A 60-year-old male applying for re-certification declares that he previously suffered congestive heart failure (CHF). He was certified as a CMV driver annually for the past 2 years. He provides you with a cardiologist clearance report indicating normal ECG, normal Holter evaluation, no symptoms, no ventricular arrhythmias, tolerance to medication, and LVEF of 39%. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?
A)Normal post-cardiomyopathy ETT
B)No further information, this person cannot be re-certified
C)Documented correct function by the pacemaker center
D)Results of a monthly prothrombin time (PT) test

Question

Quizplus · Accepted Answer

No further information, this person cannot be re-certified
This is the correct answer because his LVEF is <?40%. According to FMCSA guidelines, a person who has a history of CHF can be certified annually if he is asymptomatic, has no arrhythmias, follows an annual cardiology evaluation including ECG and Holter and has LVEF of 40% to 50%. ETT is not required in this case according to FMCSA. INR tests and normal pacemaker function do not apply in this case.

A 60-Year-Old Male Applying for Re-Certification Declares That He Previously