- Echocardiogram shows ejection fraction greater than or equal
to 50% and normal wall motion
- Coronary angiography reveals no stenosis greater than 30% in
any vessel distant from the infarction
- Any underlying risk factors must have been appropriately
treated, and certification will be subject to annual cardiology
review, with further coronary angiography within 5 years.
Private pilots are subject to the same regulations but may fly
with a suitably qualified safety pilot in a dual control aircraft
without undergoing angiography. Symptomatic or treated angina,
arrhythmia or cardiac failure disqualifies any pilot from flying.
Professional drivers may be relicenced 3 months after
myocardial infarction provided that there is no angina,
peripheral vascular disease or heart failure. Arrhythmia, if
present, must not have caused symptoms within the last 2 years.
Treatment is allowed provided that it causes no symptoms likely
to impair performance.
- Exercise ECG to Bruce protocol stage 3 must reveal no symptoms
or signs of ischaemia.
- Recertification will be subject to periodic satisfactory medical
reports.
Private drivers need not inform the licencing authority after
myocardial infarction, but should not drive for one month. If
arrhythmia causes symptoms likely to affect performance, or if
angina occurs whilst driving, the licencing authority must be
informed, and driving must cease until symptoms are adequately
controlled.
FFuurrtthheerr rreeaaddiinngg
Joint Aviation Authorities. Joint Aviation Requirements FCL3(Medical)
1997.
The Medical Commission on Accident Prevention. Medical aspects of
fitness to drive 1995.