These specifications have been developed by the Federal Aviation Administration (FAA) to determine an applicant's eligibility for airman medical certification. Standardization of examination methods and reporting is essential to provide sufficient basis for making this determination and the prompt processing of applications. This cardiovascular evaluation, therefore, must be reported in sufficient detail to permit a clear and objective evaluation of the cardiovascular disorder(s) with emphasis on the degree of functional capacity, recovery and prognosis. Preferably, it should be performed by a physician specializing in internal medicine or cardiology. As a minimum, the evaluation must include:
Note: The information obtained through a determination of current cardiovascular capacity and an evaluation of strain end points under the stress of rhythmic exercise is considered essential to the determination of fitness of any applicant with suspected or known cardiovascular disease. Current practice indicates that a stress test on a treadmill, using 12-lead Bruce or Balke protocol, is optimum in providing the desired performance data. A bicycle ergometer test that results in the same degree of work is acceptable.
Stress testing should be accomplished to no greater than 100% of maximum predicted heart rate, calculated by subtracting age from 220. In the presence of symptom limitations (fatigue, leg cramps, or shortness of breath), the test may be terminated if at least 85% of maximum predicted rate is attained.
All usual medical precautions should be followed in prescreening, election to test, actual testing, and follow-up on applicants who undergo exercise stress testing. The resting tracing should be reviewed by the examining physician for evidence of acute coronary insufficiency, recent myocardial infarction, or repolarization abnormalities. ECG evidence of recent, unsuspected myocardial change or infarction could contraindicate exercise testing. State the reasons why testing is contraindicated. If an exercise/rest thallium or cardiolite myocardial perfusion scan is required, it will be performed along with the treadmill stress test.
Helps you find the contact information for submitting your medical records.
Updated October 27, 2009
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