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Guidance/Advisory Criteria — Treatments

Implantable Cardiac Defibrillators

Implantable cardioverter-defibrillators (ICDs) are electronic devices that treat cardiac arrest, ventricular fibrillation, and ventricular tachycardia through the delivery of rapid pacing stimuli or shock therapy.

ICDs treat but do not prevent arrhythmias; therefore, the driver remains at risk for syncope. The management of the underlying disease is not effective enough for the driver to meet cardiovascular qualification requirements. Combination ICD/pacemaker devices are also ineffective for preventing incapacitating cardiac arrhythmia events.

Certification/Recertification — Implantable Cardiac Defibrillators

Waiting period

Not applicable.

Decision

Recommend to certify if:

Not applicable.

Recommend not to certify if:

The driver has an:

  • ICD.
  • ICD/pacemaker combination device.

Monitoring/Testing

Not applicable.

Follow-up

Not applicable.

Implantable Defibrillator Recommendation Table (PDF)

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