Guide for Aviation Medical Examiners
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:
- 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).
- FAA Form 8500-20, Medical Exemption Petition (Operational Questionnaire). The applicant should indicate if a lower class medical certificate is acceptable in the event ineligible for class sought.

