How often should a driver with congenital heart disease be evaluated for certification?

Drivers with congenital heart disease need to be carefully monitored to assess their fitness to operate a commercial vehicle safely. The guidance from the FMCSA indicates that those with stable, well-managed congenital heart conditions should be evaluated at least annually. This annual evaluation allows for thorough assessment of their cardiovascular status, ensuring that any changes in their health that could impact their driving are identified in a timely manner. Maintaining this regular schedule helps ensure that drivers meet the necessary medical standards and are capable of driving safely, thereby reducing the risk of accidents related to health issues.

A biannual or more frequent evaluation is typically reserved for those with more significant complications or those whose condition may present ongoing risks that need closer monitoring. Therefore, an annual examination tends to strike the right balance for drivers with stable congenital heart disease.