# Cardiovascular disease — Medical conditions that disqualify a commercial driver under 49 CFR 391.41 For Cardiovascular disease, standard, as the regulation states it is (4) Has no current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive cardiac failure;; paragraph is (b)(4); regulation section is 49 CFR 391.41, recorded from its source on 2026-08-31; source re-checked 2026-09-15. - **Disqualifying condition or standard:** Cardiovascular disease _(our reading, not quoted from the source)_ - **Standard, as the regulation states it:** (4) Has no current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive cardiac failure; _(verified: appears in the quote below)_ - **Paragraph:** (b)(4) _(our reading, not quoted from the source)_ - **Regulation section:** 49 CFR 391.41 ## What the source says > (4) Has no current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive cardiac failure; ## Source - https://www.ecfr.gov/current/title-49/subtitle-B/chapter-III/subchapter-B/part-391/subpart-E/section-391.41 Last verified: 2026-09-15. Review by: 2027-08-31. Part of [Medical conditions that disqualify a commercial driver under 49 CFR 391.41](https://referencesource.org/dot-cdl-medical-disqualifying-conditions/).