• Guide for Aviation Medical Examiners Topics
  • AMCS Login
  • Search Guide
  • Application Process
  • Decision Considerations
    • Aerospace Medical Dispositions
    • Disease Protocols
  • Important Notices
  • Pharmaceuticals
  • Special Issuances
  • Substances Dependence/Abuse
  • Synopsis of Medical Standards

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Disease Protocols - Coronary Heart Disease
A. Requirements are for consideration for any class of airman medical certification.

1. Recovery periods before consideration can be given for medical certification:
1. 6 months: after angina, infarction, bypass surgery, angioplasty, stenting, rotoblation, or atherectomy
2. 3 months: after ablation or valve replacement
3. None: after supraventricular tachycardia, atrial fibrillation, and syncope. NOTE: if any of these conditions required any cardiac intervention that is listed in subparagraphs a and b above, then the applicable waiting periods do apply.
2. Hospital admission summary (history and physical), coronary catheterization report, and operative report regarding all cardiac events and procedures.
3. 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).
4. A current maximal GXT – See GXT Protocol.

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.