CVD Flashcards
What EF is DQ
<40%
What size AAA is qualifying if asymptomatic
<4.0cm
What size AAA is qualifying if asymptomatic and cleared by specialist
4-5cm
what size AAA is DQ if not surgically repaired
> 5 cm
Post-op surgical waiting period for AAA
3 months
What imaging study is conducted to monitor change in AAA size
If 4-5 cm in size, need US to monitor if not repaired
What size thoracic aneurysm is DQ
> 3.5 cm
Waiting period for thoracic aneurysm post-op
3 months
Is hypertrophic cardiomyopathy qualifying
No
In what situation is idiopathic dilated cardiomyopathy and CHF qualifying
if asymptomatic
no ventricular arrhythmias
LVEF 40-50%
What further evaluation is required for idiopathic dilated cardiomyopathy and CHF
cardiology evaluation
echo
Holter
Is symptomatic CHF qualifying
No
Is asymptomatic CHF with ventricular arrhythmias and EF <50% qualifying
no
Is asymptomatic CHF without ventricular arrhythmias and EF <40% qualifying
No
Is asymptomatic CHF without ventricular arrhythmias and EF 40-50% qualifying
yes
Is restrictive cardiomyopathy qualifying
no
When is risk of recurrent major cardiac event the highest?
first months post-MI
Waiting period for post-MI
2 months
Frequency of ETT for post-MI
Biennial at the least
Post-MI EF minimum requirements for certification
> 40%
Waiting period for angina pectoris
change in angina pattern within 3 months of exam
Qualifiers needed to certify angina pectoris
no rest angina no change in angina pattern in last 3 months normal ETT no ischemic changes on EKG tolerance to CV therapy
Frequency of ETT for angina pectoris
biennial at minimum
Waiting period for PCI
1 week post-procedure
When does ETT need to be conducted post PCI
3-6 months after PCI
Frequency of ETT needed for PCI
Biennial
How long should initial certification period be for PCI
Recertify starting with 6 months
Then can do annually with satisfactory ETT
Waiting period for CABG
3 months post-op
EF needed for CABG
> 40%
When does ETT need to be conducted for post-CABG
after 5 years need an annual ETT
What is an abnormal ETT
unable to exceed 6 METs on Bruce protocol
Max certification period for congenital heart conditions
1 year post repair
Are implantable defibrillators certifiable
NO
Waiting period for post heart transplant
1 year post-transplant
Max certification for heart transplant
6 months
Is driver with mitral regurgitation and afib certfiable
no, high risk of stroke
Mild mitral regurgitation qualifiers
asymptomatic
normal LV size
normal PAP
In a driver with mitral regurg, what grade of disease requires an annual echo
moderate and severe
How often does a driver with severe mitral regurg need an echo
every 6-12 months if not corrected by surgery
Moderate mitral regurgitation qualifers
asymptomatic
normal LV size
normal PAP
Waiting period for severe mitral regurgitation post-op
3 months
Can severe mitral regurgitation be certified
yes if asymptomatic or 3 months post-op
What is the most common presenting manifestation of occlusive arterial disease
intermittent claudication
waiting period for intermittent claudication
3 months post-op
Is lone afib qualifiable
yes
Requirements for drivers with afib and increased risk of stroke
anticoagulation for at least 1 month
INR regulated at least monthly
rate and rhythm control deemed adequate by cardiology
Waiting period for mechanical valves
3 months post-op
Qualifiers for acute DVT
no residual acute DVT
if on coumadin, follow anticoagulation protocol
