Guide for Aviation Medical Examiners

Decision Considerations
Disease Protocols - Cardiac Transplant

The Examiner must defer issuance. Issuance is considered for Third-class applicants only. FAA Cardiology Panel will review. Applicants found qualified will be required to provide annual followup evaluations. All studies must be performed within 30 days of application.

Requirements for consideration:

  • A current report from the treating transplant cardiologist regarding the status of the cardiac transplant, including all pre- and post-operative reports. A statement regarding functional capacity, modifiable cardiovascular risk factors, and prognosis for incapacitation
  • Current blood chemistries (fasting blood sugar, hemoglobin A1C concentration, and blood lipid profile to include total cholesterol, HDL, LDL, and triglycerides), within 30 days
  • Any tests performed or deemed necessary by all treating physicians (e.g., myocardial biopsy)
  • Coronary Angiogram
  • Graded Exercise Stress Test (see disease protocol) and stress echocardiogram
  • A current 24-hour Holter monitor evaluation to include selective representative tracings
  • Complete documentation of all rejection history, whether treated or not; include hospital records and reports of any tests done
  • A complete history regarding any infectious process
  • All complete history regarding any malignancy
  • List of all present medications and dosages, including side effects

It is the responsibility of each applicant to provide the medical information required to determine his/her eligibility for airman medical certification. A medical release form may help in obtaining the necessary information. Please ensure full name appears on any reports or correspondence.

All information shall be forwarded in one mailing to either:

Federal Aviation Administration
Civil Aerospace Medical Institute, Building 13
Aerospace Medical Certification Division, AAM-313
P.O. Box 25082
Oklahoma City, OK 73125-9914


Federal Aviation Administration
Medical Appeals Section, AAM-313
Aerospace Medical Certification Division
6700 S MacArthur Blvd., Room B-13
Oklahoma City, OK 73169
Last updated: Friday, August 25, 2017