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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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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.
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 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.
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??
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.