CVD Flashcards
Transplant certified for
6 mo
varicose veins and phlebitis certified for
2 years
all other CVD certified for
1 year
wait for PCI/cath
1 week
wait for dysrhythmia, anticoag, ablation
1 mo
wait for MI
2 mo
wait for angina
3 mo
wait for CABG
3 mo
what is ETT pass
> 6METS
When to get ETT for PCI
3-6mo after cath and Q2y
When to get ETT for CABG
5 yr later then yearly
who gets biannual ETT
MI and angina
wait for AA surgery
3mo
Wait for transplant
1 year
DQ
hypertrophic/restrictive cardiomyopathy
implanted defib
long QT
Bruggada
syncope wait
none
which syncope is certified
asx, tolerating meds, low risk repeat, cleared by neurologist
Which syncope DQ
high risk or due to disease/injury
When DQ MI
angina sx
EF<40
abnormal ETT
Ischemic EKG at rest
not tolerating meds
When DQ transplant
if rejection
When DQ angina
unstable
When can you certify stable angina
no sx at rest, normal BP resting (SBP>95), no orthostatic hypotension, Pass ETT without ishemic changes
Does angina need clearance
yes, cardio
Which CHF cerftified
idiopathic dilated cardiomyopathy is no sx, no arrhythmias, LVEF>40% and tolerating meds
Does CHF need clearance
yes! cards, holter and echo
CHD equivalent
DM
PVD
Framingham>20%
45yo with RF
When can you certify PCI
no rest angina sx, EKG no ischemia, no complication at vascular site
DQ dysrhythmia
VT, LVEF<40%, sx
which afib certified
lone/isolated
What needed to be cleared for afib
on anticoag for 1 mo
monthly INR
cardio clearnace
rate/rhythm control
Wait for aflutter
none if asx or 1 mo after ablation done
how long to wait for pacemaker implantation for sinus node dysfxn
1mo
how long to wait for pacemaker implantation for AV block
1 mo
what is needed for pacemaker certification
pacemaker checks
Wait for neurocardiogenic syndrome
3 mo after pacemaker
Wait for hypersensitive carotid syndrome
3 mo after pacemaker
DQ for AAA
> 5cm or >0.5cm increase in 6 mo
surgery recommended and not completed
sx
Certify thoracic AA
<3.5cm
wait for thoracic AA
3 mo after surgery
DQ PVD
pain at rest and sx
Wait for PVD
3 mo post revascularization
DVT wait
1mo stable and no residual sx
Needed to certify DVT
no residual sx, monthly INR
Certify cerebrovascular do
DQ
Echo for mild AS
Q5y
Echo for mod AS
Q1-2y
What if severe AS
need surgery then 3 mo clearance and annual echo
Wait for PE
3 mo
What test is required if can’t meet ETT, has dysrhythmia or abnormal resting ECG
Radionucleide stress test
if the cardiologist/primary give no diagnosis of heart disease even after symptoms present to them, can the driver be DQ?
No but can have a shortened certification, like 3 mo to check in with cardio
WPW with atrial fibrillation is a disqualifying condition
True
