Coronary Heart Disease
FAA CHD Reporting - All Classes
Disease Protocols - Coronary Heart Disease
A. Requirements are for consideration for any class of airman medical certification.
- A 6-month recovery period must elapse after the event (angina, infarction, bypass surgery, angioplasty, or stenting) before consideration can be given for medical certification.
- Hospital admission summary (history and physical), coronary catheterization report, and operative report regarding all cardiac events and procedures.
- A current cardiovascular evaluation must include an assessment of personal and family medical history; a clinical cardiac and general physical examination; an assessment and statement regarding the applicant's medications, functional capacity, modifiable cardiovascular risk factors, motivation for any necessary change, prognosis for incapacitation; and blood chemistries (fasting blood sugar and current blood lipid profile to include total cholesterol, HDL, LDL, and triglycerides).
- A current maximal GXT See GXT Protocol.
This checklist addresses requirements for all classes. This will usually suffice for the FAA for 3rd class and "limited" second class pilot aeromedical certificates. Additional Testing and reports are required for first or unlimited second-class medical certification.
A
SPECT myocardial perfusion exercise stress test using technetium agents and/or thallium may be required for consideration for any class if clinically indicated or the exercise stress test is abnormal by any of the usual parameters. The interpretive report and all
SPECT images, preferably in black and white, must be submitted.
Note: If cardiac catheterization and/or coronary angiography have been performed, all reports and the actual films (if films are requested) must be submitted for review. Copies should be made of all films as a safeguard against loss. Films should be labeled with the name of the applicant and a return address.
- Reporting Requirements for any class of airman medical certification.
- Additional requirements for first or unlimited second-class medical certification.
- Certification.
- Coronary Intervention (CABG, Rotoblation, Atherectomy, PTCA, and STENT).
It is the responsibility of each applicant to provide the medical information required to determine his/her eligibility for airman medical certification. Consult with your local AME and we suggest that the information be sent in one mailing, when possible, to either:
Medical Appeals Section, AAM-313
Aerospace Medical Certification Division
Federal Aviation Administration
Post Office Box 26080
Oklahoma City OK 73125-9914
or
Medical Appeals Section, AAM-313
Aerospace Medical Certification Division
Federal Aviation Administration
6700 S MacArthur Blvd., Room B-13
Oklahoma City OK 73169
Applicants found qualified for an airman medical certificate will be required to provide periodic follow-up cardiovascular evaluations including maximal stress testing. Additional diagnostic testing modalities, including radionuclide studies, may be required if indicated.
No consideration will be given for an Authorization until all the required data have been received. The use of the applicant's full name, date of birth, and social security number on all correspondence and reports will aid the agency in locating the proper file.
* Limited second-class medical certificate refers to a second-class certificate with a functional
limitation such as:
-
Not Valid for Carrying Passengers for Compensation or Hire
- Not Valid for Pilot in Command
- Valid Only When Serving as a Pilot Member of a Fully Qualified Two-Pilot Crew
- Limited to Flight Engineer Duties Only, etc.
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