Cardiac Transplant : Further FAA Medical Workup

Mar 2014

Guidance is compiled and interpreted by professional pilots and physicians at from the 2014 AME Guide page 197, FAA and FDA web data ( &, instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).

The AME must defer issuance. Issuance is considered for Third-class applicants only. The FAA's Cardiology Panel will review, and applicants found qualified will be required to provide annual followup evaluations. All studies must be performed within 30 days of application.

Requirements for consideration:

  • A 1 year recovery period shall elapse after the cardiac transplant before consideration
  • A current report from the treating transplant cardiologist regarding the status of the cardiac transplant, including all pre- and post-operative reports. A statement regarding functional capacity, modifiable cardiovascular risk factors, and prognosis for incapacitation
  • Current blood chemistries (fasting blood sugar, hemoglobin A1C concentration, and blood lipid profile to include total cholesterol, HDL, LDL, and triglycerides), within 30 days
  • Any tests performed or deemed necessary by all treating physicians (e.g., myocardial biopsy)
  • Coronary Angiogram
  • FAA protocol Graded Exercise Stress Test and stress echocardiogram
  • A current 24-hour Holter monitor evaluation to include selective representative tracings
  • Complete documentation of all rejection history, whether treated or not; include hospital records and reports of any tests done
  • A complete history regarding any infectious process
  • All complete history regarding any malignancy
  • List of all present medications and dosages, including side effects

It is the responsibility of each applicant to provide the medical information required to determine his/her eligibility for airman medical certification. A medical release form may help in obtaining the necessary information. Please ensure full name appears on any reports or correspondence.

All information shall be forwarded in one mailing to either:

Medical Appeals Section, AAM-313
Aerospace Medical Certification Division
Federal Aviation Administration
Post Office Box 26080
Oklahoma City OK 73125-9914

Medical Appeals Section, AAM-313
Aerospace Medical Certification Division
Federal Aviation Administration
6700 S MacArthur Blvd., Room B-13
Oklahoma City OK 73169

This page discussed Cardiac Transplant : Further FAA Medical Workup

Reminder: use to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now