Guide for Aviation Medical Examiners

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Decision Considerations
Disease Protocols - Coronary Heart Disease

B. Additional requirements for first or unlimited^* second-class medical certification. The following should be accomplished no sooner than 6-months post event:

1. Post-event coronary angiography. The application may be considered without post-event angiography but certification for first- and unlimited second-class is unlikely without it.
2. A maximal thallium exercise stress test (See GXT Protocol).
3. The applicant should indicate if a lower class medical certificate is acceptable in the event ineligible for class sought.

^* 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, etc.