For patients with severe valvular disease, what is the certification status?

Patients with severe valvular disease are typically disqualified from certification due to the potential risks associated with their condition. Valvular diseases can significantly impair heart function, leading to serious complications while operating commercial vehicles, such as arrhythmias, congestive heart failure, or sudden cardiac events. Safety is a paramount concern in the commercial driving industry, and the FMCSA has established guidelines to ensure that drivers are medically fit to operate vehicles without putting themselves or others in danger.

The other options imply varying degrees of ability to drive under certain conditions or with ongoing evaluation. However, given the serious nature of severe valvular disease, a disqualification status is the only appropriate response due to the immediate risks associated with severe cardiovascular compromise.