What is the recommendation for someone with an implantable cardioverter-defibrillator?

The recommendation for someone with an implantable cardioverter-defibrillator (ICD) is to defer qualification. This approach is important because individuals with an ICD may have underlying heart conditions that could affect their ability to safely operate commercial vehicles.

Deferring qualification allows for further evaluation and assessment of the individual's cardiac health and stability before making a decision on certification. This is crucial because the presence of an ICD indicates that the person has had serious cardiac problems in the past, such as arrhythmias that could lead to sudden cardiac events. During the deferral period, medical examiners can ensure that the individual has had adequate follow-up care, has been stable for a significant period, and is under appropriate medical management to mitigate any risks.

Certifying immediately or for a specific time frame like six months or two years does not take into account the potential risks associated with untreated underlying conditions. Therefore, deferral is a cautious and responsible approach for someone with an ICD, prioritizing patient safety and compliance with medical standards for commercial driving.