Dot Cardiology Letter Form - K+stat Urgent Care (Page 2 of 2) in pdf

Dot Cardiology Letter Form - K+stat Urgent Care Page 2

results of most recent echocardiogram or other testing of left ventricular ejection fraction. An ejection

fraction of 40% or greater is required for certification.

Patients with implantable defibrillators are automatically disqualified from obtaining medical certification

for CDL license. Please call our office and let us know if your patient has an implantable defibrillator.

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cardiologist exam at least yearly

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Biennial ETT at minimum (If test positive or inconclusive, imaging stress test may be indicated).

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Letter documenting that driver is at low risk for sudden incapacitation while driving, and any

cardiologist recommendations.

Please note, on Exercise Testing, driver should be able to:

• Exercise to a workload capacity greater than 6 Metabolic Equivalents (METs) (through Bruce protocol

stage II or equivalent).

• Attain a heart rate greater than or equal to 85% of predicted maximum (unless on beta blockers).

• Have a rise in systolic blood pressure greater than or equal to 20 mm Hg without angina.

• Have no significant ST segment depression.

NOTE:

METs — Extensive literature exists on the energy requirements for many physical tasks.

• Sedentary activity requires fewer than 2 METs. These activities include sitting, slow walking, and lifting

light objects of no more than 10 pounds.

• Light work requires 2 to 4 METs and includes carrying lightweight objects of no more than 20 pounds.

• Medium work requires 4 to 6 METs and includes carrying moderate weight objects of up to 50 pounds.

• Heavy and very heavy work requires greater than 6 METs and includes carrying heavy objects and

climbing stairs rapidly.

Please call our office if you have questions about these requirements. Drivers with heart conditions can

be certified up to one year if they meet requirements.

Sincerely,

K+STAT Urgent Care

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Dot Cardiology Letter Form - K+stat Urgent Care Page 2