632 

14 CFR Ch. I (1–1–24 Edition) 

§ 67.109 

to make the person unable to perform 
those duties or exercise those privi-
leges. 

(c) No other personality disorder, 

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. 

(c) An electrocardiogram will satisfy 

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— 

(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. 

(c) No medication or other treatment 

that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied medical judgment relating to the 

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