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I have an implanted defibrillator (ICD) — the published answer

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Federal source: Appendix A to Part 391, §D.2 (Cardiovascular) · Rules checked October 2026

What the federal text says

FMCSA's published advisory criteria state that a driver with an implantable cardioverter-defibrillator is not qualified, because of the risk of sudden incapacitation the device exists to guard against. FMCSA denied ICD exemption applications on this basis (2019). This is an advisory-criteria disqualification applied uniformly, not one examiner's opinion.

What that means for you

The published outcome is not qualified, and there is currently no working exemption door for an ICD. We print that plainly because a driver planning around a different answer would be planning on sand.

What moves the outcome

If your device situation changes — device removed, or a cardiologist documents that the underlying condition no longer requires it — the analysis changes with it, and current cardiology documentation is what an examiner would need. Watch this page's checked date: advisory criteria are the layer most likely to move.

Which mode is this?

This question is decided by the federal text itself. The verdict above is computed from the cited words — your examiner is bound by the same text.

Only a certified medical examiner on the National Registry can certify you. FreightVerdict reads the published federal standards — it does not certify, diagnose, or treat, and nothing here is medical advice.

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