If a driver's blood pressure is below 140/90 after previously having Stage 2 hypertension, what should the examiner do?

Issuing a one-year certification from the original exam date when the driver's blood pressure is now below 140/90 is appropriate under the guidelines for monitoring individuals with a history of hypertension. This practice is based on the understanding that if a driver’s blood pressure has improved to a controlled level, they can be considered fit for commercial driving roles.

When a driver has a history of Stage 2 hypertension, it is crucial for medical examiners to ensure that proper management of hypertension is in place and that the driver can maintain a blood pressure at or below the threshold. By issuing a one-year certification from the original exam date, the examiner acknowledges that the condition has stabilized and that the driver is currently compliant with health regulations, while also ensuring that regular monitoring and follow-up will occur as needed.

The choice to not issue shorter certifications, such as 3-months or 6-months, reflects a balance between ensuring the driver's health and providing them with reasonable assurance of their driving eligibility over a more extended period based on their improved condition. Regular monitoring is still encouraged, but a full year is justified when the driver shows evidence of maintaining a healthy blood pressure level.