COMMERCIAL DRIVERS WITH KNOWN CORONARY HEART DISEASE (CHD) (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 37 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Post Percutaneous Rapid recovery for Yes if: Annual Coronary Intervention elective PCIs for stable At least 1 week after Recommend Cardiologist (PCI) angina. procedure; Approval by examination. cardiologist; Tolerance to Delayed re-stenosis is the Biennial ETT at minimum major PCI limitation and medications. (If test positive or requires intensive ETT 3 to 6 months after inconclusive, imaging secondary prevention. PCI. stress test may be indicated). No if: Incomplete healing or complication at vascular access site; Rest angina; Ischemic ECG changes. Post Coronary Artery Delay in return to work to Yes if: Annual Bypass Surgery (CABG) allow sternal incision At least 3 months after After 5 years: Annual healing. Because of CABG; LVEF > 40% post ETT. Imaging stress test increasing risk of graft CABG; Approval by may be indicated. closure over time, ETT is cardiologist; obtained. Asymptomatic; and tolerance to medications.
COMMERCIAL DRIVERS WITH KNOWN CORONARY HEART DISEASE (CHD) (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 37 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Post Percutaneous Coronary Intervention (PCI) Rapid recovery for elective PCIs for stable angina. Delayed re-stenosis is the major PCI limitation and requires intensive secondary prevention. Yes if: At least 1 week after procedure; Approval by cardiologist; Tolerance to medications. ETT 3 to 6 months after PCI. No if: Incomplete healing or complication at vascular access site; Rest angina; Ischemic ECG changes. Annual Recommend Cardiologist examination. Biennial ETT at minimum (If test positive or inconclusive, imaging stress test may be indicated). Post Coronary Artery Bypass Surgery (CABG) Delay in return to work to allow sternal incision healing. Because of increasing risk of graft closure over time, ETT is obtained. Yes if: At least 3 months after CABG; LVEF > 40% post CABG; Approval by cardiologist; Asymptomatic; and tolerance to medications. Annual After 5 years: Annual ETT. Imaging stress test may be indicated.
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