Code of Federal Regulations - Title 14

546

14 CFR Ch. I (1–1–14 Edition)

§ 67.109

of Transportation or an agency of the
U.S. Department of Transportation; or

(3) Misuse of a substance that the

Federal Air Surgeon, based on case his-
tory and appropriate, qualified medical
judgment relating to the substance in-
volved, finds—

(i) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(ii) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,
to make the person unable to perform
those duties or exercise those privi-
leges.

neurosis, or other mental condition
that the Federal Air Surgeon, based on
the case history and appropriate, quali-
fied medical judgment relating to the
condition involved, finds—

(1) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(2) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,
to make the person unable to perform
those duties or exercise those privi-
leges.

[Doc. No. 27940, 61 FR 11256, Mar. 19, 1996, as
amended by Amdt. 67–19, 71 FR 35764, June
21, 2006]

§ 67.109

Neurologic.

Neurologic standards for a first-class

airman medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) Epilepsy;
(2) A disturbance of consciousness

without satisfactory medical expla-
nation of the cause; or

(3) A transient loss of control of nerv-

ous system function(s) without satis-
factory medical explanation of the
cause.

(b) No other seizure disorder, disturb-

ance of consciousness, or neurologic
condition that the Federal Air Sur-
geon, based on the case history and ap-
propriate, qualified medical judgment
relating to the condition involved,
finds—

(1) Makes the person unable to safely

perform the duties or exercise the
privileges of the airman certificate ap-
plied for or held; or

(2) May reasonably be expected, for

the maximum duration of the airman
medical certificate applied for or held,
to make the person unable to perform
those duties or exercise those privi-
leges.

§ 67.111

Cardiovascular.

Cardiovascular standards for a first-

class airman medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) Myocardial infarction;
(2) Angina pectoris;
(3) Coronary heart disease that has

required treatment or, if untreated,
that has been symptomatic or clini-
cally significant;

(4) Cardiac valve replacement;
(5) Permanent cardiac pacemaker im-

plantation; or

(6) Heart replacement;
(b) A person applying for first-class

medical certification must dem-
onstrate an absence of myocardial in-
farction and other clinically signifi-
cant abnormality on electrocardio-
graphic examination:

(1) At the first application after

reaching the 35th birthday; and

(2) On an annual basis after reaching

the 40th birthday.

a requirement of paragraph (b) of this
section if it is dated no earlier than 60
days before the date of the application
it is to accompany and was performed
and transmitted according to accept-
able standards and techniques.

§ 67.113

General medical condition.

The general medical standards for a

first-class airman medical certificate
are:

(a) No established medical history or

clinical diagnosis of diabetes mellitus
that requires insulin or any other
hypoglycemic drug for control.

(b) No other organic, functional, or

structural disease, defect, or limitation
that the Federal Air Surgeon, based on
the case history and appropriate, quali-
fied medical judgment relating to the
condition involved, finds—

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