Question About Blood Pressure

Topic 7639 | Page 1

Page 1 of 2 Next Page Go To Page:
David C.'s Comment
member avatar

I recently had my DMV physical and my blood pressure was 130/90. Dr. issued me a 1 year medical cert, I was alright with that , figured I had a year to get my blood pressure under control. Then I was told that once you get an annual cert you cannot get another 2 year cert for the rest of your driving career, even if you get your blood pressure down.Is this true?

Dm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.

DMV:

Department of Motor Vehicles, Bureau of Motor Vehicles

The state agency that handles everything related to your driver's licences, including testing, issuance, transfers, and revocation.

Brett Aquila's Comment
member avatar

I recently had my DMV physical and my blood pressure was 130/90. Dr. issued me a 1 year medical cert, I was alright with that , figured I had a year to get my blood pressure under control. Then I was told that once you get an annual cert you cannot get another 2 year cert for the rest of your driving career, even if you get your blood pressure down.Is this true?

I don't recall hearing anything about that but I can't say for sure. We have a ton of information in our wiki on Blood Pressure Requirements For The DOT Physical and all of the various aspects of the DOT Physical.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Dm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.

DMV:

Department of Motor Vehicles, Bureau of Motor Vehicles

The state agency that handles everything related to your driver's licences, including testing, issuance, transfers, and revocation.

Rick S.'s Comment
member avatar

If your BP is controlled BY MEDICATION - then you can only get a 1 year cert.

Hypertension § 391.41(b)(6)

A person is physically qualified to drive a commercial motor vehicle if that person:

Has no current clinical diagnosis of high blood pressure likely to interfere with ability to operate a commercial motor vehicle safely. Hypertension alone is unlikely to cause sudden collapse; however, the likelihood increases when target organ damage, particularly cerebral vascular disease, is present. This regulatory criteria is based on FMCSA's Cardiovascular Advisory Guidelines for the Examination of CMV Drivers, which used the Sixth Report of the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure (1997).

Stage 1 hypertension corresponds to a systolic BP of 140-159 mmHg and/or a diastolic BP of 90-99 mmHg. The driver with a BP in this range is at low risk for hypertension-related acute incapacitation and may be medically certified to drive for a one-year period. Certification examinations should be done annually thereafter and should be at or less than 140/90.1f less than 160/100, certification may be extended one time for 3 months.

A blood pressure of 160-179 systolic and/or 100-1 09 diastolic is considered Stage 2 hypertension, and. the driver is not necessarily unqualified during evaluation and institution of treatment. The driver is given a one time certification of three months to reduce his or her blood pressure to less than or equal to 140/90. A blood pressure in this range is an absolute indication for antihypertensive drug therapy. Provided treatment is well tolerated and the driver demonstrates a BP value of 140/90 or less, he or she may be certified for one year from date of the initial exam. The driver is certified annually thereafter.

A blood pressure at or greater than 180 (systolic) and 110 (diastolic) is considered Stage 3, high risk for an acute BP-related event. The driver may not be qualified, even temporarily, until reduced to 140/90 or less and treatment is well tolerated. The driver may be certified for 6 months and biannually (every 6 months) thereafter if at recheck BP is 140/90 or less.

Annual recertification is recommended if the medical examiner does not know the severity of hypertension prior to treatment. An elevated blood pressure finding should be confirmed by at least two subsequent measurements on different days.

Treatment includes nonpharmacologic and pharmacologic modalities as well as counseling to reduce other risk factors. Most antihypertensive medications also have side effects, the importance of which must be judged on an individual basis. Individuals must be alerted to the hazards of these medications while driving. Side affects of somnolence or syncope are particularly undesirable in commercial drivers.

Secondary hypertension is based on the above stages. Evaluation is warranted if patient is persistently hypertensive on maximal or near-maximal doses of 2-3 pharmacologic agents. Some causes of secondary hypertension may be amenable to surgical intervention or specific pharmacologic disease. (See Cardiovascular Advisory Panel Guidelines for the Medical Examination of Commercial Motor vehicle Drivers at: http://www.fmcsa.dot.gov/rulesregs/ medreports.htm)

Rick

Commercial Motor Vehicle:

A commercial motor vehicle is any vehicle used in commerce to transport passengers or property with either:

  • A gross vehicle weight rating of 26,001 pounds or more
  • A gross combination weight rating of 26,001 pounds or more which includes a towed unit with a gross vehicle weight rating of more than 10,000 pounds
  • CSA:

    Compliance, Safety, Accountability (CSA)

    The CSA is a Federal Motor Carrier Safety Administration (FMCSA) initiative to improve large truck and bus safety and ultimately reduce crashes, injuries, and fatalities that are related to commercial motor vehicle

    FMCSA:

    Federal Motor Carrier Safety Administration

    The FMCSA was established within the Department of Transportation on January 1, 2000. Their primary mission is to prevent commercial motor vehicle-related fatalities and injuries.

    What Does The FMCSA Do?

    • Commercial Drivers' Licenses
    • Data and Analysis
    • Regulatory Compliance and Enforcement
    • Research and Technology
    • Safety Assistance
    • Support and Information Sharing

    DOT:

    Department Of Transportation

    A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

    State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

    CMV:

    Commercial Motor Vehicle

    A CMV is a vehicle that is used as part of a business, is involved in interstate commerce, and may fit any of these descriptions:

    • Weighs 10,001 pounds or more
    • Has a gross vehicle weight rating or gross combination weight rating of 10,001 pounds or more
    • Is designed or used to transport 16 or more passengers (including the driver) not for compensation
    • Is designed or used to transport 9 or more passengers (including the driver) for compensation
    • Is transporting hazardous materials in a quantity requiring placards

    Hypertension:

    Abnormally high blood pressure.

    Fm:

    Dispatcher, Fleet Manager, Driver Manager

    The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.
T.W.'s Comment
member avatar

David C.

One answer: Run.

You are guaranteed to drop blood pressure 10-15 points in BP if you run 2 miles 3 days a week.

Of course get a physical check up from your doctor first

Bob L.'s Comment
member avatar

If your BP is controlled BY MEDICATION - then you can only get a 1 year cert.

Hypertension § 391.41(b)(6)

A person is physically qualified to drive a commercial motor vehicle if that person:

Has no current clinical diagnosis of high blood pressure likely to interfere with ability to operate a commercial motor vehicle safely. Hypertension alone is unlikely to cause sudden collapse; however, the likelihood increases when target organ damage, particularly cerebral vascular disease, is present. This regulatory criteria is based on FMCSA's Cardiovascular Advisory Guidelines for the Examination of CMV Drivers, which used the Sixth Report of the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure (1997).

Stage 1 hypertension corresponds to a systolic BP of 140-159 mmHg and/or a diastolic BP of 90-99 mmHg. The driver with a BP in this range is at low risk for hypertension-related acute incapacitation and may be medically certified to drive for a one-year period. Certification examinations should be done annually thereafter and should be at or less than 140/90.1f less than 160/100, certification may be extended one time for 3 months.

A blood pressure of 160-179 systolic and/or 100-1 09 diastolic is considered Stage 2 hypertension, and. the driver is not necessarily unqualified during evaluation and institution of treatment. The driver is given a one time certification of three months to reduce his or her blood pressure to less than or equal to 140/90. A blood pressure in this range is an absolute indication for antihypertensive drug therapy. Provided treatment is well tolerated and the driver demonstrates a BP value of 140/90 or less, he or she may be certified for one year from date of the initial exam. The driver is certified annually thereafter.

A blood pressure at or greater than 180 (systolic) and 110 (diastolic) is considered Stage 3, high risk for an acute BP-related event. The driver may not be qualified, even temporarily, until reduced to 140/90 or less and treatment is well tolerated. The driver may be certified for 6 months and biannually (every 6 months) thereafter if at recheck BP is 140/90 or less.

Annual recertification is recommended if the medical examiner does not know the severity of hypertension prior to treatment. An elevated blood pressure finding should be confirmed by at least two subsequent measurements on different days.

Treatment includes nonpharmacologic and pharmacologic modalities as well as counseling to reduce other risk factors. Most antihypertensive medications also have side effects, the importance of which must be judged on an individual basis. Individuals must be alerted to the hazards of these medications while driving. Side affects of somnolence or syncope are particularly undesirable in commercial drivers.

Secondary hypertension is based on the above stages. Evaluation is warranted if patient is persistently hypertensive on maximal or near-maximal doses of 2-3 pharmacologic agents. Some causes of secondary hypertension may be amenable to surgical intervention or specific pharmacologic disease. (See Cardiovascular Advisory Panel Guidelines for the Medical Examination of Commercial Motor vehicle Drivers at: http://www.fmcsa.dot.gov/rulesregs/ medreports.htm)

Rick

If I read this right, if someone comes in with David C's numbers (130/90) a second year, they would get another 1 year card; however, if the lower number shows any increase (130/91 or higher), that person would get a 3-month card. This is based on my reading of the section pertaining to Stage 1 hypertension -

"Certification examinations should be done annually thereafter and should be at or less than 140/90.1f less than 160/100, certification may be extended one time for 3 months."

In other words, the answer to David's question is 'yes - once your blood pressure disqualifies you from getting a 2-year card, you will never be able to get a 2-year card'. The only thing that's a bit ambiguous is the inclusion of the word 'should' in the part of the Stage 1 section that I quoted (now I feel like Bill Clinton trying to explain what 'is' means, lol...)

Commercial Motor Vehicle:

A commercial motor vehicle is any vehicle used in commerce to transport passengers or property with either:

  • A gross vehicle weight rating of 26,001 pounds or more
  • A gross combination weight rating of 26,001 pounds or more which includes a towed unit with a gross vehicle weight rating of more than 10,000 pounds
  • CSA:

    Compliance, Safety, Accountability (CSA)

    The CSA is a Federal Motor Carrier Safety Administration (FMCSA) initiative to improve large truck and bus safety and ultimately reduce crashes, injuries, and fatalities that are related to commercial motor vehicle

    FMCSA:

    Federal Motor Carrier Safety Administration

    The FMCSA was established within the Department of Transportation on January 1, 2000. Their primary mission is to prevent commercial motor vehicle-related fatalities and injuries.

    What Does The FMCSA Do?

    • Commercial Drivers' Licenses
    • Data and Analysis
    • Regulatory Compliance and Enforcement
    • Research and Technology
    • Safety Assistance
    • Support and Information Sharing

    DOT:

    Department Of Transportation

    A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

    State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

    CMV:

    Commercial Motor Vehicle

    A CMV is a vehicle that is used as part of a business, is involved in interstate commerce, and may fit any of these descriptions:

    • Weighs 10,001 pounds or more
    • Has a gross vehicle weight rating or gross combination weight rating of 10,001 pounds or more
    • Is designed or used to transport 16 or more passengers (including the driver) not for compensation
    • Is designed or used to transport 9 or more passengers (including the driver) for compensation
    • Is transporting hazardous materials in a quantity requiring placards

    Hypertension:

    Abnormally high blood pressure.

    Fm:

    Dispatcher, Fleet Manager, Driver Manager

    The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.
Rick S.'s Comment
member avatar
double-quotes-start.png

If your BP is controlled BY MEDICATION - then you can only get a 1 year cert.

double-quotes-end.png

If I read this right, if someone comes in with David C's numbers (130/90) a second year, they would get another 1 year card; however, if the lower number shows any increase (130/91 or higher), that person would get a 3-month card. This is based on my reading of the section pertaining to Stage 1 hypertension -

"Certification examinations should be done annually thereafter and should be at or less than 140/90.1f less than 160/100, certification may be extended one time for 3 months."

In other words, the answer to David's question is 'yes - once your blood pressure disqualifies you from getting a 2-year card, you will never be able to get a 2-year card'. The only thing that's a bit ambiguous is the inclusion of the word 'should' in the part of the Stage 1 section that I quoted (now I feel like Bill Clinton trying to explain what 'is' means, lol...)

Typically - if you are on BP Meds - most M.E.'s will only issue a 1 year card - your BP will not meet regs WITHOUT MEDS - so they typically want you monitored. The rule seems "somewhat vague", but people I've spoken to, told me - you're on meds, you get a 1 year.

Now - I have "friends", that DON'T SAY they're on meds - go in and get below the 140/90 - and get a 2 year card. You DON'T HAVE TO GO TO THE SAME M.E. every year.

In the case of a COMPANY DOT PHYSICAL (at orientation), you drive on that one, until it expires. At that point - you can go WHEREVER YOU WANT and get your renewal, they don't pull you into THEIR DOCTOR to do it. If you SWITCH COMPANIES - you will get another physical, and a NEW CARD.

When I went to renew last year - I couldn't get down under the required number, after 2 visits. I got on meds, went back a week later - and they gave me a 1 year card (after I got under the number). I've since lost a bunch of weight - by the time I come up for renewal the end of April - I probably won't even need the meds any longer. So I will go back to the guy that did my card in '09 (instead of the expensive clinic around the coroner $40 vs $90), and get my renewal from him. At the time I got my ORIGINAL - I stated RIGHT ON THE FORM that I was on meds for BP, and he gave me a 2 year card ANYWAY.

NOW - the way the rule is written - if you DO HAVE between 140-149/90-99 - you're "supposed to get" a 1 year card as well. The M.E. I went to wouldn't do it - even AFTER I SHOWED THEM THE GUIDANCE for the rule. They told me they would give me a 3 month card - so I could get down under the 140/90.

REMINDER: Your LICENSING STATE DMV REQUIRES YOUR DOT MED CARD TO BE ON FILE. YOUR CDL WILL BE DOWNGRADED TO A CLASS E, IF THEY DO NOT HAVE IT ON FILE WHEN IT EXPIRES. MAKE SURE YOU FILE YOUR RENEWAL IN A TIMELY FASHION WITH YOUR STATE DMV. IF YOU GET CAUGHT DRIVING A CMV , WITH A DOWNGRADED LICENSE - IT IS "OPERATING A CMV WITHOUT A CDL". YOU CAN GET YOUR CDL PRIVILEGE SUSPENDED FOR A YEAR IF YOU GET CAUGHT.

Sorry for shouting - but's it's THAT IMPORTANT.

Rick

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

CMV:

Commercial Motor Vehicle

A CMV is a vehicle that is used as part of a business, is involved in interstate commerce, and may fit any of these descriptions:

  • Weighs 10,001 pounds or more
  • Has a gross vehicle weight rating or gross combination weight rating of 10,001 pounds or more
  • Is designed or used to transport 16 or more passengers (including the driver) not for compensation
  • Is designed or used to transport 9 or more passengers (including the driver) for compensation
  • Is transporting hazardous materials in a quantity requiring placards

Hypertension:

Abnormally high blood pressure.

Dm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.

DMV:

Department of Motor Vehicles, Bureau of Motor Vehicles

The state agency that handles everything related to your driver's licences, including testing, issuance, transfers, and revocation.

Bob L.'s Comment
member avatar

Sounds like you have at least 2 cases yourself of an examiner not following the regs - either not knowing them, or not caring (the 3-month is fairly obviously the latter, since you showed him the guidance)

OWI:

Operating While Intoxicated

Scott O.'s Comment
member avatar

Yours is 130/90 that's OK right? I thought if it is under 140 you get a 2 year card and 140 to 155 is the 1 year... I got the 2 year and mine was under 140

Bob L.'s Comment
member avatar

David's issue would most likely be with the bottom number - the regs call for BELOW 140/90, and whichever number is more 'out of spec' is most likely going to be the determining factor. By having EXACTLY 130/90, David is technically in stage 1 hypertension (according to the guidelines)

Hypertension:

Abnormally high blood pressure.

Rick S.'s Comment
member avatar

Sounds like you have at least 2 cases yourself of an examiner not following the regs - either not knowing them, or not caring (the 3-month is fairly obviously the latter, since you showed him the guidance)

Really wasn't going to argue at the time - I just needed my renewal done, so I didn't get downgraded. I could have "doctor shopped". I was going through a real stressful period at the time - and a lot of it was just the stress. I wasn't even (actively) planning on driving then, but I like to keep all my certs current - just in case.

It was also a clue that I needed to get back on BP meds, and go back on my diet. First time I walked in (unmedicated), I was a 145/110. I should be down in weight enough to come off the meds by the end of next month when I renew (at a different Dr.), otherwise - I just won't disclose.

When (if, leaning more towards when - LOL), I get out to get on with a company (probably by the summer), I'll just have to do another physical ANYWAY.

Rick

OWI:

Operating While Intoxicated

Page 1 of 2 Next Page Go To Page:

New Reply:

New! Check out our help videos for a better understanding of our forum features

Bold
Italic
Underline
Quote
Photo
Link
Smiley
Links On TruckingTruth


example: TruckingTruth Homepage



example: https://www.truckingtruth.com
Submit
Cancel
Upload New Photo
Please enter a caption of one sentence or less:

Click on any of the buttons below to insert a link to that section of TruckingTruth:

Getting Started In Trucking High Road Training Program Company-Sponsored Training Programs Apply For Company-Sponsored Training Truck Driver's Career Guide Choosing A School Choosing A Company Truck Driving Schools Truck Driving Jobs Apply For Truck Driving Jobs DOT Physical Drug Testing Items To Pack Pre-Hire Letters CDL Practice Tests Trucking Company Reviews Brett's Book Leasing A Truck Pre-Trip Inspection Learn The Logbook Rules Sleep Apnea
Done
Done

0 characters so far - 5,500 maximum allowed.
Submit Preview

Preview:

Submit
Cancel

Join Us!

We have an awesome set of tools that will help you understand the trucking industry and prepare for a great start to your trucking career. Not only that, but everything we offer here at TruckingTruth is 100% free - no strings attached! Sign up now and get instant access to our member's section:
High Road Training Program Logo
  • The High Road Training Program
  • The High Road Article Series
  • The Friendliest Trucker's Forum Ever!
  • Email Updates When New Articles Are Posted

Apply For Paid CDL Training Through TruckingTruth

Did you know you can fill out one quick form here on TruckingTruth and apply to several companies at once for paid CDL training? Seriously! The application only takes one minute. You will speak with recruiters today. There is no obligation whatsoever. Learn more and apply here:

Apply For Paid CDL Training

About Us

TruckingTruth was founded by Brett Aquila (that's me!), a 15 year truck driving veteran, in January 2007. After 15 years on the road I wanted to help people understand the trucking industry and everything that came with the career and lifestyle of an over the road trucker. We'll help you make the right choices and prepare for a great start to your trucking career.

Read More

Becoming A Truck Driver

Becoming A Truck Driver is a dream we've all pondered at some point in our lives. We've all wondered if the adventure and challenges of life on the open road would suit us better than the ordinary day to day lives we've always known. At TruckingTruth we'll help you decide if trucking is right for you and help you get your career off to a great start.

Learn More