Ala. Admin. Code r. 760-X-20-.06 - Conditions Affecting Cardiovascular Function

Current through Register Vol. 40, No. 6, March 31, 2022

(1) With respect to conditions affecting cardiovascular function, the review boards when making recommendations, and the department when taking licensing action, may consider disorders including, but not limited to, the following:
(a) Coronary artery disease, including myocardial infarction.
(b) Congestive heart disease.
(c) Valvular disease or replacement valves.
(d) Congenital heart disease.
(e) Cardiomyopathy.
(f) Pericardial disease.
(g) Myocarditis.
(h) Cor pulmonale.
(i) Conduction difficulties.
(j) Arrhythmias.
(k) Aortic or arterial occlusion or aneurysm.
(2) The department may require a person to provide information on the person's functional ability including, but not limited to, the following:
(a) Hypertension.
(b) Orthostatic hypotension.
(c) Presence of pain and its frequency, location, duration and intensity.
(d) Syncope or presyncopal sensations.
(e) Procedures which correct a cardiovascular condition and which temporarily impair functional ability, including surgical procedures such as a coronary artery bypass graft.
(f) Pacemaker function.
(g) Implanted defibrillator function.
(h) Results of procedures such as an electrocardiogram, stress test with thallium scan, angiography, multigated acquisition scan, echocardiogram, or electrophysiologic studies.
(i) Cardiac drug use, including rhythm control drugs, antianginal agents, cardiac glycosides, antihypertensive medication and side effects of these medications.
(j) Cardiac transplantation.
(3)
(a) Licensing standards. No operator's license may be issued to, renewed by, or held by a person who does not meet the applicable medical review standards for conditions affecting cardiovascular function of this subsection.
(b) Medical standards for operators licenses. A person who applies for, renews, or holds an operator's license shall meet all of the following cardiovascular function criteria:
1. There are no current symptoms of coronary artery disease, such as unstable angina, dyspnea, or pain at rest, which interfere with safe driving, as assessed by a physician or determined through a driving evaluation.
2. There is no cause of cardiac syncope present, including ventricular tachvcardia or fibrillation, which is not successfully controlled.
3. There is not congestive heart failure that limits functional ability and is assessed by a physician as interfering with safe driving.
4. Any cardiac rhythm disturbances are successfully controlled.
5. There is no automatic implantable cardioverter defibrillator, unless the device is assessed by and electrophysiologist as not interfering with safe driving.
6. There are no medications interfering with safe driving.
7. There is no valvular heart disease or malfunction of prosthetic valves that is assessed by a physician as interfering with safe driving.

Author: Lieutenant F. A. Bingham

Notes

Ala. Admin. Code r. 760-X-20-.06
New Rule: Filed March 12, 1996; effective April 16, 1996.

Statutory Authority: Code of Ala. 1975, ยงยง32 2 9, 32 6 13, as amended.

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