A 50-year-old male driverpresents for examination with a history of myocardial infarction (MI)6 months before. He is asymptomatic with no angina. What additional reports or information do you need to include/record in your examiner’s report that would support the certification decision?
Explanation
Answer: C - A clearance by the treating cardiologist, post-MI echocardiogram with LVEF > 40%, tolerance to medication, and asymptomatic status with no angina
According to FMCSA’s guidelines, a person who has had a myocardial infarction (MI) may be certified annually on condition that: 1) at least 2 monthshave passed post-MI, 2) the person demonstrates tolerance to medication, 3) the treating cardiologist provides approval, 4) the person has LVEF of> 40% measured by echocardiogram or ventriculogram, and 5) is asymptomatic with no angina.
