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DOT Certification Handbook - Midlands Occupational Med
Jan 01, 2014 · Echo-Doppler examination demonstrating pulmonary artery pressure greater than 50% systemic; Echo-Doppler examination demonstrating a right-to-left shunt; Pulmonary to systemic flow ratio greater than 1.5 to 1; Heart block or sinus node dysfunction on an Annual Evaluation by cardiologist knowledgeable in adult congenital heart disease.
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