Chapter 6. Medical Standards for CDL Intrastate Waiver for a Cardiovascular Condition continued The RMV will only issue an intrastate medical waiver for a cardiovascular condition if you: * are not classified according to the American Heart Association functional classification system as an American Heart Association functional Class III or IV heart patient or * have had an automated implantable cardiac defibrillator placed for a " sudden death event " and will not be eligible for an active intrastate commercial driver's license waiver until a 6 month period during which there is documentation of no episodes of appropriate device firing If you have an automated implantable cardiac defibrillator and are determined to have an automated implantable cardiac defibrillator that appropriately " fires " , you will be considered the same as a customer who has had a " sudden death event " and be subject to a 6 month period during which there is documentation of no episodes of appropriate device firing. If you have an automated implantable cardiac defibrillator placed purely for prophylactic reasons, you are eligible for an intrastate commercial driver's license waiver and will not be subject to the 6 month, no-trigger, " waiting " period. If you were formerly deemed ineligible to receive a waiver due to your automated implantable cardiac defibrillator implant or classification as a Class III or IV heart patient, and are now eligible, you must submit a written statement from your health care provider to the RMV which indicates that: * An automated implantable cardiac defibrillator implanted for a " sudden death event " has not fired in a 6 month period or that the automated implantable cardiac defibrillator was implanted for prophylactic reasons and has not fired in a 6 month period * You are classified as either American Heart Association functional Class I, Class II, or do not have heart disease * To a reasonable degree of medical certainty, you're medically qualified to operate a commercial vehicle 03/18