المادة 1

مادة 1: يعدل ملحق القرار عدد 114/ن/95 تاريخ 18/09/1995 المتعلق بشهادة الاهلية الصحية للملاحين ومراقبي الملاحة الجوية بحيث يضاف بعد الفقرة الاولى لكل من البندين "6 . 1 . 1 و 6 . 1 . 2" منه ما يلي: Some individuals with a history of myocardial infarction angina pectoris or coronary artery disease that has required treatment (including coronary artery bypass coronary angioplasty or other revascularization procedures such as stenting and endarterectomy) or if untreated that has been symptomatic or clinically significant may petition the Director General of Civil Aviation for consideration to resume their flying duties subject to the following conditions A six month or longer as necessary recovery period shall elapse after an infarction angina bypass surgery or angioplasty to ensure recovery stability and restored good left ventricular function Post-event coronary angiography shall be required A current cardiovascular evaluation by a cardiologist shall be obtained. This evaluation must include an assessment of personal and family medical history a clinical cardiac examination and general physical examination blood lipid profile a plasma glucose level and a maximal electrocardiographic exercise stress test. The evaluation must also include an assessment and statement regarding the applicant's medications functional capacity modifiable cardiovascular risk factors motivation for any necessary change and prognosis for incapacitation during the certification period. An applicant will be expected to achieve a normal maximal electrocardiographic exercise stress test at a 6-month intervals plus radionuclide studies at 24-month intervals unless otherwise indicated or required by the D.G.C.A Radionuclide studies may be required if the maximal electrocardiographic exercise stress test is equivocal positive for ischemia or demonstrates ventricular dysfunction or other significant abnormalities. Either stress MUGA studies first pass technetium scans stress echocardiography Thallium 201 exercise/rest scans radionuclide studies or a combination thereof may be required as appropriate for the individual applicant and recommended by the attending physician or required by the D.G.C.A All stress testing including radionuclide studies must be maximal or symptom-limited All maximal electrocardiographic exercise stress test tracings actual scans and blood pressure/pulse recordings mus be submitted The Director General of Civil Aviation will assign to a specialized Committee the task of recommending a final certification decision