CME Certified Federal Medical Examiner

Category - Driver Identification and History

A 47-year-old male had a percutaneous coronary intervention (PCI) 8 months before. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?
  1. No further information, persons who had a PCI cannot be qualified as CMV drivers
  2. Cardiologist approval, LVEF > 40%, and tolerance to medications
  3. Cardiologist approval, normal ETT for 3 to 6 months post-PCI, non-ischemic ECG changes, and tolerance to medication
  4. Cardiologist approval, normal ETT for 6 to 9 months post-PCI, non-ischemic ECG changes
Explanation
Answer: C - Cardiologist approval, normal ETT for 3 to 6 months post-PCI, non-ischemic ECG changes, and tolerance to medication

This is the correct answer because according to FMCSA guidelines, a person who has had PCI may be qualified annually as a CMV driver if a PCI was done at least one week before examination date, a cardiologist clearance report is provided, there are no ischemic changes on ECG, normal ETT was performed 3 to 6 months post-PCI and demonstrates tolerance to medication.
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