General:

You must provide your medical examiner with the following information:

•    Date onset of Myocardial Infarction (MI) (Heart Attack).

•    Name and location of treating health care professional.

•    What interventions have been done, CABG?

•    Medications you are taking.

•    Treatment plan / frequency of testing

•    Last dose of Anticagulant (If taking)

•    Last INR: if on Warfarin (Coumadin)

•    Use of Oxygen

•    Side effects of medication. 

•    Report:

Any history of chest pain, shortness of breath, swelling of ankles, dizziness or fatigue. Report if symptoms at rest or symptoms on exertion.

First Certification after the Myocardial Infarction:

WAIT:  2 months from the date of the MI

MUST HAVE:

1. No symptoms or medicine side effects
2. Documented  clearance from treating cardiologist.
3. Exercise tolerance test(ETT), should get to 85% of max predicted HR OR a post MI echocardiogram showing LVEF ≥ 40%
4. No ischemia on ECG

CERTIFY FOR:  Maximum of 1 year

Recertification:

MUST HAVE:

1.     No symptoms

2.     Cardiology clearance

3.     ETT every other year (i.e. within last 2 years)

CERTIFY FOR:  Maximum of one year