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<blockquote data-quote="Pip" data-source="post: 218507" data-attributes="member: 6039"><p>Just a followup to what wornoutupser stated. Here is the DOT regulation concerning high blood pressure copied from the FMCSA website, 391.41(b)(5) :</p><p> </p><p>A person is physically qualified to drive a commercial motor vehicle if that person: </p><p>Has no current clinical diagnosis of high blood pressure likely to interfere with the ability to operate a commercial motor vehicle safely. </p><p>Hypertension alone is unlikely to cause sudden collapse; however, the likelihood increases when target organ damage, particularly cerebral vascular disease is present. This advisory <span style="font-family: 'Verdana'">criteria</span> is based on FMCSA's Cardiovascular Advisory Guidelines for the Examination of CMV Drivers, which used the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (1997). </p><p><strong>Stage 1</strong> hypertension corresponds to a systolic BP of 140-159 mmHg and/or a diastolic BP of 90-99 mmHg. The driver with a BP in this range is at low risk for hypertension-related acute incapacitation and may be medically certified to drive for a one-year period. Certification examinations should be done annually thereafter and should be less than 140/90. If less than 160/100, certification may be extended one time for three months. </p><p>A blood pressure of 160-179 systolic and/or 100-109 diastolic is considered <strong>Stage 2</strong> hypertension, and the driver is not necessarily unqualified during evaluation and institution of treatment. The driver is given a one time certification of three months to reduce his or her blood pressure to less than 140/90. A blood pressure in this range is an absolute indication for antihypertensive drug therapy. Provided treatment is well tolerated and the driver demonstrates a BP value of less than 140/90, he or she may be certified for one year from the date of the initial exam. The driver is certified annually thereafter. </p><p>A blood pressure at or greater than 180 (systolic) and 110 (diastolic) is considered <strong>Stage <span style="font-family: 'Verdana'">3</span></strong><span style="font-family: 'Verdana'">,</span> high risk for an acute BP-related event. The driver may <strong>not</strong> be qualified, even temporarily, until reduced to less than 140/90 and treatment is well tolerated. The driver may be certified for 6 months and biannually (every 6 months) thereafter if at recheck BP is less than 140/90. </p><p>Annual recertification is recommended if the medical examiner does not know the severity of hypertension prior to treatment. </p><p>An elevated blood pressure finding should be confirmed by at least two subsequent measurements on different days. </p><p>Treatment includes non-pharmacologic and pharmacologic modalities as well as counseling to reduce other risk factors. Most antihypertensive medications also have side effects, the importance of which must be judged on an individual basis. Individuals must be alerted to the hazards of these medications while driving. Side effects of somnolence or syncope are particularly undesirable in commercial drivers. </p><p>Secondary hypertension is based on the above stages. </p><p> </p><p> </p><p>140-159/90-99 Stage 1</p><p>1 year 1 year if <140/90. </p><p>One-time certificate for 3 months if 140-159/90-99.</p><p> </p><p>160-179/100-109 </p><p>Stage 2 </p><p>One-time certificate for 3 months. </p><p>1 year from date of exam if <140/90. </p><p> </p><p>≥ 180/110 </p><p>Stage 3 </p><p>Disqualified </p><p>6 months from date of exam if <140/90, then every 6 months if <140/90.</p><p> </p><p>Hope this helps clarify DOT requirements for CDL.</p></blockquote><p></p>
[QUOTE="Pip, post: 218507, member: 6039"] Just a followup to what wornoutupser stated. Here is the DOT regulation concerning high blood pressure copied from the FMCSA website, 391.41(b)(5) : A person is physically qualified to drive a commercial motor vehicle if that person: Has no current clinical diagnosis of high blood pressure likely to interfere with the ability to operate a commercial motor vehicle safely. Hypertension alone is unlikely to cause sudden collapse; however, the likelihood increases when target organ damage, particularly cerebral vascular disease is present. This advisory [FONT=Verdana]criteria[/FONT] is based on FMCSA's Cardiovascular Advisory Guidelines for the Examination of CMV Drivers, which used the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (1997). [B]Stage 1[/B] hypertension corresponds to a systolic BP of 140-159 mmHg and/or a diastolic BP of 90-99 mmHg. The driver with a BP in this range is at low risk for hypertension-related acute incapacitation and may be medically certified to drive for a one-year period. Certification examinations should be done annually thereafter and should be less than 140/90. If less than 160/100, certification may be extended one time for three months. A blood pressure of 160-179 systolic and/or 100-109 diastolic is considered [B]Stage 2[/B] hypertension, and the driver is not necessarily unqualified during evaluation and institution of treatment. The driver is given a one time certification of three months to reduce his or her blood pressure to less than 140/90. A blood pressure in this range is an absolute indication for antihypertensive drug therapy. Provided treatment is well tolerated and the driver demonstrates a BP value of less than 140/90, he or she may be certified for one year from the date of the initial exam. The driver is certified annually thereafter. A blood pressure at or greater than 180 (systolic) and 110 (diastolic) is considered [B]Stage [FONT=Verdana]3[/FONT][/B][FONT=Verdana],[/FONT] high risk for an acute BP-related event. The driver may [B]not[/B] be qualified, even temporarily, until reduced to less than 140/90 and treatment is well tolerated. The driver may be certified for 6 months and biannually (every 6 months) thereafter if at recheck BP is less than 140/90. Annual recertification is recommended if the medical examiner does not know the severity of hypertension prior to treatment. An elevated blood pressure finding should be confirmed by at least two subsequent measurements on different days. Treatment includes non-pharmacologic and pharmacologic modalities as well as counseling to reduce other risk factors. Most antihypertensive medications also have side effects, the importance of which must be judged on an individual basis. Individuals must be alerted to the hazards of these medications while driving. Side effects of somnolence or syncope are particularly undesirable in commercial drivers. Secondary hypertension is based on the above stages. 140-159/90-99 Stage 1 1 year 1 year if <140/90. One-time certificate for 3 months if 140-159/90-99. 160-179/100-109 Stage 2 One-time certificate for 3 months. 1 year from date of exam if <140/90. ≥ 180/110 Stage 3 Disqualified 6 months from date of exam if <140/90, then every 6 months if <140/90. Hope this helps clarify DOT requirements for CDL. [/QUOTE]
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