General:

You must provide your medical examiner with the following information:

•    Date onset of Angina (Cardiac Chest Pain)

•    Name and location of treating health care professional.

•    What interventions have been done, Stents / 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 progressively worsening chest pain, shortness of breath, palpatations, swelling of ankles, dizziness or fatigue. Report if symptoms at rest or symptoms on exertion.

Certification following Stable Angina Diagnosis

1)    Satisfactory Exercise Tolerance Test (ETT):

a)    Workload Capacity >6METS (Bruce Protocol Stage II)

b)    Heart Rate >85% Predicted Max (unless on β Blockers)

c)    Rise in Blood Pressure >20mm Hg without precipitating angina

d)    No ST elevation or ST depression on EKG

2)    Must tolerate medicine without side effects.

3)    Waiting Period 3 months

CERTIFY FOR:  Maximum of 1 year

Re-certification

1)    Satisfactory Biennial Exercise Tolerance Test (ETT)

2)    Must tolerate medicine without side effects.

RE-CERTIFY FOR:  Maximum of 1 year