
If you drive class A interstate, then the answer is, according to FMCSA guidelines, yes you must have a stress test every two years. If you driver other than class A interstate, then you should check with your states drivers license department for the most up-to-date requirements.
Thanks I really do not drive I am a diesel mechanic who is required to have a CDL
I had a heart attack 5 days ago. Now what do I need to do
@ James
Heal up, then get a medical release form from your doctor, when he feels that you are ready to return to work. Go get a new DOT physical. Make sure you have a medical release form and a copy of your most recent stress test.
I had an aortic dissection repair last August. The repair went well, but how does this affect my up coming medical card renewal?
@ David W
Your medical card will have to be re-newed before returning to driving. You will need a medical release form from your prescribing doctor and from your cardiologist before presenting yourself to the DOT examiner. He will then make his decision based on his findings and the the other doctors opinions into consideration.
Although the following answers my question but where can I find that I have to have a stress test every two (2) years?
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.
@ Stan B
FMCSA website, if its up and running, for the guideline recommendation of every two year stress testing. Yes, you must obtain a valid medical certificate before returning to CMV operation.
I live in PA Its been 5 years since heart attack and stent placed Can you tell me what tests I need is it an ETTonly 1 time a year or must I still get a stress echo too
@ Ed K
FMCSA would like to have a stress test every two years.
I have 1 stenth from 2009 and another from 2017. They have now put a pacemaker in as well. Can I get a CDL license?
Oh and my Cardiologist has released me to regular work but with a 70 lb. lifting limitation. Will lifting limit effect DOT examination?
@ John A
The stints will require documentation and a medical release form from your doctors. If all else is passing the requirements of a CDL driver, then you could receive a one year at the time medical certificate.
sorry i couldnt find where to post a comment… what happens if you been diagnosed with congestive heart failure. i had emergency heart surgery and had to have a valve replaced and now recently discovered my heart has become weaker…
@ Jeff
What’s the question?
is a nuclear stress test acceptable for cardiovascular issues? i have had bypass surgery in 2014 and was unable to drive school bus because of 35% injection fraction. I had a nuclear stress test performed last year and test revealed a percentage of 47%. asked my doctor about it and they said that i was estimated at 35-45% . I can not perform a regular stress test due to having a defibulator inserted just for precaution.
@ paul d
You drive a school bus and fall under the states variances. From a CME’s perspective, according to FMCSA, you can’t drive OTR, class A. But the state may allow you to drive school bus and the examining doctor will want a copy of your most recent test results for confirmation.
what is the minimum injection fraction allowed to be able to drive class A otr?
@ Jeffrey C
Anything greater than 40%.
I had a lad heart attac 4/20/18 they installed a stent so in your opinion how long will I be off
@ Jim
Hard to say. Once you have fully recovered, have been released by your cardiologist and have a stress test in hand, then you can go for a new DOT medical certificate examination. The CME’s findings will be the final decision maker. Remember that the CME has to function off the FMCSA regs and guidelines and not your doctors opinion, but you will need to be released to return to work without restrictions.
I have been diagnosed, congestive heart failure. Can I get a D.O.T. medical card to drive?
@ Roger
It will all depend on your over-all health and the type of driving you plan on doing.
My husband is newly diagnosed w/ CHF w/ left bundle branch block. Ejection fraction is 25-30%. The cardiologist has put him on beta blockers, bp meds, and Entresto. Also low salt, low potassium diet with fluid restriction. He has had cardiac rehab and doing well but too soon to tell if EF has increased. He may need a pacemaker. He has a MD CDL with all endorsement and drives locally but within the DMV. Can he keep his CDL with a pacemaker?
@ Mykayla S
Once he has his ejection factors up to FMCSA’s guideline levels, then he should be alright if all else is within normal limits. Make sure you have a medical release form completed by his primary doctor with a full release to return to work. The pass maker should not be an issue, once all else is cleared.
I just had an abdominal aortic aneurysm repair with a Stent. My doctor released me to full duty. Now my company is telling me I have to be off for 90 days. Is this true.
@ Bill
What are they basing the 90 days off on?
I have had a graft and s tenet installed for an abdominal aortic disection. Do I have to have a stress test for this and if so is a chemical stress test the same as a physical stress test. The vascular surgeon and my cardiologist are telling me that this kind of Stent does not meet the requirement for the stress test.
@ Steven R
Make sure you take medical release forms from both doctors explaining your condition and situation. The CME will have questions, but you should not automatically be required to present a new stress test.
Hello, I need clarification to see if a driver must be re-certified with a medical card after having a bypass and then having a pacemaker put in? Also, will he have to take a stress test? And are there any other tests that need to be taken in order to be compliant with the state of TN and the DOT and FMCSA?
Will he be able to run interstate or INTRA state? Direction is needed please.
thank you
Susan D (edited by Admin)
@ Susan D
Question one, yes, he will need to have a new medical certification examination once fully recovered and released by his doctors.
Question two, yes, he will need to present his most recent stress test. He will also need a new stress test every two years for his medical card.
Question three, there may be a request, from the CME, for further clarification, if there are further questions regarding your drivers over-all health conditions.
Question four, all depends on his over-all health and findings from the CME.
The rules change from fed to state and differ state to state. So there is not an answer here until all the findings are in.
I have afib that is no longer being controlled by medication. I will have an ablation next week. How long should I expect to be off work, per the DOT, post-surgery? (I drive semi).
@ Garry
Once you have a full medical release from your doctor and can pass a new DOT medical certification examination, you should be good to go.
I got a defibrillator and I got a echo on my heart it was 55% can I get it cut off or not just checking.Thank You
@ Terry
Un-clear on the question.
Can I drive a cmv with a 55% echo of my heart on interstate with a defibrillator
@ Terry
No.
I had stents put in over 10yrs ago, now the doctor will not issue me a new DOT card unless I take a stress test, you want to know how hard it is to get heart doctor here from Washington and every time I get my name on the list see them, I get kicked off because they another person needed the appointment more than I do, they only come once a year for two three days a year, all I want to do is work and put my kids through college, I have no police record, never been arrested, I need the money from driving, I had a class b with PSX endorsemants, I need the money to renew TWIC , MMD cards, I live in Ketchikan, Alaska, the X is hazardous material which I drive a fuel truck and I need that TWIC card, please advise, my email is(personal information deleted by admin).
@ Calvin
You must impress upon these examiners that you need the test to be able to continue to work.
I had triple bypass surgery Oct, 2006. I am told by the people that give DOT physical that I need a stress test every year with my DOT required physical, or I will not be issued a DOT physical card. Is is true that a stress test is only required every two years. I drive in the State of South Dakota, only drive within a 100 miles of home base each day and home nightly. I have driven truck nearly 40 years, clean record, and this is my sole income that I rely on. I stress out about having a stress test each year as is getting harder because of a sciatic nerve problem and at times some knee issue. In very good health otherwise. Can you advise me if every 2 years is what is needed and even though it has been 10 years since I had a heart attack.
@Ronald
FMCSA is requesting a stress test every two years. Also, make that you take a copy of your stress test results with you when you go for your DOT medical certification.
I had triple bypass surgery Oct, 2006. I am told by the people that give DOT physical that I need a stress test every year with my DOT required physical, or I will not be issued a DOT physical card. Is is true that a stress test is only required every two years. I drive in the State of South Dakota, only drive within a 100 miles of home base each day and home nightly. I have driven truck nearly 40 years, clean record, and this is my sole income that I rely on. I stress out about having a stress test each year as is getting harder because of a sciatic nerve problem and at times some knee issue. In very good health otherwise. Can you advise me if every 2 years is what is needed and even though it has been 10 years since I had a heart attack.
Sorry, you already gave my answer. Thank You.
@ Ronald
If you have a class A license and only drive within the state, then you fall under the states guidelines as an intra-state only driver, not FMCSA/OTR guidelines. Check with your state to make the final determination. Stress testing requested by the FMCSA every two years, not every year.
I recently got my DOT med card renewed. I drive a Schwans truck. I have had an implanted pacemaker most of my life. I spoke to the DOT doc about my condition and limitations. She cleared me. The past few years my cardiologist gave me a clearance letter as well to be safe. I recently moved from California to Texas so I don’t have an established cardiologist yet. My employer is now asking for a clearance letter from my cardiologist. I called the cardiologist that I saw last month and although everything was fine, because I have no history with him, he is requiring a stress test before he will sign off on me. I have never in my 35 years of having a pacer been asked to take a stress test. As a single dad of 4 kids, I can’t afford the $1000+ they are asking for up front. Any other way to get a letter. I’ve already been cleared by DOT doc and have a new medcard.
How long does a CDL licensed driver have to be off work after a heart attack and stents that were placed the same day? There are different answers for each, but no answers for when both occur.
Thanks.
You can go back to work pretty much as soon as you’re cleared by your cardiologist and you can perform satisfactorily on the ETT.
I take a blood thinner for afib not due to a heart valve problem.. I’m going for my DOT physical in 2 weeks will I still be able to hold a medical card.
Yes, as long as your cardiologist signs off. I’m a cal holder and been medicated for 5 years with afib…blood thinners and blood pressure meds (9 a day), I get cleared every year. Sometimes, it’s a little tedious with getting everything together, but it can be done.
I had a anagram with a stent put in in may 2017
I had no idea I needed a stress test until i received
a notice from state of Indiana on October 30th.of 2017
I went for my DOT physical and was told I needed a stress test.
how often do i need a stress test in Indiana? can I get an extension
on my time to get this taken care of. I’m running out of time it is very hard to get this scheduled
in a short time.
heart transplant 2 1/2 yrs. ago can I get a cdl ?
I live in PA and have a slight leak in my one heart valve. Will this prevent me passing the dot physical?
I have a ICD, was told by my cardiologist on my last visit that my heart was back to normal. My question is, If the defibrillator part on the device is turned off leaving only a peacemaker active, and givin a good ejection fraction reading could i operate a CMV again?
Hello, I’m 2 years post heart transplant. Can I get a CDL in OHIO?
I recently had a percutaneous coronary intervention (PCI) and stent put in place due to a blood clot. I have been released by my cardiologist and family doctor, but now the company doctor is saying I must stay off for 2 months. if I have read the DOT regulations correctly, as long as I have been cleared my cardiologist and have been off for one week I can return to work. so can you tell me the real answer? why the big difference in a MI compared to a PCI?
I’m 2 years post heart Transplant. Can I get a CDL?
I need an ambulance driver certificate, in California. Obviously intra state. Does my defibrillator disqualify me?
I have had SVT controlled by meds for over 20 years. Over 2 years ago during a stress test I went into Atrial Tach not fib at 230 Bpm with a very short run of WCT. I had a cadiac cath 2 years ago which was negative for any problems. 2 years ago I had an Ablation. All stress tests normal since. All EKGs normal since. 2 30 day event monitors with only PVCs. I have PVCs for over 20 years but of no clinical significance. I do take beta blockers twice a day and another HTN med. BP is very well controlled. Do you see any reason I would fail a DOT physical exam? I am about to start driving school but plan on getting physical first because if I don’t pass what is the point of spending the money. Thank you.
@Terri
Your present conditions are going to raise a multitude of questions so make sure you have a doctors release and up to date documentation for the medical examiner to review.
I got a defibrillator I got a fraction on my heart and it was 55% will fmcsa let me drive interstate now
Can someone let me know
No one is going let me know is it because they don’t know.Thanks
No, not with a defibrillator.
EF of 55% is that good to cut the defibrillator off
@ Terry
The EF may be good but the defibrillator is still going to cause issues until it is removed, according to the FMCSA guidelines.
My husband had surgery to implant a pacemaker. He lives in Ohio but drives long-haul for a company in Arkansas. Can he return to driving after he is cleared by his physician? Can he drive long-haul with DOT regulations?
I believe the requirement is one month and clearance by cardiologist.
Fences states three months and then a recertification, as long as it is a Pacemaker and NOT an ICD. If it is an ICD rules change dramatically!
My husband recently had a heart attack and a stent placement. His cardiologist released him after giving him an ejection fraction. My husband then went to the DOT doctor took and passed all of his physical requirements and he told him he had to be off 2 months before he could return to work. Now he is aying that he has to have an ejection fraction and his cardiologist is saying that it is not safe to do so
@Brenda
This situation is going to have to be resolved between the CME and the cardiologist.
My son is 22 and born with a heart defect. Had surgery at 3 months to repair it. In 2013 he received a defibrillator due to V tac, but medication has taken care of that.. He’s never had a heart attack, no heart failure, no fainting and has no restrictions. His doctors have written a letter explaining he is fine to do anything. The Cardiologist who help decide that having defibrillators means you should not have your CDLs are Cardiologist who deal with 50-60 year old people who acquire heart disease. Adults who are born with Congenital heart defects are a whole different ball game and Pediatric Cardiologist are the experts. The differences are major, he doesn’t have a sick heart. The likelihood of him ever being shocked is less than someone older having a heart attack at the wheel and dying. I want to fight them, just not sure what to do. Any suggestions?
@Sherry
No interstate driving with a defibrillator! This is an FMCSA rgulation.
For intrastate driving, you’ll need to check with your local drivers license department for their variance requirements.
I am an interstate cdl class a driver and have been diagnosed with dialated cardiomyopathy and left bundle branch block. When 1st diagnosed my EF was 35%. My last echo said my EF was 41%, I have no other health issues except high blood pressure which is being treated with medication. Do I meet standards to get my medical card back or is there a fast food job in my future? Thanks for your help.
@Tim
With proper documentation from your cardiologist with your most recent test results, you will be limited to a 1-year medical card, but your factors are in an acceptable range (barely).
My Dad (82 years old) drives a school bus and has been off work for the past year and a half. Due to being hospitalized for a spell that he had causing some disorientation. They were unable to find any reason for the spell that he had but his cardiologist claims he hears a slight murmur. So, will not release him to go back driving the bus. He has not had any repeat spells and healthwise he is doing very well. He has talked to his primary care physician and he says that he sees no reason why he can’t be driving. His blood pressure has been good and all his labs come back fine. So, my question is, Can the primary care let him return to work over what the Heart doctor says. From what my parents tell me, the heart doctor doesn’t want the responsibility of releasing him. From what I have been reading on this site a murmur doesn’t keep him from driving.
@Laurie
That is correct.
Get a medical release from your PCP to take to the medical examiner for a DOT exam.
Can a driver legally drive with a 30 day heart monitor? No diagnosis has been made. Documentation from dr stating that their was no heart attack and are no blockages and can report back to full duty. Even with that and the ct scan results from hospital the carrier is saying the driver has 2 options. 1- stay home 30 days with heart monitor or 2- get a new medical card stating that he can drive with monitor. Thanks
I have a brother-in-law who works for a company that teaches children how to drive, he is about to go into the hospital and have a defibrillator put into his chest, will he be able to go back to work and still teach children how to drive? He lives in Michigan.
@Mel
He should be able to continue, but he’ll need to confirm with with his local drivers license department.
@Steve
There’s a major question here. Something’s going on the he needs a heart monitor so a medical examiner it not going to take the risk of certifying him until the information from his doctor shows that there is no longer a safety risk.
I live in WV and just recently had a pacemaker/defibrillator implanted which I understand takes away my cdl. My question is can I drive a non-cdl dump truck intra-state only? I have a small business and have never had my cdl dump truck more than 30 miles from my home. Thank you in advance for any information.
@Chuck
More than likley, but you’ll need to confirm this with you local state drivers license department.
I had a transcatheter aortic valve replacement (TAVR) , 5 weeks ago. My cardiologist released me to go back driving . How long will Med . Examiner hold me out of service?
@John
You’ll need a medical release form from your cardiologist and supporting documentation before taking the DOT physical. Based on the CMEs findings he’ll make a final decision on that.
My cardiologist furnished the medical examiner a medical release and echo results . The Medical examiner will not check me over until 90 days after my procedure . Seems like a long time .
@John
Not enough information here to be able to answer your question.
The medical examiner was contacted by my cardiologist and he furnished all medical findings and told them I was cleared to drive . M E still insists I have to be off 90 days as per D O T. I can’t find that rule .
@John
The CME is operating of FMCSA guidelines and regulations and has the final say.
I’m 56 yr male and I just went to my personal doctor for my yearly physical. I have hypertension (high blood pressure) was 119/69 with my meds, type 2 diabetic (controlled with diet) 296 lbs
My question is I had an EKG done in the office and showed a right bundle branch block-new finding.
Doctor scheduled an urgent appointment with a cardiologist. Going in 2 days, will this disqualify my CDL? Is this something that can be treated and maintained so I can keep working?
@Tony
Any illness or injury that takes you from behind the wheel of the truck requires a new DOT physical. Once the cardiologist has cleared you you will need documentation from him to take to the medical examiner to help with the decision making process to qualify you for your new DOT certification.
I have had an LVAD inplated on 1-25-17. I was a truck driver for 24 years I would like to know if I could pass a DOT physical with it.
@John
It’s going to raise a lot of questions. You will need proper documentation with a medical release form from your cardiologist to give to the medical examiner. More than likely you will be restricted to intrastate only.
Question: Do I need to fax the report for a wait of information (45 days) to get my medical card because the DOT Exam requires additional medical information about heart murmur 3 or 4 years ago?
@Felix
No, if the CME did a “pending information” report. You need to get that information back to the original medical examiner’s office for the report to be completed. If your current medical card has expired in the meantime you cannot drive until you have a new valid medical card.
I had a heart attack and 2 stents put in 2 weeks ago. PCP cleared me and the Cardiologist. I live in Pa. Do I still need to wait the 2 mos wait period?
@Ed
If your are class A interstate, yes. If not check with your local drivers license department for their regulations. You will need a new medical card.
I am studying for my CDL permit and noticed that the Texas law school states “heart problems” as a disqualifying condition. Would congenital heart defects that have caused mitral and aortic valve prolapse be considered a problem. I am not on any medication for these conditions and have not seen a cardiologist in almost a decade.
I have a heart transplant May 21 2016, prior to that I lived with a LVAD for over 6 years, which that heart was removed and new on transplanted. Saying this, been out of work force since 2007, So my year end heart transplant evaluation is done this month June 2017, so far all is looking well.
I am on life anti-rejection, my infraction rate 59%, stress test came back great, other test came back fine, including biopsy which is 1R or 0R. I do have diabetes which I am type 2 on insulin, latest A1C was 6.3 my best A1C 4.9 was before transplant. However, transplant medication contributes to diabetes levels as well.
I have been seen by endocrinology for past 10 years also, all this under Mayo hospital management.
I am not able to chase bad guys anymore so I need to try something else, so thought about getting paid to travel looks like a good idea.
Thanks,
@Bill
Paid to travel? You could not pass the FMCSA/DOT certification examination at this point in time. If you are considering doing something like hauling campers around the country on less than class A license, then you will need to check with your local drivers license department to confirm your choices.
Hello,
you mentioned “at this point in time” what specific or is it several issues I would I need to address to work on getting, so I am able to pass in future? if in fact there is a future in trying?
In my past dealing with bad guys I was required to have a class A for undercover work.
However, it was in another state that I am not located in now.
I am just trying to figure out if its worth pursuing. Paid to travel, here was my thought buy a truck and trailer and just travel get loads I want in the direction I want, have a nice cab with all the goodies, sorta like a motor home that makes money.
Bill
I had arterial stents (5) placed in me on February 26th and today April 2nd was sent by my company for a DOT physical. When I went into the office they handed me a paper that with stents I would need a release signed by my Dr. and a copy of the stress test and cardio gram. I got all of those for them and then was told I could not get a physical until three months after the surgery. Is this true? My company is now also researching this as they had not heard of this. Where would I look this up. Thanks, Bob K
@ Bob K
It’s a FMCSA guideline recommendation. You will find the guidelines on the FMCSA website, but it will take some looking. Good Luck
Okay,Thanks.Iv’e been thinking about getting into trucking and would like to obtain a class A CDL. I was worried about my condition preventing me from getting a medical card.I also forgot to mention that I live in Mo.
If I’ve had a coronary bypass several years ago, how often do I need to have a physical done for DOT?
@Bill
Maximum one year with supporting documentation from your cardiologist.
For DOT physicals for cdl holders, how long are echo-cardiograms good for? Will I need to see my cardiologist every year for an echo prior to seeing the DOT medical examiner?
@William
Your echo should be good for two years, if everything else is within the normal ranges. You will need a medical release from your doctor supporting his findings.
It was recently found that I have a bicuspid aortic valve and a thoracic aortic aneurysm. My valve is in fine condition. My aneurysm is 4.5cm. Statistically, an aneurysm of 4.5 cm has a 1/2 of 1% (0.5%) chance of rupture. 5.5cm aorta has a 2.9% chance of rupture and is worthy of repair.
Page 227 of the medical examiners handbook recommends not to certify driver if aneurysm is greater than 5.5cm. page 226 recommends not to certify driver if greater than 3.5cm. How is an examiner to make this decision based on my aorta diameter of 4.5cm and such a contrast by the handbook regarding thoracic aortic aneurysm diameters?
@David
CME’s are looking to ruleout high risk factors. Your best bet is to have as much documentaion available to support your situation. The medical release form from your doctor should be a big help. Have him explain what you have and its likelyhood of risk.
FMCSA has given the examiners guidelines/recommendation to work with, so it all comes down to what and how the CME is reading and supporting his decision making process.
Question:
Two years ago last February I had an MI which was diagonosed as takotsubo cardiomyopathy. Does this fall under the guidelines for the DOT medical card as far as needing all the same documentation?
@Michael
You will still need supporting documentaion, even though you should have a full recovery.
I had an MI last may and did everything needed to get recertified. now today I found out I have Atrial Fibrillation for which I need to take 2 medications a day. I cant find any info on if this is something I need to recertify for or just keep using my current physical.
@Dale
FMCSA would like to have you on your new medications for at least 30 days before recertification. Depending on what class driver you are will determine what, if any, restrictions you might run into. Make sure you have a medical release form from your doctor before going for a recertification, if it is necessary to do so based on your drivers license class.
I had a Pulmonary Embolism back in 2000. Dr. I saw today for my re-cert would not certify me unless I got a note from my primary saying I was ok to drive. Have had my cdl since 2011 and this has never been an issue Dr. said the laws have changed since last year but I cant see this being an issue! I live in NJ and cannot find any info to backup this Drs. claim. Could this really be true?
@Phil
The CME is looking for supporting documentation before he will move forward. Just get a medical release form from your doctor explaining your situation and you will be fine.
Can a CDL licensed driver with a pacemaker continue to drive semi trucks
@Mike
If all else is fine and the pacemaker does not contain a defibrillator unit, then yes. A defibrillator is a disqualifier for interstate driving.
Does that go for all states? I’m getting ready to have a pacemaker put in. This job is how I support my family.
Ok I had a check up with my doctor and he gave me a release to go back work but my job say they a form from stress test. I had a stress test done for them a year ago. What I have read the stress test is good for two years. I am trying to get back to work.
@Juan
You may be dealing with a Company policy here. Check with your employer to see their company policy.
FMCSA guidelines state two years for a stress test.
Is an EKG required now for DOT physical’s
@Jeannie
Under certain circumstances, yes.
Had what they call a,aortic valve replacement, and a, aortic root replacement, they call it a third a a a,on June 10th 2015, what’s the chance of driving again, been driving for 40 years and going nuts, please and thank you, ken
@Ken
As long as the condition does not pose any type of safety issue, then you should be able to return to driving. Before you go for your medical certificate examination, make sure you have a medical release form from your doctor and your cardiologist, with a working prognosis. The CME will need as much information as possible to make his final determination.
Question: If I go in for a DOT physical and leave off any information (9 years ago I was diagnosed with an enlarged heart, however in the years since I have lost weight and gotten in shape) could I get in trouble? I haven’t seen my physician in regards to my heart for years, and I have had no problems with it since, so could I just omit the information regarding my heart? Will the doctor’s office performing the DOT be able to look up my past medical records?
@Carlos
Honesty is usually the best policy. That being said, we would just have your primary doctor give you a medical release form stating that you have no present condition or symptoms. Just leaving the information off could be seen as lying on the federal forms that you signed as being truthful.
I had heart attack and stents five years ago live in pa do I need only a stress test or combination of stress and echo cardiogram
@Ed
You will need a medical release form from your doctor and a stress test every two years. FMCSA would like to see an echo included with the stress test, but the medical release from your doctor, with his working prognosis, should be all you need to support the CME for the examination. The CME is looking for any possible safety issues that may be underlying your test results and the information from your cardiologist should be sufficient.
I have asymptomatic moderate aortic stenosis with a valve area of 1.2 and EF >55% and asymptomatic rate controlled a-Fib and have been on an anticoagulant (Eliquis) for over 20 months. I have a letter of assessment from my board certified cardiologist. I was told that a-fib with moderate stenosis was disqualifying. I read in the FMCS guidelines that if both conditions are satisfied and assessed then a determination would made as to how the two together would affect the safety to drive. I had the same condition last year with the same assessment from my cardiologist and was qualified. The same doctor at Concentra disqualified me this year..
@JRS
You might want to take the information and documentation to someone else for a second opinion. If all of your records are recent and up to date, then it should be looked at in its entirety, not just glanced at.
Thank you … That was my plan as well !!
Concentra disqualifies everything they really should not be in the DOT program theytried to disqualify me for taking.coumadin saying.i needed 2 years worth of INR.checks come.to find.out only pilots.need the INR checks went to a an irgent care ru. Bu real medical doctors who ha e been.certifying pilots and drivers and found.out that fhey are doing a.DATA Base for themselves i have also told them they are not my attendei g pbysicians and DOT /Fmcsa did not require that much knowledge even pulled it up and showed them.and the PaS WERE LIKE IT DOESENT MATTER ITS OUR WAY OR NO MEDICAL CARD no actual doctors do the DOT physicals they are done by pbysicians assts only and somstimes.there are no doctors on site.
As an employer that is required for drivers to have a DOT physical paid by the company, we have an employee that requires a stress test. Is the employer required to pay for the stress test or is it the ee responsibly.
@Ellen
Our focus is on requirements to pass the FMSCA medical certification.
That being said, we cannot imagine that an employer should be responsible to pay for an employee health test, but we recommend you check into this with a party who is better qualified to answer such a question.
Does having AFIB disqualify my CDL?
@Tom
It needs to be asymptomatic and you will need documentation from your cardiologist. Have your cardiologist fill out a medical release form for you stating your present situation and his working prognosis. The CME is looking to confirm that there isn’t a safety issue in the works.
2/26/2017 i have afib heart rate was about 144 they put me on a anti aruithmic medicine and know have pacemaker and a stent can i still drive
@John
More than likely. You will want a medical release form from your doctor explaining your condition and a working prognosis. As long as the pacemaker does not have a defibrillator with it, you should be OK. Bring any documents that will help the examiner support his final decision.
I had a heart attack on Feb 22nd ’17. I’m aware of the can’t drive for 2 months rule but does that mean I can’t work at all? My Cardiologist has already approved me to go back to work. I was wondering if I could work for my employer in some capacity that excludes driving?
@Jack
Only your employer can answer that question.
Had heart attack on 12/10/16. Had nuclear stress test and was re-certified on 2/13/16 and received medical card for one year. DOT doc said I needed to have another stress test halfway between my heart attack and my next physical which will be in February 2018. This means I should have another test in July 2017, however, it seems as though I would need one closer to being re-certified in Feb. 2018. I asked the doc about this more than once, but she insisted I needed one in July 2017. Is that correct? I don’t have the money to keep taking these tests and don’t want to get one in July and then be told I need another one right before the Feb. re-certification. Thanks for your help.
@James
FMCSA wants a stress test done every two years. When you get that done is up to you and your cardiologist, not anyone else. Check with your cardiologist and make sure you have a copy of the results and a medical release form from him too.
So, if I’m understanding your answer, since I had a stress test in Jan. 2017, I do not need another one until Jan. 2019. Do I bring the results of that stress test to the DOT doc again for my Feb. 2018 re-certification? Also, I do have the release letter from my cardiologist for that Feb 2017 re-certification. Do I just need an updated release stating that I’m still able to work for that next DOT physical in Feb, 2018 along with the stress test results from Jan. 2017? The DOT doc was adamant about getting another stress test – what if they won’t accept the Jan. 2017 stress results again and insist on an additional one. I know this gets complicated, but I don’t want to get turned away because someone is insisting on something that I don’t even need to have. Once again, thanks for your help.
@James
You only need a stress test every two years and it is helpful for the examining CME to have the most up to date medical release form from your cardiologist with his working prognosis each time you go for your DOT exam.
I went and had my DOT physical the Dr. said since I had a stint 15 years ago I needed to have a stress test. I have done that and now I’m waiting of the results. My question is if my medical card expires before I get my new one will my license be revoked and will I have to retest to get it back?
@Troy
Best bet is to contact your local drivers license department and let them know the situation. They will tell you what their process is. Each state has their own process.
Hello, I have a thoracic aortic aneurysm at 4.4 cm. Do I need a letter of clearance from my cardiologist in order to drive? Thanks
@Jim
If the condition is asymptomatic, then you should not have real issues. We would recommend that you have a medical release from your cardiologist explaining your situation and working prognosis. The information helps the CME with documenting his decision making process.
My husband had coronary bypass graft surgery in Nov 2015. He had a echocardiogram and a medical release form from his cardiologist in April 2016. He received his medical certification at that time. I understand that he will need a yearly recertification with a medical release from his cardiologist and an exercise stress test every other year. My question is, as he had an echocardiogram and not an exercise stress test last year, will he need the exercise stress test this year or next year?
Thank you
@Sharon
FMCSA would like to see a exercises stress test every two years, so you will probably need one done before going to the next DOT physical. Also make sure you have a medical release form from the cardiologist, it helps the CME in his decision making process.
my husband has had two heart attacks and had a pacemaker, defibrillator for almost three years now. he has a class b cdl. can he go back to driving? he also had a stress test about a year ago and it was good. his cardio doc says he is good.
@Marie
He will, most likely, be limited to intra-state only due to the defib unit. It falls under the states variances and not the FMCSA, so check with your local drivers license department to confirm.
FMCSA will have him disqualified for interstate driving. Stress test results need to be available every two years.
thank you so much for info. yes he just had stress test in 2016. everything looked great. he is wanting to go back to work. this is good news.
@Marie
You are very welcome! Thanks for appreciating us.
Best wishes for your husband’s continuing good health!
I hold a CDL-A license. Can an FMCSA Commercial driver in the State of California hold a CDL-A license with a pace-maker implanted ??
What are the limitations, if any, and the time constraints involved?
@Steve
Pacemaker with no defibrillator should not be an issue by itself. If there are limiting restrictions placed on the driver, then it starts being an issue of ‘medically fit for duty’, there is no light duty for a class A interstate driver. Get a medical release form from you doctor explaining your situation and condition. You will be limited to one year at the time due to the pacemaker and may have request for additional information from the CME. Good Luck.
Will there ever come a time that you don’t need a doctors note for having a stent put in
How long after having a stent put in do you not have to have a doctors note
@Doug
No such thing. You need a medical release form from your doctor and if the condition was serious, you may need a recent stress test or other supporting information from your cardiologist.
I hold a Class A CDL and drive for UPS. I recently had a permanent pacemaker installed on December 16th, 2016. I have been diagnosed with Sick Sinus Syndrome with a high grade AV block. I have been doing some research trying to figure out if I fall into the 1 month or 3 month window for my medical release. I did not have a defibrillator installed. There seems to be some conflicting guidance amongst the FMCSA manual (2002) and the FMSCA Cardiovascular Disease Executive Summary (2007). Can you please shed some light on which category I fall into?
@Matt
Once you have a medical release form from your cardiologist and are fully healed, then you would fall in the 1 month wait period. For your type of condition, you will need 1 month post op. fully recovered and a medical release form from your doctors to return to work. Also, if you can, provide any other information that you can for the CME. All documentation is greatly appreciated.
can i drive a hazmat oil tanker in the state of tx with an icd
i forgot to say that i hold a class a drivers license
@Will
You will need to check with the local state drivers license department on this one.
As an intra-state only driver, we suspect you can, but confirm with DLD.
You would not qualify as an interstate driver with the ICD.
I have a leaky valve will I be able to pass the dot phyiscal.
@Cerrady
A little more information would be helpful here. Which valve and how leaky?
Can you drive a semi after a heat transplant?
@Stacey
I assume you mean heart transplant. If that is correct, then it is a one year post transplant before you can go for a new DOT medical certification and your card will be good for 6 months at a time. FMCSA wants a full re-evaluation every 6 months to keep an eye on you.
What are DOT requirements for frequency of cardio stress test post heart attack?
@Marian
Stress test available every two years.
My dad has his class B license with hazmat and tanker endorsements he will need to get a pacemake and defibrillator in march to correct an irregular heartbeat hes been experiencing will this inhibit him from continuing to drive an oil truck? Will he be able to obtain a dot medical card?
@Matt
With FMCSA he would be disqualified due to the defib unit.
But, because he is a class b he will fall under the states variances. So first check with your local drivers license department and see if they have any restrictions.
Also when you go for the medical examination, make sure you have a medical release form from the cardiologist. Don’t try to do the physical before you are fully healed and fully released to return to work. The CME will need documentation to support his final decision making process, so have your paper work ready before you get there. Good Luck
can I have a cdl with having a heart pump on all day
@Mark
We need a bit more information before we wonder into an answer.
If this person is referring to a Ventricular Assist Device (VAD) which is a heart pump then if your physician approves you can drive Class C(auto)after recovery and assessment. Every heart failure situation is different but I know from personal experience that I wouldn’t want to or should not drive a truck with a VAD. Some people have to have a VAD for the rest of their life(destination therapy) and may regain strength to feel they could drive truck again. I had a VAD for five months(not fun) and then a heart transplant. I finally feel now(one year post transplant) that I could drive a truck if I wanted to go through all the hoops. I never had a class A license but had class A permit when I was younger. Bottom line: Consult your doctor 🙂
due to meds & a operation – my left ventricular ejection fraction pressure went down to 31 -since ive been off meds etc the pressure is 55 – will I now pass my dot physical at 55?
@Dick
FMCSA is looking for 40 or above, so if all else is good, then you should do OK.
I have had mitral valve prolapse since the age of 21, I am 49 now. I am not required to take any meds for this except aspirin 81 mg for blood thinning and cardizem if I have any palpatations, have had to take maybe 2 in the past yr. I have had a CDL since 2000 and have reported this condition every year. Suddenly today the examiner said I would have to be cleared by cardiology in order to retain the license. I have had no recent problems with this condition. What gives?? I live in Tennessee and this has never been an issue before. Insurance will most likely not pay for this.
@Larry
The CME is looking for a confirmation that all is well with you. Just get a medical release form done by your primary doctor and it should help satisfy the examiner.
I have symptomless premature ventriclar contractions. Would this prevent me from passing the cdl physical?
@Mark
Get a medical release form from your cardiologist and have him explain your condition and its risk factors. That will help the CME to make the best possible decision regarding your case.
Am in tn.I got state of tn.new laws July 1,2016 it tell me I can drive a cmv with a defibrillator but when I go to the dot they no when it comes to the defibrillator an yes tn.pass the law number 779 an the dot don’t know anything about it who do I talk to about this help me on this I got to drive a truck again.Thank You
@Terry
Only the people at your drivers license department in TN can help you. If you get conflicting answers, then go up the chain of command.
Thank you
I was Recently diagnosed with diastolic heart failure. .Is that a disqualifying condition?
@Stephen
Because this now becomes a major safety issue, you will want to have a medical release form from your cardiologist explaining your condition and prognosis, along with any test results that you have. Based on all the available information at hand, then the CME will make his final decision.
I just received a two year card before this diagnosis. I should have also mentioned the other conditions COPD(chronic bronchitis) and CKD (eGFR of 38)
@Stephen
The above answer applies. You must have a new medical examination to assess the safety issues.
State of tn.new law on defibrillator and cmv I can drive my defibrillator as not got shock in 6 mo. I took my dot I pass but did not get the card because of the defibrillator so can I pass the dot an get a card with a defibrillator I just need to know
@Terry
You would want to know if this is a state law. As an intra-state only driver we believe you are correct. But you want to confirm with your local drivers license department.
Interstate is going to fall under federal rules and regulations, which no-one has seen in over two years due to FMCSA re-vamping the guidelines. The CME is going to stick with the guidelines that he has and reduce his risk by limiting you to intra-state only.
Have a current valid DOT card not due for another 9 months. Also just got out of the hospital for pulmonary embolism. Treatment was fine, and I am on long term therapy, but my interpretation of the rule is that I am “on the shelf”, driving wise, for 3 months,
Correct?
@Dave
Your valid medical card expired the moment you went into the hospital.
What you need now is a medical release form stating that you are fully recovered and then go get a new medical certificate so you can drive again.
Understood about the new medical card, but my understanding of the “fully recovered” part is that regarding pulmonary embolism, one has to be symptom free for at least three months before a new card can be issued.
@Dave
The FMCSA guidelines do recommend a three month waiting period with no embolism.
I am 42 and just had a nysdot physical examination. I got a letter back saying my blood sugar was 102 and my Hdl is 33 and my ldl was 126. Would these disqualify me from getting certified and driving for the state?
@Kurt
No, your blood sugar is within the normal limits and there is no DOT testing for Hdl or Ldl.
Two years ago I had cardiac arrest and had a ICD implanted, the only reason is low potassium.and since then I have been given a excellent bill of health Now I am unable to get my medical card. I live in GA. Drs. said I have no heart problems. What can I do to drive again. I have a letter from my cardiologist stating that the ICD never fired off. I don’t take any medications and just would like to drive again. What should I do? Also if I were to get the ICD removed will this requalify me?
@D O
The defib unit is the main question and FMCSA is being very strict or clearing OTR drivers with one installed. If you were to uninstall it, then you should be fine, once you are fully healed following the procedure. Good Luck
I have a defibralator and it didn’t help my numbers etc. I was able to get on SS disability because of it , but I had several heart related conditions. I was about 53 at the time I applied and had no problems receiving SS.
My son trainer had a heart attack will he be able to drive a CMV again?
@Jose
Not really enough information in the question to give you a solid answer, but more than likely.
Can an FMCSA Commercial driver in the State of Arizona hold a CDL with a pace maker installed? What are the limitations, if any, and the time constraints involved?
@Lisa
If it is just a pacemaker and does not contain a defib within it, then you’ll be fine.
Your medical certificate will be limited to one year at the time and you need a medical release form from your doctor at the time of your next medical examination, along with any other documentation from your cardiologist.
Does that also apply in Idaho?
If the condition is Bradycardia and if they get a Artificial Pacemaker can they still drive buss’s or commercially?
@Mary
Pacemaker falls with in the state’s variances and not federal. So check with your local drivers license department to confirm that you are OK to drive a bus.
Does a persons Ejection Fraction have to be a certain number before they can qualify to drive on the interstate?
@Marla
Yes, ejection factors must be at 40% or better for LVEF.
I have been diagnosed with CHF (congestive heart failure and cardiomegaly).
Will this automatically disqualify me for DOT physical and CDL ???
@Jeffrey
It is going to cause a lot of questions and will require proper documentation to support the CME’s decision to pass or fail you at the examination time. Get medical release forms and a prognosis from your doctors before going for the examination. Also check with your local drivers license department for intra-state only driving.
I had a mild heart attack in may of 2011 i had a pacemaker with defibrillator implanted. I was told that i could get a one year dot card. I am under doctors care and i also have a home monitoring device. I see my cardiologist in office every 6 months and i also do electric home monitoring check up. last year i did a stress test and the results was fine and my cardiologist said i was clear to drive. This year i was also clear to drive. and my doctor gave a me a letter stating that i was cleared and was under his care. But when i went to do my dot she failed me because of my defibrillator. I talked to someone from federal and they told me it was up to my state. I callled my state and they referred me back to federal. She also told me that it was up to the doctor, but it still left unanswered questions. I dont know what to do now im lost. Need help resovling this issue I need to drive its my way of life and i have been driving for 14 years i have a class b and drives a school bus. please help
@Craig
You fall under state variances and not FMCSA.
It is up to the state to provide you with the proper answer and the examiner needs to determine your status based on the states variances, not FMCSA. If the examiner does not take this under consideration or does not know the answer, then go find an examiner that does.
If your in Louisiana it will disqualify you..
have a medical hold on my cdlclass a do i need a medical card if i change to intra-state and only travling a mile or two a day as spotter
@Jim
If you shift to intrastate only, you may be able to get a medical card within state variance guidelines.
Technically speaking, if you drive for a commercial reason you need a medical card. However, if it looks like you’re just a personal driver, who’s going to ask? It’ll be up to you to make this differentiation.
am I disqualified from my cdl if my pressure in my left venttrical is 30 instead of 40 & can pills correct this
@Dick
FMCSA requires 40.
You’ll need to work with your primary doctor to try to correct this condition.
I had a Stent put in had a stress test with a abnormal reading but was cleared by my Cardiologist. Seen a examiner and was passed. I went to a interview for a different job seen their examiner and he said i failed due to the stress test performed even though my Cardiologist and former Examiner cleared me. He said he will turn it in as a fail what do I do ?
@Keith
Go to another CME for a second opinion with all the information in hand.
We have a new driver who came in with a 2 year card. His DOT physical paperwork said he had WPW open heart surgery in 1986. Can he get a two year card with that history?
@Jane
FMCSA recommends a one year card at the time along with supporting information from the primary physician. He also needs to have a stress test in hand done every two years, along with medical release forms from his cardiologist.
The new law about defibrillator it says if I don’t get shock with in 6mo. I can get a release from the doctor is that so
@Terry
We have not seen any changes coming down from the DOT or FMCSA that a defib is acceptable. You could try FMCSA and ask about a possible exemption, but that is the only process that we’re aware of.
Had a heart attack 4 months ago stress test done two days after the attack the ejection fraction 37% what is required to get dot medical card or do I get a new stress test done
@Jose
Ejection factors have to be above 40% before returning to driving, according to the FMCSA.
How long do you have to be off after you have a heart attack
@Scott
Once you are fully recovered and your cardiologist releases you with an up to date, recent stress test that shows you are truly ready to go back to work without any known safety issues.
FMCSA recommendation is a two month waiting period following the date of the heart attack.
During a regular physical exam I was found to have a Right Bundle Branch Block. They Doctor was not concerned but wanted to give me a Stress echo Exam. I passed with flying colors and that was it. He said there is nothing to worry about and that most people that have this never know about until they have an EKG.
Will this prevent me from getting a CDL or a DOT physical?
@Bob
Make sure you take your doctors findings and explanation along with a medical release from him to the DOT examination. The CME needs as much information as possible to make his/her final decision.
I had an MI oct 11 and an icd implanted may 12. I had another MI mar 14. just recently had am echocardiogram done and was told my EF is 50-55%. is the fact I have the ICD enough to prevent me from obtaining a CDL?
@John
You would not qualify for an interstate, but may qualify to drive intra-state only. You need to confirm that with your local drivers license department.
I had a heart attack last year and my doctor 6 days later he give me stress test and doctor release to go back to work should I been able to get a new physical card.
@Donald
Make sure you get a medical release form from your doctor, along with your last stress test results.
With the information in hand you should be able to get a one year medical certificate, if all else is good.
I have an irregular heart beat (A-Fib) and my cardiologist has told me I can forget about it or try to correct it with a 50/50 chance of success. Can I still get a 2 year DOT Medical certificate?
@Don
Not sure that you will qualify for a two year card.
Start with a medical release form from your cardiologist explaining your situation. If all is supported by the cardiologist then the CME can make the best decision he can based on all the information that you bring in.
Is a Bicuspid Aortic Valve a disqulifier for intra-state bus driving in PA.
i was born with a heart murmer caused by a bicuspid valve. i have an echo done yearly and no problems at all. will this disqualify me from passing dot physical?
@Teresa
No. Make sure you take documentation with you for the CME so he/she understands your situation.
My brother has been a truck driver for yrs.
In 2015 Federal Regulations were passed that if a CDL holder did not get medical card renewed in a certain period of time then the CDL would be downgraded. He went 5 yrs not driving & didn’t get medical card renewed. His license was downgraded to a Class C (motor vehicle ) license.
A few weeks ago he went to the DMV to get his CDL CLASS A renewed.He was told by DMV that all he needed to do this is to provide proof he was a former CDL CLASS A holder in the former State he lived & get a DOT Medical card & he can get his CDL CLASS A back without having to retest.
4 1/2 yrs ago he had a mild stroke which his arms & legs r 100% on right side & 50% on left side. His left side is 1/2 the strength of right side.
He has been on Plavix 75mg ×1 daily for 4 1/2 yrs & has had no other problems.
Can he get his Medical Card after a mild stroke ?
@Patrick
Only if he can perform the duties of a CMV operator. He may need to have a skills performance examination done before he can be granted a full CDL class A medical certificate.
He might also check with the local drivers license department and see what his chances are with an intra-state only CDL.
He will also need a medical release form from his neurologist in regards to the stroke and his present capabilities and restrictions.
Switching companies DOT physical physician says i have a irregular heart beat which I find out runs in the family. So she put med. Card on hold till i have a EKG. Which informed her was done last year when my brother received news he had long term QT. Syndrome. EKG was negative for me, but Doctor ordered stress test as a precaution. I didn’t do stress test. When I faxed over EKG results to DOT. Physician the notes had in them about Doctor wanting stress test, now DOT physician wants those results to determine med. Card. I have been driving 5 years now and never been told i have a irregular heart beat. With 3 physicals. What do I do or can I even drive if the stess test come back comfirming irregular heart beat.
@Gary
Your EKG should be good for at least two years. An irregularity is not a disqualifier, so if you get the new stress test, they are looking for anything that would be a safety issue. There are plenty of drivers out there with an irregular heart beat that are not a safety issue.
I am in the process of getting my cdl. When it comes down to passing the medical requirements I had my aortic valve replaced when I was 11 (now 26) would that disqualify me? I also have hemophilia A severe which means my blood does not clot without medicine. With the medicine it all stays regulated. Is that a disqualifier?
@Chris
Just make sure you take a medical release form from your doctor and have it with you before you go in. With the information, explaining your situation and condition, you should be OK.
I do not have or need a CDL but I require a DOT physical every two years. Does having a PVC in the heart and being prescribed a beta blocker ( low dosage 25mg) affect my DOT status come time for my physical?
@David
A medical release form from your doctor will be a huge help for the CME and explain your driving situation. That should be all you need for the next DOT examination.
I had surgery 3 months ago for fluid around my heart and lung they got all the fluid out and I’m fully recovered and am able to fufill all requirements will the surgery stop me from getting my cdl
@Michael
No, you just want to have a medical release form from your doctor. Then you should be alright.
I am a Nuclear Medicine Technologist, and I would like to know if we can do Pharmacologic Stress tests on patients that cannot walk on the treadmill and reach their THR or have a contraindication such as a LBBB or pacemaker(being paced at the time). We don’t normally walk these patients because it will give us a false septal reading on our images.
We can still get a EF but not METS. We can let you know that they have no ischemia.
@Diane
For a DOT interstate driver the FMCSA is asking us to determine a level of ‘fitness for duty’ which would require that they be able to perform the duties of a commercial motor vehicle operator. That requires the ability to get out of the truck, move around the vehicle doing onsite inspections (bending, stooping, lifting, etc.), pull on trailer tandem locks, etc. If the individual can not walk on a treadmill to perform the stress test, then they are not medically fit for duty, according to the FMCSA.
What are the return to work guidelines for someone with a pacemaker? Specifically replacing the pacemaker. How long should the patient be off work?
@Lu
One to three months wait following implant, as long as there are no other symptoms. If no follow-up symptoms after your replacement and fully healed, is usually one month. Make sure you have a doctors release form from your doctor before you go for the new medical certificate.
If I have a new DOT medical certificate that does not expire until June of 2017 and just have received a pacemaker July 11, 2016 ; Am I eligible to drive a school bus in Texas, which I have driven for 5 years?
Bill H…Georgetown independent school district school bus driver
@William
Once you are fully healed from the surgery, then take all of your information from the doctor, along with a medical release form, with you for a new medical examination and certificate. You should be able to continue your driving career, as long as everything else is good.
I have an ICD implant and recently had a non invasive procedure and I am fine no more AF am I able to get rectified for my cdl license to drive cmv I will be off medication for AF and only on blood thinner
@Phillip
Still have the ICD? If so you do not qualify yet. If the ICD was removed, then you are on the right track to returning to driving.
I talk to a state trooper at a dot scale he said if I get a release from the doctor I can drive again I got a defibrillator is that so let me know .Thank You
@Terry
Are we talking interstate or intra-state?
Interstate CDL, FMCSA says no defibs.
Intra-state only starts working on the states variances.
Trooper said all 48 states but you got to get ado for release
Will I be issued a renewal of my DOT physical if I have had a pacemaker installed In the past 30 days?
@K B
Once fully healed and released to go back to work, make sure you take a medical release with you and you should be pretty good to go. Pacemaker isn’t a problem unless there is a defib attached to it.
I am a self employed truck driver for 20+ years at my own business. I have been monitored by a heart specialist from Cleveland Clinic for 15 years for an enlarged aorta. A week ago at my appointment they want to replace the aortic arch in the next 2 months. This isnt an emergency, take no medications and have no problems. And will not have take any medication after.Dr. said i will be off work for 3 months. My medical card expires in December 2016. Will this surgey effect any problems with me getting a renewal?
@Emily
Just make sure that before you go for the DOT examination that you have a medical release form from your doctor explaining your condition and what has been done to get you back on your feet.
With the information in hand before you go should help the CME make the best decision possible. And you should not have any issues unless something else crops up.
I was in the hospital for a heart attack. I have a DOT license and drive a school bus. It has been a month now and my cardiologist says I can go back to work. Some people say DOT does not allow this so soon but my cardiologist says I am cleared. What if I do go back to work who is to say I can or cannot go to work? What can happen if I do go back to work and DOT asks me about my health when i go for my renewal?
@Sparky
A lot here will depend on the type of DOT license you have to drive a school bus. So give us some more clarity and we will try to answer your question.
I had a DOT physical. The examiner said I would need to get a release from a cardiologist because I have WPW but she wasn’t sure if I could get the card even after getting a release from a cardiologist because of new rule changes. I have been on medication for this for 16 yrs and do not have any problems. Would new rule changes prevent me from getting a card?
@Steve
There were no new rule changes. Only the new physical forms changed, but there were no new regulations or guidelines issued by FMCSA.
You should be just fine with the cardiologist release form.
I had a heart attack a few weeks back. I had a choice between a defibrillator or a pace maker. I have my CDL’s and drive a dump truck for a living. That is all I know and that is how I support my family. Before any procedure was done I asked the doctor would I be able to keep my CDL’s. The doctors told me I could keep them with a defibrillator but not the pace maker. Of course I opted for the defibrillator. Now I am being told I have to give up my CDL’s because of the defibrillator. I live in North Carolina. Can you please tell me if I can keep my CDL’s.?
@Joe
Your doctor had the situation reversed. Pace maker no problem, defib. is a problem.
If you drive dump truck and you work within the state only you should be OK. Check with your local drivers license department and confirm. If you drive intra-state only you then fall into the state’s regulations and not the federal DOT guidelines.
I don’t know,but my doctor telling me lies to,I had a virus that caused heart failure,he told me if my ef wasn’t better in a certain time,it won’t get better,it did some research,the heart can better at any time,it told him this he agreed,i now know I got to get a second opinion
hi I been driving a truck 35 years and never ever had a problem taking a physical,drug test alcohol test,so back in 2015 I had to get 2stent put in, I was in the hospital for 3 days I was told by the doctor I would still have to take 7 more days off work so after taking 10 days off I returned back to work I work for a moving co,so on april 18 2016 I went and took the physical and drug test and everything was ok until the doctor started asking me if I ever seen a cardiologis and I told him no that back in January of 2016 I was iaken off my medicine and really didn’t fell like I needed to see one now this doctor wont give me my med card unless I get a stress test done,now my cdl going to be suspended because I cant get a cardioligis for 2 months,i guess I just go collect disability for now
I had a aortic valve replacement in 2013 and my cardiologist has released me back to work will this prevent my from obtaining my cdl
@Robert
Not as long as you have the proper documentation to support your medical fitness for duty in hand for the DOT medical certificate examiner. Get a medical release form from your doctor and have copies of all of your latest tests before you go.
I was recently diagnosed with atrial flutter. Will this keep me from getting a CDL.
Thanks
@DJ
Did you mean CDL or medical certificate?
Get a medical release form from your doctor explaining your condition and whether or not the condition is stable and what is his working prognosis. Your medical certificate may be limited to one year at the time, the CME may want to continue to monitor your progress.
Hi, I have been a bus driver for many years. I am in good physical addition, I work out four days a week eat right and seven marathons. When I went for my physical all of a sudden my blood pressure was high, it has always been normal, including last month when I went to my regular doctor. So now they have me on medication for high blood pressure but every time I check it seems to be different, all Over the place. I will check it right before the doctors office and it’s fine, then two minutes later it’s up, seems to be triggered by anxiety especially now that I’m trying to pass my physical. Any thoughts?
If I cannot pass and lose my job does anyone know if I can file for disability, or take medical leave without losing my seniority and pension or any other suggestions until it’s better?
@Leah
140/90 is the FMCSA requirements, if you have never been on blood pressure medications before and are above 140/90, then you should have received a one year card to get it together. After that, if your bp is still above 140/90 you could receive a one time three month card to get it together. After that you are SOL until you get it under control. No disability that I know of.
Today I had the treadmill stress test w/my cardiologist overseeing it and she said I did very good. Everything will be sent to the DOT doc, but my cardiologist said she is not allowed legally to sign any medical release form. She said everything about my heart would be explained so the DOT doc would conclude my heart is not in question for a new medical card. She said she’s done this w/ other drivers. My cardiologist and DOT doctor work for the same big health system here in PA., (you’d know the health system if I said it)
I had cardiac bypass surgery on 03/05/2009, when I went to get my new medical card the doctor said I had to have a treadmill stress test, that a chemical stress test wasn’t good enough, my cardiologist said he never heard of this. He gave me a letter releasing me to drive, but the DOT doctor said he couldn’t accept it. Do you know of any reason why?
@Jack
It is a FMCSA requirement not up to the cardiologist to make that decision. The CME needs to cover his decision by requiring a new stress test every two years. The medical release is helpful, but the CME is still going to want a new stress test. That’s FMCSA requirements.
The question is, does it have to be a treadmill test or can it be a chemical?
@Jack
FMCSA would like a treadmill stress test. They are looking for ‘medically fit for duty’ as a commercial motor vehicle operator and you would need to perform the duties of a CMV operator. Check for job description on the FMCSA website.
The guidelines on the form itself, 49 CFR 391.41 Physical Qualifications for Drivers, DO NOT REQUIRE a stress test. It is left to the CME.
In my opinion, a DOT physical CME is not qualified to “order” a stress test that a board-certified Cardiologist does not feel is necessary.
My doctor want my INR at one Level can DOT change that and would that safe for me
@ Allen
Not clear on the question here, please re-phrase it so we can better answer your question.
can you tell me what if an anyurism
decertifies you from driving if your cardiologist says its stable
@Theresa.
Get a medical release form from your cardiologist explaining his findings. With that in hand you should be OK.
it is a thoracic anyurism that is 4.6 cm and he has said it was stable and the dr doing the physical disqulified me is there anything else i can do
@Theresa
Between 4 and 5 cm simply requires a medical release form from your doctor. Make sure he understands what your job is so that he can help support the decision to clear you to drive. The CME should accept this information and as long as your condition is asymptomatic, you should be fine.
I was diagnosed with left ventricular hypertrophy (LVH) after an ECHO & EKG. This was done because my pulmonoligist had me taking modafinil. The modafinil was discontinued because of the LVH diagnosis (mild). For my upcoming physical what will be needed to pass w/the dot doctor? Is a chemical stress test acceptable instead of a treadmill test?, this would be because of my weight. Thanks.
@ Rick
Get medical release form from your cardiologist along with your last stress test results. That should be all you need. Don’t think the chemical stress test will hold the same weight as the treadmill, but if your cardiologist is willing to do it and sign off, then you may be good to go.
I had a myexoma removed from my left upper heart chamber. How soon can I got back to work and what will need to do to be recertified.
@ Franklin
When you are fully healed and fully recovered, you will need a medical release form from your cardiologist, as well as any final test results. With that information in hand then go for your DOT medical certification examination.
Is a stress test required every year, I had bypass 18yrs ago, been seeing my cardo doctor regularly, last stress test by them was in 2014, getting ready to get recertified, will I need another stress test?
I have irregular heartbeat does that disqualify me from driving CMV class B? My last exam was Oct 2015 and my report shows normal peripheral pulses, regular rate and rythem. I had a dot physical done in August 2015 and passed, the company I’m wanting to drive for failed me.
@ Deanna
Just have your cardiologist give you a medical release form stating that your situation is within normal limits and the CME should have all of the information they need to make an intelligent decision.
Thank you, this really helps. I appreciate your prompt response.
I’ve been trucking for almost 50 years and have had the widow maker about 5yrs ago. Time for a stress test for certification but would like to know if I have to have one for a local intrastate certificatation in Missouri? Thanks.
@ Steve
If you can get a stress test done, then it does not matter where it is done. As long as the doctor can clear you to perform the duties of a CMV operator. Then take those test results and a medical release form from the doctor to the CME when it is time for your medical certificate examination. You will need a new stress test every two years.
In New Jersey minimum ejection faction for medical cert Cdl with Passenger endorsementqst
I had Triple Bypass surgery in 2008. I ‘m told by the people that give my DOT physical, that I need to get a Stress Test every year with my required DOT physical, or I will not be issue a DOT Physical Card. I have fellow Truck Drivers that also had Heart surgery, and need to get their DOT Physical every year also, but they get theirs at another place, and have never been required to have a Stress Test. The last two years is when they started requiring me to get a Stress Test, and the only difference is. 2009- 2013, I got it at a Health Center, but in 2014-2015 they started doing the DOT Physical’s at their main Health Campus. Both places are own by the same organization. The problem I have with the Stress Test, is the Test cost me $1000.00 each year. I’m required 5 METS, and have pass both times with 10-METS. My question , is a Stress Test required and how often, in Pennsylvania? And could you email the paper that would state the law that shows what is required for a DOT Physical pertaining to a Stress Test in Pennsylvania
@Warren
Stress test every two years and a medical release from your cardiologist each year when you go for the DOT physical.
i had quad bypass in 06 and never have i had to show a stress test but the one time after the surgery and my card is good for two years must be each state with there own regs
@ charles
Thie is not a state thing but a federal regulation. Stress test every two years and one year medical certificates following bypass surgery.
Is there a waiver process for an individual if there was only one event which resulted in the need for the IED and in the 9 years since it was implanted, it has never fired or attempted to fire. The cardiologist for the individual has no problem writing that he is in excellent health and that he is experiencing no cardiac issues. The individual has been a route salesman for 35 years and drove a box top truck and the company is now requiring DOT approval to drive the same truck and he is at risk of losing his job. There must be some kind of waiver or exemption if the defibrillator has been in this person’s chest since 2007 and it has never fired or attempted to fire. He has no visible cardiac issues and has annual updates with no issues.
@Penny
Consider checking with the state drivers license department. If he is not a class A driver and only driving a class B vehicle, then he does not have to withstand the class A examination. Defib’s are a disqualifier for class A.
But within the state drivers can, and in most cases do, pass for intrastate drivers without a waiver. So check with the state first about their requirements.
I have CHD (hypo plastic right heart syndrome, transposition of the great arteries) I have also had a graft put in my aorta due to aneurysm and had a mechanical aortic valve so I’m on blood thinner for the valve. I’m pretty sure this disqualifies me but I just wanted to ask someone who might know for sure.
I have a mitral valve prolapse and have been having issues with it acting up. I have been to the cardiologist and they said I’m clear to drive but the pains are still coming and going. The cardiologist that I seen said I’m perfectly fine but since I’ve seen him I’ve been having more issues. I have kept myself out of the truck because of this and to me its a safety issue for myself and other drivers. What would you say about this?
@DeLinn
Well your cardiologist is probably brilliant in his field, and does not know much about what your job requirements are as a commercial driver, and whether or not you are ready to go back to driving.
So far you are doing the right thing.
Until you know that you can perform the duties of a CMV operator, stay away from the truck and try to explain to your doc what your job entails. You should be able to get your point across and still be polite about it.
When you are ready to return to work, make sure you have a medical release form from your doctor. That will help the CME make an informed decision about qualifying you.
I have CHF as a result my doctor put in a pacemaker defibrillator but in the 2 years since implantation I have had no episodes or corrections from the unit what so ever. My question is three fold and I apologize if it has been asked before I just couldn’t find any answers close to my situation. 1 Is CHF in and of its self a disqualifying condition for otr driving? 2 I know an icd is disqualifying condition but what about just a pacemaker unit? Finally 3 If I had no issues and my CHF is controlled and I were to opt to have my icd pacemaker removed would I still be disqualifyiable or is having the history of having ever had one the nail in my coffin as it were. Like I said my unit was put in as sop and in precaution due to my CHF but I have never had it go off or ever needed it. I am only 40 and just don’t want to not to be able to do what I loved doing if there is the slightest chance of being able to do so.
@kicksngiggles77
CHF with a cardiologist medical release form is not in and of itself a full disqualifier, but will be a limiting factor with questions.
If you get the defib unit removed, then a note from the surgeon will be needed explaining that he has removed the unity and left the pacemaker only. As long as you have your bases covered up to this point, you should still qualify for a one year at the time medical certificate, if everything else is good.
IF THE FEDS ARE REQUIRING STRESS TESTING EVERY 2 YRS. THEN WHY DOES THE INSURANCE NOT COVER THIS. THESE ARE NOT CHEAP!!!!!!
I had a heart attack with stent placement. My Admitting Cardiovascular Doctor told me that I could not return t work for two months due to new CDL incensing restrictions from 2015. I drive a school bus and go for a physical once a year, but I am not required to get a DOT Medical card, because I only drive in my county. My question is this: Does this two month restriction apply to me? Or can I return to work as soon as my Cardiologist releases me?
@Joyce
Check with your state drivers license department for final confirmation. If you explain to the examining doctor that does your medical card, that you drive intra-state only, then the state may have a different set of rules to operate under. The medical card has many different sides to it regarding a situation like yours, so final decision will fall to the state DLD.
A gentleman who has atrial fibrilation had a heart attack January 10, 2016. He is 77 years old and wants to continue driving. Is thee a law preventing him from going on the road?
@Claudette
Full recovery from the heart attack and the ability to pass a cdl medical examination. Medical release form from his cardiologist and a recent stress test from the cardiologist in hand before the DOT examination begins.
I’m atrial fibrillation been for 13years am I required to take a stress test every year
@Mike
You need a medical release form from your cardiologist, and a stress test each 2 years to support the information from the cardiologist that your condition is not progressive or deteriorating with time.
Yes, my husband has cardiomyopathy and has been released from the cardiologist and was told to see family doctor only. He goes to get his DOT physical and is told that he cannot drive anymore due to this condition is this a new rule and is there grandfather clause for preexisting conditions, not to mention he has been driving for 25 years.
@Becky
A medical release form from the cardiologist explaining the extent of this condition should be all you need to provide the CME with. It will depend on the extent of the condition and its progression over time.
This is not a new ruling, just one that is now being enforced. Don’t know of any waiver, but you should only need a release from the doctor with a prognosis.
Cardio inhibitory syncope and CDL license/DOT medical exam.?
About 3 years ago, someone that I know fainted suddenly while seated in a barber chair. In following up at the doc’s office, a tilt test was done. They fainted and heart stopped for about 13 seconds before the doc stepped in. From that, they were diagnosed with cardio inhibitory syncope. Meds were given but, never taken. There had been no fainting issues before then and none since.
This person is now interested in becoming a OTR driver and training for their CDL license. We read somewhere that fainting/apnea type issues were a no-go when it comes to passing the exam. In discussing this with the person, they don’t plan to mention the syncope or episodes to the examiner because they feel it was just a 1-time happening. Won’t old medical records somehow reveal this at the time of testing?
@Theresa
Well it did not happen just once, but at least twice, and a doctor had to intervene to get him started again. Not sure if any CME would pass him on this test due to safety issues. Really, a 80,000 pound truck being driven by a driver that has passed out or died is not a truck under control– People die for this kind of crap thinking.
For him to pass the DOT examination by lying on a Federal form and then signing it, stating that everything is correct and truthful, is not the way to go. When they find out about this issue his license will be revoked and driving commercially is out of the question.
Can I still drive CMV while Hypertrophic cardiomyopathy?
@Tosha
No simple answer. A driver should not be certified until a cardiovascular specialist who understands the functions and demands of a commercial driver can confirm or rule out a diagnosis of hypertrophic cardiomyopathy.
So you want to get a medical release form from your cardiologist explaining his findings and his opinion regarding your safeness as a driver. He must understand your job description so he can make the best and safest decision and then it will fall into the CME’s decision making process.
I have a question on having a valve repair done . My cardiologist released me back to full time duty . I went back to get my medical card and the Dr says that I need to wait until 3 months after surgery to have redo my physical to get my medical card back . Is this correct ? Also what can expect in the future 1 year med cards , stress tests , echocardiograms ? What will be required from me ?
@Gavin
It will depend on what valve was repaired. A three month waiting period is required for certain valves and your medical card will be limited to one year at a time, and in most cases a stress test every two years. But some of this will depend on what valves were repaired.
It was the mitral valve and thanks for the reply and info .
I have been diagnosed with Premature Ventricular Contractions (PVC). Does this disqualify me from having a CDL ? I drive interstate.
@Bill
What you will need is a release from your cardiologist. It will be based on his findings. The CME needs information regarding this condition and that information can only come from the cardiologist.
i went to get my dot physical card renewed today. i am a heart patient. i have 3 stents. i had a heart attack in 2012. last year i was told i need a stress test done every year. so i have. today i was denied because they said a new law passed stating that i now need to see my cardiologist every 6 month and have a letter stating it was safe for me to work. they told me it was a new law past january first. is this true?
@Todd
Stress test every two years and a medical release form from your doctor each time you go for a medical certificate. No new laws. You may want to go get a second opinion elsewhere.
To add to first comment. I researched the Cardiovascular Guidelines for DOT physical exams and did not find my condition. the only thing that I found about Mitral Valve was about leakage and about an ongoing problem. So I do not understand the issue. Did I miss something??????
I had open heart surgery for an ASD repair and a mitral valve repair a little over a year ago. Any issues have disappeared and I have been fine. I am a school bus driver and my certification company asked for doctors notes, echo results and EKG results which I provided them. They also asked for stress test results “if Available”. well my Cardiologist does not feel I need a stress test. My certification company is trying to insist that I have a stress test. I have found nothing in the regulations that says they can force my cardiologist to give me a stress test. not sure what to do…
@SD
So the guidelines are for interstate long haul or big-truck truck drivers. Why don’t you check with your local drivers license department and see what they have to say, since you drive bus locally. FMCSA wants a stress test every two years so that the CME can support his decisions to put a driver back on the road. That decision is not up to your cardiologist, but required by the FMCSA for the CME for interstate drivers.
Thank you for your reply. I am in Maryland and I did contact my local MVA and they gave me the number for The Federal Motor Carrier who I contacted and am waiting for a reply.
I LIVE IN CALIFORNIA AND I HAD A ICD DEFIBRILLATOR PUT IN OCTOBER 2015 WOULD THIS KEEP ME DRIVING A CLASS A IN STATE OF CALIFORNIA AND I BE SEARCHING EVERYWHERE AND I DON’T HAVE NO ANSWER.
@Nicolas
Defibrillators will have you disqualified as an interstate or OTR driver, that’s an FMCSA reg.
You may be OK if you are driving intra-state only. If that is the case then check with your local drivers license department.
Can you drive intra-state with out a dot certifacation
@Wanda
If you drive for commerce, you must self-certify with your local state drivers license department. This will determine if you need a medical card or not.
I have just gotten my class A cdl here in Ky, and was given a 2 year card from the DOT examiner. I was trying to go to work for one of the bigger trucking companies, and their examiner would not pass me because he said my cardiologist records say that I have Ischemic heart disease, and my last stress test in 2014 was a chemical stress test, and they won’t accept that for DOT physical. My cardiologist says that he see no reason that I can’t drive a big truck as I am in the best shape he has seen me in years. I have 8 stents in place, and take Ranexa and Isosorbide for angina. Do I have a chance here?
@Jeff
Your cardiologist should fill out a medical release form for you and do a new physical stress test. With that information in hand, you should do OK.
Does wearing a medical life vest disqualify you from holding a regular driver license in the state of Florida
@joe
If the unit is a defibrillator also, then yes you would not qualify according to the FMCSA.
Could you still be disqualified even if your heart doctor fill out a medical release form stating that your enlarged aortic root wouldn’t be hindering to continue to perform your work duties, would I ever be able to drive a CMV due to me having that. Heart disease since birth?
@Ro
You only need to have your doctor fill out a medical release form explaining your situation. The CME may request further support from a cardiologist, but with all the information in hand you may do just fine.
I went for DOT Last week. 11/24/15. My current physical expires 12/1/15. I did not pass as they found I was in A-fib at the time, and BP high. Told to see cardiologist which I did. Checked out ok. BP normal high Not in a fib but ordered a echo and stress test. If all well with test will give waiver to go back to physical Doctor. Can A-fib cause you to fail? But by then current exam expired. Once get passed can we take to dmv ?? What happens if exam happens after current one has expired. PS I am in PA. THANKS
@Tim
Once you have all of the information available, just take copies with you along with a medical release form from your doctor and you should do OK. Your best bet with the drivers license department is to hand carry your new medical certificate in to them so that they can enter it straight into the system.
My cardiologist wants me to get an ICD. He has also given me the option of a life vest defibrillator. I can’t find anything in KS regs that even mentions one, would it be legal to drive with one. i even called a friend at the state level and she has never even heard of one. Too new for the regulators?
@Leonard
As an interstate driver the ICD would disqualify you from driving. Any defib. unit will disqualify you as an interstate CDL driver.
If you only drive intra-state and your state regulations say it’s acceptable, then you will be OK. So check with your local drivers license department if you drive in state only.
I have hypertension, congestive heart failure, stage 3 kidney disease, chronic bronchitis. Do I have any chance of passing next CDL pysical
@Dwain
You will probably fail the DOT examination, based on what you give the CME to work with.
I HAD A HEART SURGERY 42 YEARS AGO, PULMONARY VALVULAR STENOSIS ITS CALLED. I HAVE BEEN DOING FINE EVERY SINCE. I HAVE BEEN DRIVING TRUCKS AND PASSING DOT PHYSICALS FOR OVER 20 YEARS. NOW I AM SUBJECT TO SEE A CARDIOLOGIST BEFORE PASSING A PHYSICAL. I SERIOUSLY THINK THIS RULE SHOULD BE GRANDFATHERED.
@Joseph
Agreed, take it up with the FMCSA who created these rules.
(all caps, why are you yelling?)
If I have had 2 heart attacks, 2 heart stints implanted, and a heart murmur can I still posses a Commercial motor vehicle license?
@William
Your cdl is different from your medical card.
It’s the medical card that would be an issue. Make sure you have a medical release form from your cardiologist and as much recent information as possible before you go for your next DOT medical certificate examination. There will be a lot of questions to determine your medical fitness for duty.
Would one be able to keep CDL if the defibrillator is turned off?
@Lori
Not positive on this one. You would need a medical release form from your cardiologist stating that the defib. had been disconnected. The process will still spark questions, so make sure your cardiologist is very specific about what has been done and why.
Can a person who has had a kidney or heart transplant get a DOT card?
@Kathy
In most cases, as long as you have a valid medical release from all parties involved, and as long as you can perform the duties of a commercial driver, then you should be OK. You will need a medical release form from your surgeon and your primary care doctor. If they have you released to duty and you’re fit for duty, then you should be good.
Can I pass the CDL physical exam if i have developed AFIB Atrial Fibrillation in Floridal
@Lynne
As long as it is under control and you are under a medical doctors care. Then get a medical release form from your doctor and have that in hand when you go for the DOT examination. As a general statement you should be OK, unless there are other issues.
I went for my DOT physical nurse checked my heart found problem said I had to get a EKG right away. Got EKG came back abnormal. Never had heart issue in the past. She showed EKG to cardiologist and will not issue me a card at this time. Can she do this? Seen Cardiologist took ECHO test and stress test all came back fine and put me on a small dose heart medicine and said I am fine to drive. He is signing the paperwork to send to DOT nurse. Can she still refuse my card?
Thank you
gerald
@Gerald
All of this will depend on what the heart condition is. If your cardiologist is a NRCME doctor then he can issue you a card if not, it falls to the DOT medical examiner. The CME is functioning on the FMCSA guidelines, so make sure you have all of the information available for the CME to make the best decision possible.
My husband was told by his cardiologist in Sept 2015 that he needs a pacemaker, it just so happens that his DOT physical was in Oct. After completing the physical, he was told they will not renew his card until the procedure is done & he is deemed fit to drive. The question we have is… since his CDL expires before the procedure can be done (end of Oct) does he lose his license & have to get re-instated once he’s medically cleared?
@Cindy
If you explain to your local Drivers License Department what the situation is, then they should be able to guide you in the right direction. DLD may simply hold on the license and once you have the medical certificate in hand then they may just re-enstate his CDL. Most states want a valid medical card to maintain a cdl, but your circumstances require a bit of give and take before you would have a valid medical card. An idea may be to ask the state to suspend his cdl for the moment and then re-instate it when you are ready to return to work.
I had my mitral valve replaced in 2012, I rarely see my cardiologist, I do take blood thinners and I take verapamil, I really want to start driving a big rig..I also take zolpidem for sleep and hydrocodone, would any of these things keep me from passing my dot exam?
@Deb
Most of this list of medications are going to force any CME to have a multitude of questions.
I would start with a medical release form from your doctor explaining the needs and dosages for each medication. Since some of these medications would cause you, as a driver, to be questionably safe, I’d look closely at the requirements on the FMCSA web-site and make my decision based on all the available information.
I had a heart attack in 2010 and had a defibrillator put in 6months later. I have had no other episodes since I had the heart attack. I am required to have a dot card for my job even though I rarely drive a delivery truck. We are local delivery only, can I still be certified to obtain my card?
@Dave
Not by FMCSA rules.
But if you check with your local drivers license department, you may be able to drive intra-state only with the defib. unit. But confirm that with your local DLD.
I live in Iowa and have e defibrillator/pacemaker, can I still get some kind of exemption from Iowa to drive commercially in the state of Iowa?
@Craig
That question needs to be addressed to your state drivers license department.
If it was federal, you would not qualify, but intra-state is a state by state issue.
I have been diagnosed with neurocardiogenic syncope. I had one episode where I passed out when I got out of bed in the morning. I have been checked and tested from head to toe by all sorts of doctors. All the doctors say it was from fatigue and dehydration. The doctors are willing to fill out paperwork and say I’m as good as anyone else driving down the road after 6 months. Im also taking a pill that’s supposed to regulate water in my body. My med card was denied at the three month mark and because of this I’ve lost my job. Is there any chance of getting a dot doctor to pass me at the 6th month mark or am I out of luck. If I do lose my license because of this am I able to file disability or some other financial help? If they are unable to pass me now. Is it possible after x amount of years not having an episode to get my license and card back?
@Rebekah
Take as much proper documentation and a medical release form from your doctors, before you go for your next DOT medical examination. The CME needs to have as much information as possible to make the best decision. Your release supports your situation and that you are taking care of the condition. The CME needs to know that and then he can base his decision on facts, not conjecture.
Howdy.
I had a heart attack, pneumonia and than CHF.
So now there is this little piece of electronics in my chest, a 3 wire ICD.
I did read many answers here about not driving, I know that, but it seems some states let you drive intra state. Could you tell me what states, i am willing to move.
Live currently in IN.
@Ibo
Just check with your state first. If you are intra-state only you may be OK right where you are. Seeing that each state is a little different, start at home first and then look elsewhere.
I did yesterday, Indiana is a no no. All I found on the internet is that MA allow you to drive intra state.
Maybe other readers know of other states, and David, thank you so much for your answer.
I am 38. I was diagnosed in 2006 with Atrial Fibrillation. I have been on medication since. I am working for the local street department as a laborer. As part of my job description, I have to drive a dump truck whenever needed. I have had a Class B CDL since December of 2014. I was recently in the hospital due to complications with my afib(not having my meds for a week). My cardiologist wants to have a defibrillator placed in me soon. Will this mean I can no longer drive a dump truck for my job? Will I have to give up my Class B CDL?
@David
Check with your state drivers license department for your chances of continuing as an intra-state only driver.
Hi guys, I work for NYC Transit as a Bus Operator and live in Fairfield, CT. In June I had a ICD implanted and went to work on August 19th. The Transit Authority took me out of passenger service and had allowed me to work in the yard parking the buses at night. Last week, I took a CT DMV physical and was disqualified due to the ICD. Transit subsequently took me out of service all together due to the disqualification. My question is if I present to DMV my restriction at work, would they lift the disqualification enough to allow me to work in the yard?
Thank You
@Orlando
Someone just put you between a rock and a hard place.
Check with your local drivers license department and see what they tell you. You may be able to pass a commercial drivers license and work intra-state only.
That would allow you to do the job you were doing and not be a potential risk factor on the road.
The defib. disqualifies you as a class A driver, but the lower class and intra-state only may get you back to work. Make sure you take a medical release form from your doctor with you, so that all of the decision makers have the information that they need.
Thanks, You’ve given me a ray of hope…
@Orland
You are very welcome! Good luck.
i had a massive heart attack may 31 2014 and open heart sugery june 4 2014 left side heart cath march of 2016 found out my bypass has faild can i loose my dot cert from this
@David
Any time there is a illness, injury, or health related issue that takes you from behind the wheel, your medical certificate becomes invalid.
That being said, once you are fully recovered from your next surgery, make sure you have a medical release form from your doctor. And a copy of your last stress test that was done within the past two years. With the proper documentation for the DOT medical examiner in hand you should be fine, if all else is good. Good luck.
I just went for a DOT physical at a trucking company in Iowa and was not granted a medical card. The doctor told me I had a systolic murmur. I knew of the murmur as it was noticed back in 2013 while I was living in the UK. While in the UK the cardiologist there told me I had a bicuspid aortic heart valve and one of the flaps was thinning and that was the cause of the sound that they could hear. They had monitored the problem for two years with no change. I moved back to Massachusetts in November 2014 and do not have a doctor or insurance, so not sure when I’ll be able to have the consultation. The DOT doctor in Iowa wants me to visit a cardiologist and have a echo cardiogram done and send a copy of the report to the company before they will hire me. Will this keep me from driving Class A trucks ?
@Mark
No, it looks like everyone involved here is just looking for supportive information in this case. Get the information to them and you should be fine.
In 2010 I had a stroke I sleep with a sleep apnea machine and have a pace maker installed have had a hibread afib ablation done on my heart also have lower back pain do to a herniated disc have had 5 spinal shots and doc said no more.My question is should I still be driving or can i srill drive legally as of right now I am driving with out a med card.
@Terry
You sound like you have reached the limit of your driving career. You would be on a very short medical card if you can pass the DOT examination for ‘fit for duty’ qualifications. And you know that you are outside the legal status at this point. Why not check into driving intra-state only and see if that works better and safer for you.
In 2012 I had a stent placed in heart. Had another in 2013. I am under cardiologist care and doing very well. Went to take DOT Physical passed everything. Blood pressure was 120/70. The physician told me I have to go to my cardiologist and have a stress test. He said that was a requirement! Is that true? I have been keeping all my cardiologist appointments no problems what so ever. See the cardiologist Sept 9 2015! Would appreciate a answer. Thank you!
@Barry
DOT interstate drivers need a new stress test every two years to maintain their medical certificate. You will also need a medical release form from your cardiologist when you go for your next DOT examination.
I did the stress test it revealed abnormal blood flow. Did angiogram revealed 3 arteries blocked . Did triple by pass to correct blood flow10/13 11/3 had chest pains did another angiogram revealed 1 of the 3 arteries they replaced blocked. I have had my med card extended 3 months. Expires Nov 30. Going to need more recovery time. How do I extend my medical card another 3 months for recovery time?? I also understand that I will have to have another stress test to assure proper blood flow . Correct??? Once I have been cleared by cardiologist I can get med card and go back to work! Dont want med card to expire! How do I get more time on med card extension?????
@Barry
Don’t understand how you would get a medical card extension when you don’t qualify to drive anything. Your medical card should have been invalidated once you were removed from behind the wheel.
Yes, you will need to have an updated stress test since the last surgery to demonstrate that you are ready to return to work. You will want a medical release from from your cardiologist too. Since you need more time to recover, you might want to talk to your local drivers license department and explain your situation. Once you are fully recovered, then you will go and get a new DOT medical certificate and you’ll be back in business. Good Luck.
I had an aortic heart valve replaced and an aortic root aneurysm repaired on June 8th,2015. My doctor has said I could go back to work as an over the road truck driver in 5 months. Is there any DOT regulations that require me to stay off work longer?
@Donna
Just on the aortic valve replacement places you on a three months waiting period. Since the root was repaired at the same time you should be OK. You will need medical release forms completed and copies for your latest test results before you go for the DOT examination. The CME is going to have a lot of questions for you, so be as prepared in advance as possible.
in may of 2015 I had a heart pacemaker put in , can I still drive a school bus with my cdl in state of Texas?
@Carolyn
You would need to check with Texas drivers license department to confirm or deny your ongoing ability to operate a school bus.
I am a school bus driver. Had a afib ablation procedure 4 years ago . My doctor imnplanted a Medtronic heart monitor in my chest last year…..just to monitor. No events had been noted by the monitor. Can I continue to drive a school bus in Texas with the implanted monitor?
@D Hardy
You should not have any issues, but I would check with the local DLD to make a final determination.
I had a ICD implanted almost a year ago. It has never gone off. If I get it deactivated will I be able to drive again. My reason for the sca was low potassium..
@David
Not sure. If you have it deactivated and you have a medical release form stating that that is the case, you might be OK. But if they are going to deactivate it, then why wouldn’t they remove it. Gone would be one issue, still there is going to cause questions. Medical release may work, just not super sure on this.
My husband had a mi in 1995 and had angioplasty done. His rejection fraction is 35 to 40 %. He has driven truck all this time. He has had no incidents since. He went to renew his dot and she said he couldn’t because it was less then 40%. Is there anyway he can get a waiver. We live in MN
In March my husband had Sudden Cardiac Death. They worked on him for 45 min. It took them 2 weeks to get just a defibulator no pacemaker. He has not been able to drive until September, will he be able to get his CDL and School license back?
@Sharon
As an OTR driver, he will be disqualified due to the defibrillator.
If he is only driving within the state and has an intra-state only card, then he may be able to return to driving. This will depend on the state and their rules. Check with your state drivers license department and see what they say. Good Luck
I am a driver and I just got a pacemaker put in and want to know how long I have to be out of work before DOT clears me to go back to work,My cardiologist says 2-4 weeks but, I don’t know what DOT rules are for that procedure. Can anymore help me?
@Elizabeth
FMCSA wants a one month, post install before returning for your next DOT examination to return to work.
Your cardiologist should send a medical release form with you when you go for your DOT re-evaluation. That will answer most of the CME’s questions and gives him the information to make a reasonable judgement call.
Last month I was hospitalized for dvt and PE. My dot physical doctor gave me a 3 month renewal and wanted assurance from the doctor treating the clots before issuing a 2 year renewal. I had an ultrasound of my leg to check for clots even though my hematologist said that there would be little to no change in the clots. The test came back with no significant change in the clots. Now the dot physical doctor is saying that I must be totally clear of clots before he can issue a 2 year renewal.
Can he do that?
I live in SC and have a class B. I teach and coach at a local high school. I have never had any clots before and no family history.
@Bryan
I think your CME is over-reading the guidelines. You are a class B driver and you don’t drive on a full time basis. So a medical release form signed by your primary doctor explaining your situation should be of great help.
Also the CME is reading that if you have an incidence, that he is personally responsible for not have better judgement. So he is really just CYA for the moment. It is not a question of whether you have had this before or not, it’s about getting clearance from your doctor so the CME can be better informed.
Ive had a defibulater for eleven years. ive always had a letter to give them when I do my DOT physical now they are telling me I cant drive anymore. so does that mean the government has to pay me ssi?
@Wayne
Sounds like a good idea, just call Brother Obama and ask him what he thinks about your idea.
Yes go file for dissability i had two heart attacks. 2008 and one in 2009 i had to have a defibulater and pacemaker that stop my driving career of 21yrs so I went to social security office and filed it was turned down first time gave it to a lawyer to handle and just under 2yrs it passed and now receive the maximum. amount.haveing the defib does stop your driving. And im man enough to tell you I cried for 2 days about my truck driving and the whole time I was cleaning my baby out and I still miss it today..
I am a Long Haul Truck Driver, and I had a MI back in 2013, with 1 Stint installed.
I am currently on Heart Meds, see my Cardiologist every 6 Months. I had 2 Stress Test after my MI, and I got a 1 Year Med Card. My Card is coming up, and I need to get another stress Test, but I am not sure what test is acceptable for the Stress Test every 2 Years Rule. Which test, with a Medical Release Opinion from My Cardiologist would be acceptable for the DOT Medical Examiner to allow a 1 Year Card, Exercise Stress Test or Adenosine Stress Test, or Nuclear Stress Test, or a Stress Echocardiogram.
Thank You:
Kelly Smith
Missouri
Same question. MI and 2 stents in LA in 2011. Stress test every 2 years or 1? Which stress test?
Test scheduled but card expires beforehand. Can Doc give me a 90 day temp?
Montana driver.
@ Pete A
if all else is normal and you have a copy of your last stress test (done every two years) maybe, but don’t count on it.
I have had a irregular heartbeat all my life have never had issue passing a DOT Physical and am now being told by a doc that he can not permit me to hold Cdl I have been driving trucks since I came out of Vietnam Is this now true that an irregular heart beat that requires no meds no treatment is going to end my career Help please
@Dan
Best bet is to get your medical release form filled out by your primary care doctor explaining that you have had this condition for years and that it is not an issue.
With that in hand you should not have any real problems. The CME is only trying to cover his bases and just needs to know from your primary that this is a “no issue” issue.
Also try a different CME. Some of the ones that are new and/or doing this as a sideline business are quick to cover themselves without looking at driver history. At the very least the CME should have told you to get a release form- especially when it is your livelihood and you’ve been doing it for over a decade with this condition.
It also may help to use a vip doctor, it costs more but the doc has much more time to spend with you and because they limit the number of patients to around 500 (instead of the usual 2000) they get to know you properly. Best thing my husband and I ever did.
I had 2 stents installed one each in 1998, and 2001. I have had 3 stress tests since the last being in 2012. All were negative. I am currently out of date for stress test data to qualify for my medical card. I am having no symptoms to warrant a stress test and Medicare will not pay for a stress test without symptoms. My cardiologist states I do not need a test. How do I qualify for a medical card in this situation? I am 69 years old.
@Merle
Stress test for DOT drivers has to be done every two years. That’s a DOT/ FMCSA regulation. If you are driving interstate, then there is no way around this, that I know of. You might check into intra-state only. Then the rules fall into state rather than fed. Otherwise, whether your doctor thinks so or not, you need a stress test every two years to qualify as a DOT medically certified driver.
Can I get my medical card renewed if i am diagnosed with hypertrophic obstructive cardiomyopathy?
Absolutely no symptoms!
@Lynn
I do not believe you will be able to qualify for an interstate card. Unfortunately, in cases like yours, the first symptoms are cardiac death. You might check into intra-state only. Each state is different so you may be able to drive intra-state. Check with your local Drivers License Department and see what they have to say about it.
I was diagnosed as having a stroke 2 months ago, the stroke has not seemed to affect my front vision but has affected my phiriforial vision. My opthamologist is telling me I may not be able to drive again. I’m a CDL driver in MD, and from research I’ve done I realize that I have a one year waiting period, but I feel my eyesight problem is minimal and could pass a dot physical. Any information on this subject would be greatly appreciated. THANKS !!!!
@Mark
You need to have a peripheral vision of 70 degrees or better to drive interstate, according to the FMCSA guidelines.
You will go through the waiting period for the stroke and then have your eyes examined by an ophthalmologist to determine your peripheral vision.
You might consider driving intra-state only and see if the rules are different for the state verses the fed.
Are there any restrictions for a driver with a class A CDL with Neurocardiogenic syncope, under a cardiologist care and treatment?
@Bonnie
Not enough information here. Being treated, how? Under what type of care? Generally you may not have any issues as long as you are under a cardiologist care and observation, but more information would be needed regarding your condition and type of treatment.
Syncope can incapacitate you. This would disqualify you regardless of treatment. It would go against regulation.
I drive a non cdl commercial vehicle. Last week I had a pacemaker installed due to a slow heart rate (bradycardia). I have a CDL A although it is not required for the position that I have. My cardiologist said they will write a letter certifying that they corrected the problem, but it is up to my employer and their insurance company. What steps do I need to take to get back to my position?
Thanks
@Don
There is a short waiting period following the pacemaker install. Once you are through the wait, have your doctor fill out a medical release form and take it with you to the DOT examination. That should answer most of the CME’s questions. Also take any records of stress test or other test results with you, it’s always better to be over-prepared than being under-prepared.
I had triple coronary bypass surgery in 2007. The questions on the medical form are for surgeries in the last 5 years. Do I even need to list this surgery on my medical form, and if so, does this reduce me to a one year card? My BP is generally below 140/90, though I do have “white coat syndrome” as well. I have been told that because I take medication for high blood pressure I can only get a one year card, but was recently given a two year card from another CME with all the same information. This has been very confusing in the past as to what I must list and how long of a card I’m entitled to.
@Gary
Just tell the truth and get the one year card to continue earning a living.
Medications and the surgery are both going to reduce your card to one year.
And the five year question is about injuries or illness, your heart condition is a forever thing.
Also the CME who gave you a two year card, apparently, does not understand what his position is and does not understand the guidelines, so lucky for you this time, but don’t expect it again. The new FMCSA examinations are going to be a lot tougher to slip through the cracks.
I had a triple bypass in 2002, and was released by the cardiologist in 2004, and was told no further follow-up or treatment was needed. Now, I am having a problem getting re-certified, and the cardiologist that released me is no longer practicing. I have had no further complications, BP is under the limits, with medications. What do I need to do?
@James
You would need a stress test every two years. Most cardiological conditions are progressive and the FMCSA wants to keep an eye on your condition.
I went to the hospital with chest pains 1 month ago. they gave me a clot busting drug to stop a heart attack the next day they put a stint in my heart. the following day I was released I live in Nebraska and I don’t leave the state. I have read everything from 1 week to 3 months of no work. my heart doctor said three weeks he would give me a note to return to work. its been 4 weeks so I went in asked for the note and left. a nurse called and said I have to be off for 2 months would really like the right answer can I go back now or do I have to wait another month. thanks for any help you can give me
@Jim
The FMCSA recommends a three month post operation waiting period. If you are using a class A interstate license, then it’s three months. If you are a intra-state only driver, and it’s stated as such on your medical card, then you may be able to return sooner on a doctors release. This one you’ll need to check with your local Drivers License Department to confirm or deny that this is true for your state. Also, make sure you take a medical release form from your doctor when you re-certify your medical card, which will have to be done before you can drive again.
Quick question: My husband has Afib and has had it for a few years now…he has never had a problem passing his DOT physical until recently, when the physician told him that it had been going on too long and that he wouldn’t give him his card this time. He has been given his card over and over with this condition..it is well managed..he is on meds to take care of clotting, so there is not risk of that. My question is this: Has anyone else been denied their medical card for this condition? Would he be able to go to a different clinic/different physician for another physical? Would a medical release form from his cardiologist allow him to continue driving? We are extremely frustrated with this problem, as he is the main bread winner in the family and if he cannot get his medical card, we are on the verge of being homeless! Any suggestions or comments?
Thanks in advance!!
@Roxanne
The FMCSA is the one who has put the defibs on the no no list.
I would try getting a cardiologist to do a medical release form for you explaining the likelihood of a possible episode. That will help the CME’s make better decisions.
And yes everyone who is in your hubby’s shoes is having the same problems, so don’t try another facility until you have the release form in hand.
Thank you for the input! We have a call into the cardiologist on getting a release form! Now, we just have to hope and pray that the DOT physician will reverse his decision for a 3 month card, at least, until he can get another cardioversion done! 🙂
Thanks again! Much appreciated!
@Roxanne
You are very welcome. Best wishes!
I was told 15 yrs ago that I had a mi at some point.No surgery or stints only take toprol and yearly cardiologist visit.Besides yearly dot physical what else is required to pass dot.
@John
Get a medical release form from your doctor explaining your history and provide any copies of testing done since the incidence. With that information in hand, you should be good to go.
Would dot require a stress test every 2 years.Thanks for your help.
@John
If you had a cardiological condition which warranted a stress test initially, then yes a new stress test is needed every two years for the DOT medical certification.
I’ve had a class A C.D.L since the beginning of the program with a medical card. I went to renew my card and was told the requierments changed because I had bypass surgery I cannot renew my card . I’ve been driving trucks for over 25 years with no accadents or tickets , now they tell me I can’t drive WTF
@Nick
Someone has drastically misinformed you about what the FMCSA is doing. Go somewhere else to get your DOT examination.
Also make sure you take a medical release form from your doctor with you to the examination. It will answer most of the questions that the CME will have.
I am the safety coordinator for our company and I have an employee that is having to take FMLA due to having a “MILD” STROKE. I am unable to find the DOT regulations of what kind of waiting period there is for him to be able to come back to work. Can you assist?
Thank you
@Paige
In most cases, following a stroke of any type, there is a one year waiting period. This is due to the potential of a recurring stroke or possible seizure.
But a lot will depend on the type and level of the stroke. FMCSA pulled the guideline and from their website back in November and have not replaced it with anything to date.
Also, be aware that most of the FMCSA guidelines are aimed at longhaul OTR drivers and not at the intra-state only drivers. This may be a way to go for a driver that stays within the state and only handles intra-state merchandise. Check with your local Drivers License Department for more information.
I was driving a school bus for 2 months until the medical doctor said you cannot drive bus with kids in Illinois if you have defibilator. If the primary doctor (heart doctor) says I am medical fit would I be able to drive school bus????
@John
States are different, so first check with your state regarding your drivers license class and what, if any, restriction there are regarding your situation.
Your primary doctor is not the one giving you the medical card, the CME is, and they are looking at the situation and your condition from different angles of the law.
What may be a help is to get a medical release form filled put by your heart doctor and take it to the CME for his opinion. The medical release helps the CME make a more informed decision.
I am a mo school bus driver have been 15 years . This winter I caught a virus that attacked my heart made it weak and a bit enlarged . I do not have arrhythmias or papatations . I have not had any problems since my 1day stay in the hospital . Cardiologist recommended a icd just as a just in cases situation . Am I able to drive my bus , even home to school
@Patti
Best bet is to check with your state drivers license department. You will fall under their rules and regulations on this issue. I don’t see why there would be any problems with you driving a school bus, but confirm that with your local DLD.
I need clarification please. I suffered an MI on 4/3/2015 and, as a result, received 1 stent. My VA-cardiologist said since “I received the treatment I could go back to work.” I’m taking many med’s, some which causes dizziness and blurred vision also, lasix, which causes frequent urination. I drive 625 miles per night @ 4 nights weekly. Given the above, I feel I should be off for at least three months. Not sure how I can drive a CMV while taking med’s –
@Philip
Following your MI in early April, you have been disqualified as a driver anyway.
You could not pass the examination at this time and should have been given that information.
Only when you can pass a new DOT examination are you qualified to go back to driving, and that comes from the DOT certified medical examiner, following a new DOT exam.
So, heal up and when you can start getting off the medications that are causing the problems, you can go take a new DOT examination. Until then you are already disqualified.
What all would I have to do to get a dot physical card if I had TOF a stent and a cow pulmonary valve?
@Bobby
Start with a medical release form from your surgeon and your primary doctors explaining your situation.
After that, you’ll need to look at the wait times following your surgery before you can take the DOT medical certificate examination.
My wife has a class A CDL, had a pacemaker put in in November 2014, and had to have it replaced with a 3 wire model a month ago. Doctors say it is operating at 99%. Will she still be able to go back to work and what conditions will apply? 3 month wait, cardio release, stress test, and recert medical card?
@Richard
You pretty much hit the nail on the head for what you need right up front.
Secondly, be aware that her medical card will, most likely, be limited to one year at a time from now on, but she will be able to return to driving. Just get her all healed and start from there.
Question: I have a drivers who are trying to get DOT physical and the physical place is telling the driver according to new DOT law anyone with having open heart surgery must have stress test every year before renewing their physical….Where can I find this in regulation please.
thank you,
Roger
@Roger
It’s stated in the FMCSA handbook on the FMCSA website.
And it should be a stress test every two years following heart surgery.
My husband had bypass surgery 10yrs ago while maintaining his CDL he has been told and has had a stress test every year since. Is this necessary?
@Sharon
In most cases the FMCSA is requesting a stress test every two years. Since heart conditions tend to be progressive they want everyone involved with the driver to keep a close eye on their condition.
I had a heart attack in 1995.I returned to driving 4 months afterwards and have been driving ever sincewith no problems,now ,all of a sudden,they say I have to get a stress test before renewing my medical card.why are they doing this to me after 20 years with no more problems?
My husband is 5 weeks post op from having an aortic valve replacement. He has a tissue valve and not mechanical. He has no other health history.
His surgeon and cardiologist said they will release him after 60 days post op. He is due for a DOT Physical anyways.
My question is.. I have read somewhere that is is a 90 wait after surgery before he can return to trucking. Is this a recommendation or the law? If the doctors release him fit for duty before 90 days can he start driving providing he can pass the DOT Physical. Thanks
@Kelly
There is a 90 waiting period following nearly any heart surgery. It will fall to the CME to make the final ‘fit for duty’ determination. Make sure you have a medical release form filled out by the cardiologist before he goes for the DOT medical examination. Most CME’s are going to stick to the 90 day window, to cover any possible repercussions of moving too fast on getting the driver back behind the wheel. It’s not so much a law or regulation, but most will stick to the FMCSA handbook on this one.
Does your company doctor have the right to request a ekg or your personal blood screen from your Dr.when he says you are safe to drive
@Glynvin
If the company doctor is the CME to do your medical certificate, then he needs information from your primary doctor. All your primary doctor needs to provide for the CME is the requested information and a medical release form.
I had afib about 3 mo ago I was told I have cardiac heart fauilure I ve been on meds for a couple mo am I able to return to driving a cmv truck
@Phillip
Not at an interstate driver level.
You might want to check into intra-state as it then falls under the state DLD’s ruling and may be better for you.
With the afib, you are pretty much disqualified as an OTR driver.
You will also need a medical release form from your doctor to help the CME make a more informed decision regarding your overall status.
I just had what my doctors consider a mild stroke. I had numbness in my right hand, arm, and right side of my face. Coordination was reduced for a couple of weeks. With physical therapy for two weeks, my doctor released me to go back to work with no restrictions. I’m a school bus mechanic at a bus dealership and I only test drive vehicles. I currently have a DOT medical card. Will I be required to have a waiting period until I can drive a commercial vehicle again?
I forgot to mention that I have a Class B CDL in Missouri.
@Leon
If you are a class B driver with interstate privileges, then yes you are in a waiting period.
If you have a class B and are placed on an intra-state only, then it will be up to your state DLD to make that determination. Considering your situation, when you go and retake your medical examination, make sure you have a medical release form from your doctor. And if the state is going to let you test drive intra-state only, then make sure you explain that to the CME during the examination. Once that’s done you should be OK.
I have Hypertrophic Cardiomyopathy and had my CDL revoked because of it. Is there anything I can do to get my CDL back with this condition? I have been told that with this issue I am no longer able to hold a medical card.
@Michael
In the world of the FMCSA, you will have a very tough time going back to driving full-time interstate, because the FMCSA is saying not to certify with this condition.
You may look at downgrading to a lesser license and working intra-state only. The rules vary from state to state, but just check with your state Drivers License Department and see what they have to say about driving intra-state only. I believe you will find your best answer there. Good Luck.
I went to the ER last weekend & was diagnosed with A-fib (no PMH). After 2 days trying to convert I am home on an Aspirin regimen & Metoprolol Tartare. I have a PCP followup this week & don’t see my Cardiologist again until the end of April. No root cause for my A-fib was found.
My job wants me to go for my physical next week. What do I need to do, or what can I expect?
Located in PA.
@Kurt
You will need a medical release form filled out by your primary doctor and cardiologist.
The CME is going to have questions regarding your situation and he/she also needs to be able to support any decision he/she needs to make regarding putting you back behind the wheel. Once the CME has his/her questions answered with the medical release, you should be good to go.
We have a truck driver with a Class A CDL and is interstate driver. He had a stroke a month or so ago. We told him that he needs a doctor release but he keeps giving us the run around. Our trucking is starting to pile up by waiting on this employee to see what is going to happen. Hes 63 and just had a stroke is there any federal guide lines that the doctors will go by making him wait so long before he can drive again? We just need to hire another driver and put this guy in another spot of the company but he isn’t letting us know what the doctors are saying and he came in with a sketchy doctors release that looked to be photo copied no names, numbers, or anything that you would expect to be on an actually release. thanks
@Eric
If your driver just had a stroke, he is in a one year waiting period before he will be able to be cleared by the FMCSA/CME. Strokes are a big concern, especially for the likelihood of a potential seizure. Even with a doctor’s note, there is going to be a waiting period.
I live in Ohio and 3 years ago I got a pacemaker defib put in they disqualified me for the defib this year and the doctor told me I can appeal it.I also inject for diabetes which hw told me I can get a waiver.I have my own garbage route and junk business and im just local. My doctor wrote a letter for whom it may concern telling them my condition is very good and theres no reason to stop mr fromdriving at this time. I was wondering if it is worth me appealing and getting a waiver and will I have to go through this every year cause they said the waiver could take 180 days and I probably cant drive in that time can I.
@Rich
Let’s start with first things first.
If you are a Class A driver, then you fall under federal rules and regulations, unless you drive intra-state only.
If you are class A and driving interstate, you will need to go through the process of attaining waivers.
If you drive intra-state then you need to talk to your state Drivers License Department to find out what their rules are and act accordingly based on the information they give you.
Start with your state drivers license department and go from there.
Rich Kozma Thanks for reply I am a class B and drive intrastate.Ill check with them and go from there thanks
Hi my husband had a heart stent put in , no heart attack just slight chest pain . The cardiologist at the hospital gave him no restrictions , but his dot doctor won’t let him go back for three months. He is feeling better then ever.Is this right?
@Jim
As a general rule, according to the FMCSA, there is a three month waiting period following most cardiovascular conditions.
Start with a medical release form from your cardiologist. Most doctors have no idea what a drivers job entails. The link to the medical release explains the drivers job. If the cardiologist still feels that your hubby can drive, then have him sign it saying so. That will have some influence with the medical examiner. As long as there is proper documentation regarding the condition, then you should be good to go.
how can i report that my husband lied about having heart attack and taking medications for his health card for his cdls.
@Cindy
You could start with the state drivers license department and then the FMCSA.
My husband was just diagnosed with a slight heart murmur can he still get his CDL state.of washington
@Bridget
As long as the murmur has been checked out and is not something that would prevent him from operating a CMV safely, then there is no problem.
My husband had coronary artery bypass surgery 7 months ago. What documents will he need to take with him for a new DOT medical exam? One doctor told him he would not have to have an Exercise Tolerance Test done until 5 years after surgery. Another doctor said he would have to have ETT done now. Both doctors are in the same practice and both certified to perform DOT physicals. Which one is right? We don’t want to go for the physical and then find out we don’t have information required before being given the exam.
I had a mitral valve REPAIR done minimally invasive 15 years ago. No problems in 15 years. Can the doctor limit my medical to one year?
@Tip
FMCSA is recommending a one year card. The intention is to keep an eye on you. Your condition can change and DOT wants to keep a close eye on your condition.
Can I drive a school bus in New York state with a pacemaker?
@Jin
You should ask this question at the state DLD and get their answer. Each state is a little different, but check into in your state specifically.
Can u have a echocardiogram instead of a stress test every two years?
@Joey
All depends on what the original condition was and how it was treated.
I am 60 yr old and have been diagnosed with a dilated aorta, does any one know the maximum size for the state of Arkansas? Getting ready to go for health card and need to know what I need to pass physical. Thanks for info
What is the limits on a dilated aorta value?? In Arkansas
@Larry
Can’t speak for Arkansas. As long as there are no symptoms that would restrict you from the safe operation of a CMV, then all you would need is a medical release form from your primary doctor.
I’ve had 2 MI’s, 16 Cardiac Caths and 6 Stents, the most recent MI was March 2014, I’ve also had 3 major shoulder surgeries, PE and DVT post op, hypothetically am I a candidate for disqualification for a CDL firstly and secondly with these diagnosis, am I likely to receive a Release even with a normal ejection fraction. Speaking with colleagues recently ( 20+ years in ER nursing) they state the collaboration of the medical issues listed will most likely be a disqualifier. I am just looking for an outside opinion from an independent 3 rd party. Thoughts?
Regards and respectfully submitted,
Kevin J
@kevin
You would, most likely, not be qualified as medically fit to operate a commercial motor vehicle. That being said, if you have all the proper documentation and can perform the duties of a commercial driver and can pass the test to determine medical fitness for duty, then you might be able to qualify for a CDL. Most likly as an intra-state only driver.
I had mitral repair surgery at Christ Hospital, Oak Lawn, Illinois on 12/12/14. I am being told by the D.O.T. doctor that I have to be off for 3 months before I can go back to work. Is this true? Nobody told me about this prior to surgery until today when I went for a back to work exam. Do I have any recourse or appeal options? Thanks for your response.
@wayne
FMCSA does recommend a three month wait following mitral repair. You might try having your doctor fill out a medical release form for you and see if that helps at all.
I’m 61, hold a Washington State Class A CDL with all endorsements, and have driven in interstate commerce for the past 14 years. For roughly the same period of time, I’ve experienced asymptomatic A-Fib. I see a cardiologist once a year and, given a zero CHADS score, take only aspirin. Last October, an occupational health screening indicated that I was having prolonged pauses. My cardiologist did further monitoring and told me my only option was to have a conditional pacing device implanted. This was done on December 22. I’m in the process of aiding my cardiologist in the preparation of an appropriate clearance letter. In my case, what would be the mandated waiting period? Is a stress test an automatic requirement? Are there other issues I should consider to aid in addressing all potential complications when I go for recertification?
@Tom
Just make sure you have your cardiologist complete your medical release form for you before you go for your DOT examination. Once you are completely healed, you can go for the examination, but make sure you have the medical release form in hand. You may have a short waiting period, but with a valid stress test, you should be good to go.
Is a person aloowed to drive a semi while he’s taking 2 blood thinners for a -fib, and a heart stent?
@michele
You should be able to qualify to drive, but make sure you have your medical release form completed by your doctor before you go for your DOT examination. The primary doctors release and information will help the CME make the safest decision in this regard.
What are the blood pressure minimum parameters
@Brian
There is no minimum level blood pressure unless there are other symptoms present.
I had a Heart Attack in Oct 2014 i had 100% blockage 2 stent’s were placed in my heart my Left ejection fraction is 30-35% in the hospital it was 10-15% so it has improved how long will i have to stay out of work before i can be released??? i know the doctor said i have to be at 40% or above on my ejection fraction at this point i have lost hope i been out of work going on my 3rd month and have lost everything i worked for.
@Joshua
Once fully healed and having your ejection factors back up to par, get your doctor to complete your medical release form for you.
Another possibility would be to consider driving intra-state only. Each state is a little different and you may be able to drive commercially within the state. Good Luck
My husband had his dot physical today and the Dr said he has a heart murmur but he didn’t know if that was against dot regulations he said he would have to research it. So is it againest dot? Will he have to get and echo gram or something ? Everything else was fine
i have had cancer in my lungs and have had a small portion of my left lung removed and also half of my right lung. i also have a history of blood clotts in my legs that have actually spread into my lungs and i have had them surgically removed. will i be able to drive again? i would like to but my drs are against it. i just dont know if id be able to get my dot card back. im just not sure what to do anymore.
@Steven
You’ll have a tough go of it with these conditions.
If you can get your medical doctors to complete your medical release form for you, then the CME can make the final decision. But if your doctors are against your driving, then you’ll probably not be able to get them to sign off on your behalf.
If I had a pacemaker defibrillator installed ten years ago and it has never gone off. I did have the replacement 1 1/2 years ago could I lose my CDL ?
@Jeff
The defib is the major concern with the FMCSA, not the pacemaker.
You may be able to have your cardiologist complete a medical release form for you and that will be a big help to the medical examiner’s questions. But at present the defibrillator is the issue.
To be able to drive a rollback auto retriever, what class cdl will I need to drive from Ohio to all 48 states? Also I have had a pace maker/defibrillator implanted in January 2013. Just passed all dot requirements at a certified facility until I told them of my implant. I make a few pick up and delivery of cars and motorcycles out of state.
Am I out of luck getting a cdl since I have this implant?
I had a stent put in Feb 2004. I have cad and have been diagnosed with coronary vasospasms, hypertension benign, and angina. I work for the state of Pa. I’m not stable under medications yet not sure if I will ever be. Will I be able to hold my cdl? More important am I safe now?
@Pat
You would probably work best as an intra-state only driver. That way the rules shift from federal regulations to state regulations. Check with your state and get your medical release form completed by your primary doctor. That should answer your main question.
I have passed and exercise stress test,but my echocardiogram results estimate my ejection fraction at 35-40%.The exercise stress test and catherization have my ejection fraction at 52%.The doctor at the clinic for DOT physical said the Dot only looks at the echocardiogram results.My doctor signed and filled out the paperwork okaying me to return to work with an estimated ejection fraction of 45%.Am I medically qualified to meet DOT regulations to return to work?
@Howard
FMCSA is sticking with the 50% or better LVE. That does not mean you can’t drive. It means that certifying for an interstate long haul driver is a safety question.
If your cardiologist can fill out your medical release form, using his best judgement, he may be able to explain your situation and findings more clearly for the CME doing the examination.
Some folks are getting stuck with what a regulation says and not looking any further into the situation. Also, you may look at driving intra-state instead of interstate.
Trucker Doc, You replied to a recent question I had pertaining to my medical card and I thank you for that. I had open heart surgery in Mid August to replace my Aortic Valve and you indicated I needed a re-certification. I am ready to return to work and contacted the clinic for a re-certification. They emailed me a list of 3 items I needed for the re-test. 1) a letter from my cardiologist saying i can drive a commercial vehicle 2) a post surgery stress test 3) a post surgery echocardiogram. I completely agree with the letter and even a medical form from my cardiologist but items 2 and 3 can cost me alot of money..which i dont have. Is this standard and necessery or is it possible it is just this clinics guidelines. Your input is appreciated.
@Tom
These are not the clinics rules, these are FMCSA regulations and guidelines.
So, I don’t believe you will be able to circumvent this process and requirements. See how your medical doctor can help you out.
My husband had a heart attack in 2011. After 2 months he was able to return to truck driving. He now needs a stress test every 2 years to renew his healthcard. What type of stress test does he need? Treadmill or dye injection? He is fine now. Thank You
@Brenda
Treadmill or physical activity stress testing.
With those results in hand, with a medical release form completed by his doctor and he should be good to go. His card will be for one year, so that all involved can continue to monitor his condition.
Husband had CABG 9 yrs ago. Has not had any issues since. Every other year he has to have a nuclear stress test to comply with DOT regs,and never has any problems. This year this company CME told him that although he had the nuclear stress test last year he will still need to take a tolerance stress test this year. That the tolerance stress test or the nuclear test will need to be done every year. Is this true?This CME has been failing a good number of the older drivers at the company where my husband works, and even mentioned that retirement was an option for my husband. My husband is rushing to get his test done before his card expires. Any suggestions would be appreciated and thanks for answering.
@Alice
Stress testing needs to be completed every two years. Have your primary cardiologist complete a medical release form for you and take the last stress test results with you. That should answer most of the questions that the CME has.
I live in Arizona and have had my CDL since 1997. I was diagnosed with hypertrophic cardiomyopathy in 2007. I have passed my DOT physical every year until this year. Concentra medical center says because of my condition I am NOT able to obtain a medical card now due to DOT regulations. I asked why is this a problem now since I have been driving with this condition since 2007. They said all doctors need to be DOT certified now and that my cardiologist can not over ride the laws. My CDL was revoked by the state a week later. Is this true? Does DOT regulation prevent me from having a CDL medical card with my condition? What can I do to get my CDL back?
@Mike
You have been somewhat misinformed.
Go to your primary cardiologist and have him complete your medical release form.
Then go somewhere else, where you can be sure the medical examiner will consider your overall health situation, and have a CME read your doctor’s information regarding your condition.
You should not have any problems. There may be some more questions that need to be answered, but if your primary does a good job on his part, you should be good to go. The final decision to qualify you for a medical card does rest with the DOT medical examiner.
As far as the state is concerned, you should be able to have your CDL re-instated. Good Luck.
i was a truck driver in England and I’ve been in America 4 years,since being here I have been diagnosed with Type 1 Diabetes,will I be able to get a Dump Truck License in Georgia.
@Stephen
You will need to check with the Drivers License Department on this one.
You will be an intra-state only driver, so it falls within the states department, not Federal. Good Luck.
I have cad had a triple bypass 14 years ago and 6 stents . I just had 3 more stents in my right coronary artery I have been told I have several blockages 2 in back of the heart 1 90% and 1 70 % Doctor does not think he can unblock these.I see the doctor in 1 week as I just had surgery and to discuss my other blockages my cdl medical card has expired I am 61 years old will these blockages prevent me from getting my medical card .
@Rick
Would your primary doctor clear you to operate a commercial motor vehicle?
If he won’t then you will not pass the DOT examination. Your primary needs to know what the requirements for a driver are before he makes that decision. Get your medical release form completed by your primary doctor and with that release in hand you would then go for your DOT examination. And still not sure you’d pass the examination to operate interstate CMV. That decision is up to the DOT medical examiner. Good Luck.
I live in Mississippi and had a pacemaker defibrillator put in January 14th 2014. Would this keep me from driving a class b cmv in the state of Mississippi? My doctor would not give me a new medical card when I went for a physical. Do I need to get a letter from my cardiology doctor and go back? I am 69 years old and would still like to drive part time only in MS or TN I live is Southaven MS about a mile from Memphis TN. Can you please give me some info on what I need to do.
Thanks
Thomas Mize
@Thomas
You may be able to acquire an intra-state CDL from your state.
If you cross the state lines you are trying to operate as a interstate driver and you are disqualified as such.
Check with your state Drivers License Department and get your medical release form completed by your cardiologist before doing anything else. Good Luck.
I recently had mitral valve surgery and would like to know what I must do in order to return to work.Surgeon told me that normal time off after surgery is 3 months.Will I need to take another physical or would a release from cardiologist be sufficient?
@Russell
There is a waiting period following your surgery and you need a medical release form filled out by your cardiologist.
Then you will need to take a new DOT medical examination to demonstrate your medical fitness for duty to operate a CMV.
Recently, my husband and his partner were broke up to bring a driver back on the driving board, who had a pacemaker put in. This driver will be driving 2 double California runs back to back from Dallas each week – app 5,000 miles. I as a wife do not feel comfortable with the decision to let a man go back on the road with another driver in the bunk with a heart condition, driving 10 hour shifts, being gone at least 5 days. Local driving I can understand, but I feel that the doctors are endangering other company drivers, the public, by putting someone with a pacemaker on longhaul driving.. But senority rules he can go where he wants to go in the compay once he has been given his med card to come back to work.
@Brenda
If the driver has gone through his designated waiting period following the pacemaker installation and has been released by his cardiologist and has a valid medical release form completed by his primary doctor and has passed a new DOT medical examination by a NRCME approved doctor and has demonstrated his medical fitness for duty to operate a CMV, then he is good to go.
Otherwise he is a risk to everyone. But if he has done all of the above, then he is ready to drive and can do so, both legally and risk factor wise.
Can you drive a school bus when you have a pacemaker put in?
@Steven
Each state is different. From a federal stand point you need a medical release form from your primary cardiologist.
For bus and not a class A driver, your best bet would be to check with your state DLD to confirm or deny your regulations regarding your driving rights/privileges.
I have innocent heart murmur and want to be a delivery driver. The innocent murmur was diagnosed by a cardiologist in 2007. I run 5-6 times a week up and down several hills with absolutely no problems whatsoever with the heart and I run fast 5K races as well with no problems and I’m able to handle all weather conditions. I also have mild scoliosis that’s being monitored. Do you think I will be okay if I get notes from my regular doctor?
@Grant
Yes, just get your medical doctor to write a medical release form for you and take it with you to your DOT medical examination. You should be good to go with no foreseeable hangups.
I have supraventictural tachycardia. The doctor is giving me medicine and right now i am wearing a 24hr monitor to make sure it is working ok cause it is causing my bottom reading in mt blood pressure to go inti the 40’s. I just got my medical card renewed in April to drive the bus at work (not a school bus) i have a class B cdl. Will i be able to continue to drive the bus? And di i need to get papers from my heart doc and contact the ohg doc that passed me?
@Lisa
Any condition that takes you from behind the wheel requires that you have a new medical examination done before you can return to driving.
Before you go for your next DOT examination, get your medical doctor to complete your medical release form. That will pretty much answer the questions that the CME has and you should be good to go.
I have triple by-pass in August of 2002, in August of 2013 I had 2 stints put installed, then in January 2014 had a double by-pass surger, then September 23, 2014 just had another stint installed. What is the D.O.T. regulations on this type of situation, do you think I will pass the physical???
@Thomas
If the only conditions you are concerned about are your heart surgery, then you should be good to go. You have passed all your waiting periods for the heart conditions, but I would get your medical release form completed by your cardiologist before your go for your medical certificate. Good Luck
At the beginning of May,2014 i had what was diagnosed as a Mini stroke which i became aware of as i woke up approx 0630. I was taken to a great hospital and treated by a equally great medical staff. I was informed that i had had a TIA caused by Afib, by 1030 that same day i was feeling as good as i was the night before it all took place.(No loss of motor skills,speech etc everything normal) With follow up evaluations and tests,scans etc they were unable to repeat or notice anything that would indicate a reoccurance. Q, Am i still subject to the disqualification periods for my Med. card as i would be if i had had a full blown stroke with physical limitations from the attack.
@Peter
Tough question. If the doctors at the hospital stated in their records that you had a stroke, of any kind, then the answer is yes you have to go through the wait period.
If your doctor reviews your record and states in a letter to release you to work that you did not have a stroke, then you may be able to get a medical release form completed that states you are good to go. It all falls to the original medical diagnosis.
Thanks for your response it is very frustrating to have to experience the wait time while i have no restrictions to drive my pickup,car during this period. INR’s at monthly blood draws are remaining stable with medication and continued good health relative to cardio.
I am having open heart surgery to repair or replace (with a tissue valve) a bicuspid aorta valve and replace a ascending aorta aneurysm that is over 5 cm. How do I get my Calif. CDL back?
@ K L
Your surgery should not cause any long term problems.
Once you have healed from the surgery and your cardiologist releases you to return to work, just make sure you have your medical release form completed before you go for your medical examination. Good Luck.
If your CDL has been downgraded, once you have a new medical card you’ll have to work with your state DLD to get your driving status back. Each state differs on this process.
Thanks for your reply. I am sort of confused though, would it benefit me to have a ejection fraction test and a physical test results to bring with me or would these tests not have to be taken after I have healed from my surgery. Is there a mandatory off work time required after my surgery. I have tried to find the answers to these questions but am only finding something that is similar but not quite the same as my surgery. I just trying to get all my ducks in a row so that when I go back to work I’ll be able to pass the med. exam. Without a CDL I will not be able to go back to line work and am not sure if I’ll be able to find other work within the company.
@K L
Once the surgery is completed and you are healed, your doctor will want to update your test results. You just want to make sure you have him do a stress test and look at your new ejection factors. With those in hand and a medical release form completed by your cardiologist, you should be ready to go for the DOT certificate physical. The test should follow your surgery and healing time.
I need to get a DOT card for a part time job. The truck I will be driving doesn’t require me to have a CDL, just a chauffeur license and medical card. I will most likely drive in Michigan, Indiana and ohio. I have a pacemaker, will I be able to get medical card?
@Joe
Yes it’s possible to get a medical card if you have a pacemaker. You will need to bring a copy of a completed medical release form from your primary doctor. Other than that you should be good to go.
I have a class C cdl and was recently diagnosed with AFIB at my dot physical. they ran all the tests and all is good except my heart rate. I have no signs or symptoms of AFIB. Can the heart rate alone disqualify me.
@Jim
The DOT examiner is looking for an explanation from your primary doctor. Get a medical release form filled out by your doctor stating that your irregular heart beat is normal for you and is not a safety issue. With that information in hand when you go for your DOT exam, you shouldn’t have any problems. Good Luck
My husband has been driving a truck for 22 years. He has had a pacemaker since 1996 for rhythem problem only and has passed every exam since. This year went to take his exam and passed all except he has a small aortic aneurysm that has been the same size for years and has always passed the exam until this year. The medical examiner said there is a size set by the DOT for an aneurysm and cannot be above it. His heart doctor checks the size yearly, same size this year as last and year before and before, and they have still failed him on his exam. Is there a new law or something concerning this?
@Belinda
It is not a new law, just one that the new examiners are now aware of.
An aortic aneurysm ranging from 3 to 4 cm and is asymptomatic then all you might need is a medical release form completed by your cardiologist.
If the aortic aneurysm is above 5 cm, then your cardiologist needs to indicate that he has been monitoring the situation and needs to complete a medical release form stating he understands the rigors of the commercial truck driving industry and still feels comfortable to sign your husband off on the medical release form.
So, do you think it would do any good to fight this? This doctor so easily it seemed, voided my husbands CDL just like that. Would it do any good for the cardiologist to type a letter to the doctor who did the exam? He has passed all these years.
@Belinda
The completed medical release form along with any additional info from your doctor should be sufficient for the DOT examiner.
I had a heart attack and stint put in 11 years ago. I’ve been taking stress tests to keep my DOT medical card. These tests are 4000.00 a year and keep coming back good. How do I get my heart ok’d so I don’t have to keep doing this every year?
@Sandi
Not sure why you are being hit for your condition. FMCSA wants to have a stress test completed every two years. So if your cardiologist can complete your medical release form for you and you have a stress test completed every two years, then you are good to go.
Having a PE 3 years ago and off blood thinner for two years, finding that
homocysetine level had been 28 – now gone down 12, is there a way
of acquiring CDL for B class or D class in CT.
@Jim
You need to check with your state DLD to make that determination. Each state is a little different.
Dear doc: I had a defibulator put in 3 yrs ago due to a virus attacking the heart. Since then I have totally recovered and had a 57% ecogram on my last check. My blood pressure is great and have had no therapy shocks in 2 1/2 yrs. Can I still get a CDL or does it have to be removed.I live in Fla. Really important to me and thank you!!
@Jeff
Basically the FMCSA is not allowing an interstate driver to operate a commercial motor vehicle with a defibrillator.
That being said, you may look at intra-state driving. Each state is a little different about what is acceptable and what isn’t.
If you are going to have the defib. unit removed, then after you heal you will need a medical release form completed by your cardiologist stating that you are ready to go back to interstate driving.
Or check with FL to see what their view is on intra-state driving. Best of luck.
Hey doc, I just wanted to thank you for your prompt reply. I really appreciate the time and effort you took. Sorry about my spelling,lol. Once again thanks!!
@Jeff
You are very welcome! Smart thinking to plan ahead and understand your options. Best wishes for the road you choose.
I had triple Bypass surgery and Aortic valve replacement in 2009. I get a an Echo Cardiogram done every year. 2 days ago I went to renew my DOT Physical. Everything was fine. I carry a folder with my current lab reports since I am on a list of medications Warfarin, Carvedilol Quinapril, Lasix, Klorcon, Asprin, Simvistatin, Glimerpride, and of course a release with no restrictions from my Cardiologist. I was told by Occu-Med in Joplin Missouri that on the 5th year I need to get a stress test done and they just so happen to do it for $300.00 and then get it done every 2 years after that… I understood that it was if you had stents that you had to have your ejection fraction and stress test done every 2 years… I was told by my examiner I passed the DOT physical exam I just needed a mandatory stress test done before I can be recertified since its been 5 years since my surgery is this true ?
@Lee
With the bypass and valve replacement, you should be being monitored on a yearly basis with an echo and stress tested every two years. Primarily because these are seen as potentially progressive conditions.
So based on the last stress test, you may need to update that specific test. Also get your medical release form completed by your cardiologist before you go back for your next DOT examination. Good Luck.
What must ones ejection fraction be in order to quality for a health card in Minnesota?
@Sandy
An LVEF greater than or equal to 40% is what the DOT/FMCSA is looking for.
Also make sure your have your last stress test within two years and get your cardiologist to fill out your medical release form before you go for your next DOT physical.
I was thinking about getting my cdl license attending my local community college I had 2 stents put in I’m on high blood pressure med and Crestor for cholesterol am I wasting my time for even trying to go forward
@Jeff
You will have a few limitations based on your present medical condition. Basically your medical card will be good for one year at the time due to the stints and the BP meds.
But you are not wasting your time, you should do just fine.
Before you go for your DOT medical certificate/examination, have your primary doctor complete a medical release form and have it in hand for the medical examiner when you go for the test. Good Luck
Hi my husband was born with a heart murmur, it didnt require surgery.when.he was young. he lives with it everyday and it doesnt effect him at all. will him having a heart murmur disqualify him from getting a medical card
@rugrat
No it will not, but, what I recommend is to have his primary healthcare provider complete a medical release form explaining his condition and take that to the DOT medical examination.
This way all the questions that the CME will have are answered before it is a question. Good Luck.
Had a pacemaker implanted in March 2014 and was cleared by cardiologist to return to duty with no limitations as a bus driver. Company sent me for “fit for duty” physical which really seemed to be a re- certification. Doctor at clinic disqualified me. Called a different DOT certified clinic here in Vegas who said they would certify me with the cardiologist clearance. So why the double standard? Do I have any recourse? Thanks
@James
Some people understand your needs and understand the rules. Others don’t. Go with your second choice.
Hi quick question i have antiphospholipid syndrome and i am on warfarin for this for life. I also have sleep apnea and anm using a cpap at night i have been diagnosed with coronary heart disease and i had a stint put in my artery about 3-4 weeks ago.for which the doctors have me taking plavix and aspirin.i also am fight to get rid of a pleural effusion in my lung right no and it may be perminate i also had a cardiac tamponade when this all stated but that seems to be gone now.how do i go about ether turning in my med card or try to renew it as if the will give me one but i need to go through the motions to see what will happen if you could advise me on this it would be great thanks
@Joel
You presently have a complex series of conditions that are going to hold you from renewing your medical card. Based on what you have given me you are not medically fit to operate a commercial motor vehicle. Your old medical card went dead when you had the heart stint installed.
So first heal yourself up, so you can get a new examination, and then go from there.
Hi, looking to get back into trucking after tia then later, afib.on disability several years now. is the tia or afib disqualifiers, should i look for other employment. thanks
@Steve
You have a waiting period for both conditions, but once you are past the wait periods and are no longer taking any medications for either seizures’ or anti-coagulants, then you may be good to go.
Make sure you have your medical release form completed by your doctor before going for the medical card.
my fiance has an enlarged heart and hypertension which has recently worsened. he went to the Dr yesterday and was put on an additional medication for the hypertension. he did not tell his employer about his heart condition when he was diagnosed 3 years . now his employer has found out. could any of these be disqualifying conditions for his cmv license?
@Christy
These conditions are usually progressive, so you want to keep a close eye on things.
Could some of the new information be a disqualifier? Yes, possibly.
And the fact that he kept this from his employer, that will be a company policy thing.
Put all the information together and have your Cardiologist fill out a medical release form and you may be OK.
I had had Triple Bypass Surgery on Christmas Eve of 2008. Since then I have successfully passed all stress testing, which has been on a yearly basis, for the past 5 years ( 2009, 2010, 2011, 2012 and 2013). Am I required to have stress testing for my 2014 Medical Card renewal, with this 5 year period completed? Am retired now, doing a part-time driving job, but, with no health insurance. I need to make sure I’d be in a position to PAY for this stress testing, if need be, come September. Thank you.
@Tim
Drivers with your type of condition must have a stress test within every two years. So if your last stress test was in 2013, then you should be good to go.
Make sure you have your medical release form completed by your cardiologist beforehand and you should have no problems.
have type 2 diabetes plus open heart surgery replaced aortic heart valve will these cause lost
OF MY CDL
@Bob
You may have a bit of a wait period, since I have no idea when things were done.
But these conditions are not disqualifiers. Just make sure your have a medical release form completed for both conditions and you should be good to go.
My arterial bypass surgery was in 2010. Am I required to do a stress test and how often? Is a sleep study REQUIRED now if neck is over 17″?
@Dan
Stress testing will need to be done every two years for you to maintain your medical card and class A license.
There is no new FMCSA law regarding sleep apnea. If this question arises, ask to see the law. 17″ is a screen, not a mandatory issue. See our FAQ on sleep disorders.
had TIA back in January 2002 due to patent foramen ovale.
presently taking anticoagulant (coumadin) preventive therapy
no repeat episode since that time
had clearance letter from neurologist
working as school bus driver for a board of education – NJ
Was disqualified by a doctor at US Health Works in Bridgewater, New Jersey
Presently actively seeking second opinion.
@Robert
Not sure why you would have been disqualified.
If you are bus driving and have had no problems, then you should have been recertified. Unless you are a class A driver traveling interstate.
Just have your doctor fill out your medical release form and explain that you are an intra-state driver, and you should be good to go.
can I get a medical card with just pacemaker( no defibrillator)? in north Carolina.
@dwp379
Your questions are more related to the beautiful state of North Carolina.
FMCSA says you can drive with a pacemaker but not a defib. unit.
But to drive intra-state, you would need to check with your local DMV. I suspect you”ll get the same answer, but I wouldn’t bet on it. The states are a little more lenient than the feds.
in north Carolina can you get a dot physical and drive local with a pacemaker and defibrillator.
My BP Is 148/77 and I was only given a 3 month card if i am on medication and the Bp has not gone down when I re test will I be able to get another one year card?
@Thomas
No, right now you would be classed as a follow-up from your last examination.
Once you go onto blood pressure meds and your condition is stable then you go to a one year card.
Right now you need to be on your meds and your primary provider needs to be dialing in the meds to have your condition under control by the next exam.
Your pressure isn’t so high as to be difficult to handle, so you shouldn’t have any major setbacks. Good Luck.
5 years ago had strent installed for a AAA from a auto accident injury it monitor every year
why dot doc require me get mri an ultra sound to pass my dot medical
@Gary
If I am not mistaken all you would need is a stress test every two years and a medical release form completed by your cardiologist. The other testing is a bit of over-kill on the issue. But the medical release form from your primary doctor with a copy of your last stress test should do the trick.
I’m having my defibrillator removed. I had a magnesium deficiency and have had 2 years without ANY recorded PVC’s (dangerous runs). Should I anticipate passing my medical, assuming everything else is fine.
@FullThrottle
Once the unit is out and you have healed from the surgery, I would have your doctor complete a medical release form for you.
As long as there are no issues, you should not have any difficulties with the DOT examination.
I had a stent put in two years ago do I half to have a stress test done for my new dot physical. I take a Plavix a day everything is fine..
@Monty
Yes you need to have a stress test done every two years.
DOT and FMCSA want to keep an eye on you, so your medical card will be good for one year at a time.
You will probably want to have your doctor complete a medical release form for you too.
I have a driver who has been on FMLA since 4-10-14 and his cardiologist has given him a return to work effective6-2-14. The following list of problems was provided by his doctor. Are they disqualifying and is there a wait time before the driver can be DOT re-certified?
Atrial Fibrillation, Fatigue-malaise, Tachycardia, Dyspnea, Chest pain, Aortic Valve replacement, PTCA with stenting, Hyperlipidemia, Benign Essential Hypertension, MI-s/p Inferior, CAD, Cardiomyopathy Ischemic.
@Janice
There appears to be a multitude of things going on here.
Without knowing what else was done with your driver, he would be disqualified for a while.
Even though the cardiologist has released him to return to work, your driver will fall into a wait period and is presently unfit for duty. He will have at least a 3 month wait on the valve replacement, and the difficulty breathing will take the driver out of the fit for duty category.
Also he will need testing and reports from the cardiologist before he can return to work via a medical re-certification. There are a few issues he will need to get through before returning to the DOT examiner. The CME needs reports and follow-up from the doctors indicating a safe and stable condition before he will get through the DOT process. And the qualifying decision still rests with the CME.
I have gone for my yearly checkup with my physician and cardiologist and have a stress test schedule for Friday. My question is that i went to my company doctors for the dot and they told me to do the stress test first then bring them a letter stating that everything was ok, know note that my card does not run out for 10 day .. I let my company know what was going on and they said sense i went up to the dot doctor, that now my medical card was now null and void and i could no longer drive till i received a new one. Is this true.
@Todd
Generally speaking, if you have had a stress test within the past two years, that is all you need for the DOT examiner.
Unless the DOT examiner medically disqualified you, then your medical card is still valid, unless there is some type of company policy stating otherwise.
Hi, I had a successful heart transplant 3 yrs ago so I no longer have a heart problem BUT what are DOT regs re heart transplants? note there are no other medical issues, mild and controlled diabetes, BP normal…kidney,lung,liver,etc all ok.
Thx
@Gary
FMCSA states that you wait 1 year post surgery, and then you can get a new medical card every 6 months. They want to keep a close eye on your health from now on.
I am applying to be a school bus driver. My average blood sugar is around 110 and I take 500 mg of metformin. This is considered pre-diabetic. I also take medication for high blood pressure. (lisinpril, Isosorbide. Would these drugs prevent me for passing my DOT physical?
i have heart murmur so can i drive commercial motor vehicle or tax cab?
@Abdul
As long as the murmur doesn’t indicate some other worsening cardiac condition, then you should not have any problems.
hey doc i have been working for a soft drink delivery company for 12yrs
a 1yr ago i went out with back issues and have been taking narco 10 for pain
i was supposed to have back surgery but instead had 3 stents put in my heart
do to a heart attack i had in jan
and now wont be able to have back surgery for a year
how will this affect my cdl in the future when im ready to go back to work ?
my cdl expires next year my med card is up this aug
thanks
Hi. I am 18 years old and its been my dream to become a Truck Driver since I was a kid, when I will get my Class A at 21, I have couple of question that worry me about getting a CDL medical card. I was born with a heart disease and had an open heart surgery when I was 9 years old (in 2005), after the heart surgery I have had a pace maker installed as the doctors recommended. Now I am doing just fine and had my pace maker changed, the outher thing that bothers me is my hearing, I only hear through one ear, Will this medical history have any effect on my CDL medical card. Thank you Sir.
@Igor
Your conditions will be discussed during the DOT examination, but they are not disqualifiers.
They are conditions that will require a bit of discussion. As long as the pace maker is not a defib. unit then the heart condition isn’t a concern. It would be helpful for all concerned if you got a medical release note from your doctor, to take to the DOT medical examiner.
Hearing in one ear is fine, as long as, you can hear OK with one ear.
I have a CDL. I had a stent put in 10 yrs ago. i am now taking a blood thinner called plavix amd asprin. what information will i need to bring in to the doctor in order for me to get my CDL renewal done.
I also have sleep apena.
@Dusty
You will need a copy of your last ETT-stress test along with a note from your cardiologist stating that he has treated you for your condition, and that the treatment, along with your medication, have you stable and that he feels you are fit to operate a commercial motor vehicle.
I had an MI 3 weeks ago and had stents placed. I was in the hospital for 4 days. The doctor told me that I can go back to work; however, the medical examiner told me there was a 3 month waiting period after a heart attack and that I would need a stress test and possibly an injection test of my heart. Is that true?
@David
Yes, this is correct.
Your cardiologist is, usually, totally unaware of the stresses and demands on a commercial driver. And most recent research has demonstrated a higher possibility of another MI. The waiting period is for both your safety and the safety of the public at large.
I am having a pacemaker/defibrillator put in on April 16 called a 3 wire, will I still be able to keep my CDL and drive in the state of Ohio only?
@Randy
This one you will need to check with your home state.
Once you have been released to return to work by your cardiologist, you will need to take another physical. At time, based on your condition, you will be able to drive ‘intra-state only’.
But I am not sure about each and every state.
Following bypass surgery, why after 5 years is it necessary for someone to have a stress test every year in order to get their medical certificate. Insurance doesn’t cover the cost and the out of pocket, especially for part time drivers, pretty much forces you out of a job.
@ tom
DOT and the FMCSA feel that any heart related conditions may be progressive and there fore want the driver to have a stress test at least once every two years. Otherwise it all goes unchecked and becomes a safety issue for you, the driver and the public at large.
I know a 66 year old man, he has to take his Dot Medical every six months because of his blood pressure, just recently he was in the hospital in Philadelphia for 5 days because of his blood pressure and his heart. To me that is a danger of public safety for him to still be able to continue to hold his CDL. His name is
information deleted by admin.@Elizabeth
Even if a driver currently has a ‘valid’ medical certificate, that driver is prohibited from driving a CMV with any medical condition (such as hospitalization for a cardiovascular 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 a CMV, the driver is responsible for obtaining a release note from his doctor and getting a new DOT physical for re-certification from a Medical Examiner. The final decision for the driver to qualify for a new medical card rests with the Medical Examiner.
I have just been admitted to hospital for phenmonia while bein treated for tthat condition they discovers that I’m in afib.
They are plan in on treating me with xaralto n some other med to help control it .
Can I still pass a physical with this cond.?
N drive long haul .
@John
I would need more information. Afib is one thing that will raise many questions. This medication raises questions too. One of its side effects is dizziness and you will need a note from your doctor as to what and how they are controlling your present condition.
Right now you would be considered a risk to drive, but with proper release documentation from the treating physician you may be OK. The final determination rests with the DOT medical examiner.
My husband drivers a company vechicle that weights over 10,001 lbs 550 edition truck, he does not need a cdl to drive this truck , but when he went to get his card renewed they told him that he could not drive a CMV if he has had any heart problems, he doesn’t need a defibrillator but they denied his renewel live in New Mexico.
@Christine
I would get a note from his primary heart doctor stating that he is cleared to operate a smaller vehicle, but still needs a medical card to operate that vehicle. Make sure your hubby takes a description of the type of work he performs on a daily basis to the doctors visit. It’s hard when people don’t understand the difference between a class A driver and a standard, class D, driver and what they must do as a daily routine.
I do not drive commercial vehicles for which I need CDL’s but I want to keep my CDL status. I recently had triple bypass heart surgery and probably won’t be able to get the needed medical certificate for another two or three months. What can I do to keep my CDL status until I can get the required medical certificate? Your letter says I must submit a medical certificate by January 29, 2014.
@Asa
If you are not currently driving a CMV, and you want to maintain your CDL but are not in a position to certify for a medical certificate, check with your State Driver License Agency (DMV). They may allow you to self-certify in a category that does not require a medical certificate.
If you want to start driving again, you will first have to get a new medical card, and then visit your DMV, to self-certify in the category that is appropriate for the type of driving you will be doing.
You must self-certify by the end of January, or you risk losing your CDL privileges. See more information on our blog about the new FMCSA medical requirements.
Hello, my dad had a defibrillator put in recently and he needs to renew his medical card to drive a commercial dump truck. In the frequently asked questions it reads that having a defibrillator is a disqualifier to drive on the inter-state. However, he always uses the back roads within the town he lives in and never drives on the interstate. Does this still make it a disqualifier? We leave in NC. Thank you.
@Arlene
As long as your dad drives only within the state, in his case within NC, he should be able to qualify for a medical card for Intrastate (Intrastate means “driving within the state).
I was recently hired at a public school district teaching high school kids. Since my class does many different activities, my district is asking me to get my cdl so I can drive the school bus. I haven’t told them yet, but am afraid that I would be disqualified because I have an active heart murmur of which I take medicine for. Would I be disqualified?
@Dan
Your best bet, in this case, is to get a letter from your primary heart doctor explaining your condition.
To drive a school bus, you are not required to have a class A driver’s license, usually it is a class B.
The medical examiner is going to have questions when he does the medical certification, but with the proper information from your primary doctor, you shouldn’t have any real problems. The examiner is looking to make sure that you and your passengers are going to be safe with you as the driver. It does not mean you get a clear certificate, but it’s your best choice.
I have an enlarged aorta. Is this disqualifing?
@dj
There are certain size aortas that would be a disqualifier. You didn’t give enough information to help you make that determination. With more information there may be different answers. Remember that an enlarging aorta can be a progressive condition which may put both you and the public at risk.
If you have a non cdl licence,,,,,and your company wants you to have the physical do you still have to meet the criteria of the dot physical book or just a basic one
@Bob
If you have a regular driver’s license and you are going to be operating a vehicle in excess of 10,001 pounds, then you have to have a medical certificate. There is no written test, only a standard DOT medical examination. They need to answer the question of whether you are physically and mentally fit to operate a commercial vehicle. No special test, unless you are moving your driver’s license up to another class.
Hope this helps.
I had a heart attack two months ago and have been cleared by my doctor. Can I go back to driving?
@Lenard
Following a heart attack, you will need a note from your cardiologist stating he/she understands what you do for a living and a copy of your last stress test. You will need this before you go for your next DOT physical.
You will need a new DOT examination to determine whether or not you are ready to return to work.
The note from your cardiologist needs to answer a few questions in regards to you and your responsibilities as a driver. After this, if the DOT examiner feels you are ready to go, then you’re off and running.
Thanks for the question. Trucker Docs
I drive a school bus in Michigan. A few weeks ago, I had a heart attack and had a stent put in. My pc wrote out that I can go back to work in a couple of months. The medical clinic that the transportation company sent me to said I cannot and they want all of my medical records pertaining to my heart attack and the tests that have been done since. I don’t have a problem giving the clinic my medical records and the cardiologist’s return to work letter, but the transportation company wants all the copies of my medical records, also. The transportation company will get the okay or not okay to go back to work from the clinic. Isn’t there a right to privacy law in Michigan for all my medical records re the heart attack to be turned over to the transportation company? I understand a return to work from the cardiologist, but not all the records from the hospital.
@ Ed F
Really sounds like a legal question for a good attorney.