What is the certification requirement for a patient with unstable angina?

A patient with unstable angina should not be certified because unstable angina is considered a serious condition where there is an increased risk of heart attack or other cardiac events. During unstable angina, symptoms may occur even at rest or with minimal exertion, which poses significant safety risks when operating a commercial vehicle.

Medical examiners are guided by the FMCSA regulations, which prioritize the safety of the driver and others on the road. Since unstable angina indicates that a patient has not achieved adequate control over their coronary artery disease or has worsening symptoms, certifying them to drive would not be appropriate due to the potential for sudden incapacitation.

Waiting periods exist for various conditions, but in the case of unstable angina, the immediate need for stability and symptom management takes precedence, justifying the decision to not certify the individual under any circumstances.