Guide for Aviation Medical Examiners
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:
- 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.
- A maximal thallium exercise stress test (See GXT Protocol).
- 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