What is required for recertification after syncope?

For recertification after an episode of syncope, the individual must be in an asymptomatic and stable condition. This requirement ensures that the person has shown no further episodes of syncope and is not currently exhibiting any symptoms that could impair their ability to operate a commercial vehicle safely. Being asymptomatic indicates that the cause of syncope has been addressed or resolved, reducing the risk of future episodes during operation.

While the other choices may be considerations depending on the individual's medical history or situation, they are not universal prerequisites for recertification. For instance, cardiologist approval may be necessary for some cases, but it is not a blanket requirement for all individuals with a history of syncope. Written documentation of medications and proof of treatment for related diseases can also be important, but they do not directly determine recertification status in the absence of symptoms. Thus, demonstrating a stable and asymptomatic condition is the most critical factor for ensuring safety in the context of driver recertification after syncope.