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DOT Exam > Cardiology Pt. 1 > Flashcards

Cardiology Pt. 1 Flashcards

1
Q

Echocardiogram Criteria

A
  • LVEF > 40% at rest
  • No pulmonary HTN (pulmonary artery pressure > 50% systolic BP)
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2
Q

Exercise Tolerance Test (ETT) Criteria

A
  • 6 METs on Bruce Protocol Stage 2
  • 85% max HR (unless on beta-blockers)
  • Increase of systolic BP of 20mmHg without angina
  • No ST Segment depression
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3
Q

MI Waiting & Certification Period

A

Waiting: 2 months

Max Cert: 1 year

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4
Q

Post-MI Cert Requirements

A
  1. Asymptomatic
  2. Clearing ETT
    3 .LVEF > 40% (REQUIRED POST MI)
  3. Biennial ETT
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5
Q

Stable Angina Waiting & Certification Period

A

Waiting: 3 months w/o angina at rest or change of pattern

Max Cert: 1 year

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6
Q

Stable Angina Cert Requirements

A
  1. Stable angina
  2. Asymptomatic
  3. Tolerates medications
  4. Clears ETT
  5. Biennial ETT
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7
Q

Unstable Angina Requirements

A

Do NOT certify if driver has had unstable angina within 3 months

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8
Q

Post-CABG Waiting & Certification Period

A

Waiting: 3 months

Max Cert: 1 year

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9
Q

Post-CABG Cert Requirements

A
  1. Asymptomatic
  2. Tolerates meds
  3. LVEF > 40%
  4. Healed sternum
  5. ANNUAL ETT
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10
Q

Post-PCI Waiting & Certification Period

A

Waiting:
- If uncomplicated: 1 week
- If post-MI: 2 months

Max Cert: 1 year

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11
Q

Post-PCI Cert Requirements

A
  1. Asymptomatic
  2. Tolerates meds
  3. No injury at vascular site
  4. Biennial ETT
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12
Q

Post-PCI Disqualifying

A
  1. Incomplete healing or complication at vascular site
  2. Unstable angina
  3. Ischemic EKG changes
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13
Q

Supraventricular Arrhythmias

A
  1. Afib
  2. SV tachycardia
  3. AV nodal reentrant tachycardia
  4. AV reentrant tachycardia
  5. WPW Syndrome
  6. Atrial tachycardia
  7. Junctional Tachycardia
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14
Q

Supraventricular Arrhythmias Waiting & Certification Period

A

Waiting: 1 month asymptomatic

Max Cert: 1 year

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15
Q

Supraventricular Arrhythmia Cert Requirements

A
  1. HR controlled
  2. Anticoagulant if applicable (AFIB/AFLUTTER)
  3. Clearance
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16
Q

Supraventricular Arrhythmia Disqualifying

A
  1. Causes LOC
  2. Compromised cerebral function
  3. Sudden death resuscitation
17
Q

Acceptable Ventricular Arrhythmias

A
  1. Coronary heart disease
  2. RV Outflow VT
  3. Idiopathic LV VT
18
Q

Ventricular Arrhythmia Waiting & Certification Period

A

Waiting: 1 month following treatment

Max Cert: 1 year

19
Q

Ventricular Arrhythmia Cert Requirements

A
  1. Asymptomatic
  2. Identified non-disqualified cardiac cause
  3. Clearance
20
Q

Ventricular Arrhythmias DQ

A
  1. Symptomatic
  2. Sustained VTach
  3. NSVT w/ LVEF < 40%
21
Q

Disqualifying Ventricular Arrhythmias

A
  1. Hypertrophic CM
  2. Long QT Interval Syndrome
  3. Brugada Syndrome
22
Q

CHF Certification Period

A

Max Cert: 1 year

23
Q

CHF Certification Requirements

A
  1. Asymptomatic (NYC Class I)
  2. Tolerates meds
  3. LVEF > 40%
  4. Clears ETT
  5. Annual exam
24
Q

CHF DQ

A
  1. Symptomatic (NYC Class II or worse)
  2. Sustained VTach
  3. LVEF < 40%
25
Q

Syncope Waiting & Certification Period

A

Waiting: 3 months following treatment

Max Cert: 1 year

26
Q

Pacemakers vs. ICDs

A

Pacemakers are okay

ICDs automatically DQ

27
Q

Post-Implant Pacemaker Waiting & Certification Period

A

Waiting:
- 1 month post-implant if:
- Sinus Node Dysfunction
- AV Block
- 3 months post-implant if:
- Hypersensitive Carotid Sinus w/ syncope

Max Cert: 1 year

28
Q

Pacemaker Certification Requirements

A
  1. Documentation noting functional device
  2. Documentation noting routine device checks
  3. No disqualifying diseases

DOT Exam (12 decks)

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