Guide for Aviation Medical Examiners
Decision Considerations – Aerospace Medical Dispositions
Item 36. Heart – Hypertension
|A. No medication
(If treating physician discontinued medications 30 days ago or longer.)
|If airman meets standards:||ISSUE
Summarize this history in Block 60.
|B. Treated with 3 or fewer* acceptable medications.||See CACI - Hypertension Worksheet
For additional information, see Hypertension FAQs
|Follow the CACI – Hypertension Worksheet. Annotate Block 60.|
|C. Any of the following:
||Submit the following to the FAA review:
☐ Current status report from treating physician with treatment plan, prognosis and how long the condition has been stable;
☐ Specific mention if there is a secondary cause for HTN or any evidence of a co-morbid condition (ex. diabetes or OSA), or end organ damage (ex. renal insufficiency, kidney disease, eye disease, MI, CVA heart failure, etc); and
☐ List of medications, dates started and stopped, and any side effects.
Submit the information to the FAA for a possible Special Issuance.
Follow up Issuance Will be per the airman's authorization letter
Notes: *Number of medications counts each component. (Example: lisinopril/HCTZ is 2 medications.)
If this airman is new to you or you are not certain of their HTN control, you may request a current status report from the treating physician for your review.
If the airman did not meet standards on exam, See Item 55. Blood Pressure.