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Note.— Guidance on cardiovascular evaluation is contained
in the Manual of Civil Aviation Medicine (Doc 8984).
6.3.2.6 Electrocardiography shall form part of the heart
examination for the first issue of a Medical Assessment.
6.3.2.6.1 Electrocardiography shall be included in reexaminations
of applicants over the age of 50 no less frequently
than annually.
6.3.2.6.2 Recommendation.— Electrocardiography should
be included in re-examinations of applicants between the ages of
30 and 50 no less frequently than every two years.
Note 1.— The purpose of routine electrocardiography is
case finding. It does not provide sufficient evidence to justify
disqualification without further thorough cardiovascular
investigation.
Note 2.— Guidance on resting and exercise electrocardiography
is contained in the Manual of Civil Aviation
Medicine (Doc 8984).
6.3.2.7 The systolic and diastolic blood pressures shall be
within normal limits.
6.3.2.7.1 The use of drugs for control of high blood pressure
shall be disqualifying except for those drugs, the use of
which is compatible with the safe exercise of the applicant’s
licence and rating privileges.
Note.— Guidance on the subject is contained in the Manual
of Civil Aviation Medicine (Doc 8984).
6.3.2.8 There shall be no significant functional nor
structural abnormality of the circulatory system.
6.3.2.9 There shall be no acute disability of the lungs nor
any active disease of the structures of the lungs, mediastinum
or pleurae likely to result in incapacitating symptoms during
normal or emergency operations.
6.3.2.9.1 Recommendation.— Chest radiography should
form part of the initial examination.
Note.— Periodic chest radiography is usually not necessary
but may be a necessity in situations where asymptomatic
pulmonary disease can be expected.
6.3.2.10 Applicants with chronic obstructive pulmonary
disease shall be assessed as unfit unless the applicant’s condition
has been investigated and evaluated in accordance with
best medical practice and is assessed not likely to interfere
with the safe exercise of the applicant’s licence or rating
privileges.
6.3.2.11 Applicants with asthma causing significant symptoms
or likely to cause incapacitating symptoms during normal
or emergency operations shall be assessed as unfit.
6.3.2.11.1 The use of drugs for control of asthma shall be
disqualifying except for those drugs, the use of which is compatible
with the safe exercise of the applicant’s licence and
rating privileges.
Note.— Guidance on hazards of medication and drugs is
contained in the Manual of Civil Aviation Medicine (Doc 8984).
6.3.2.12 Applicants with active pulmonary tuberculosis
shall be assessed as unfit.
6.3.2.12.1 Applicants with quiescent or healed lesions
which are known to be tuberculous, or are presumably tuberculous
in origin, may be assessed as fit.
Note 1.— Guidance on assessment of respiratory diseases is
contained in the Manual of Civil Aviation Medicine (Doc 8984).
Note 2.— Guidance on hazards of medications and drugs is
contained in the Manual of Civil Aviation Medicine (Doc 8984).
6.3.2.13 Applicants with significant impairment of function
of the gastrointestinal tract or its adnexa shall be assessed
as unfit.
6.3.2.13.1 Applicants shall be completely free from those
hernias that might give rise to incapacitating symptoms.
6.3.2.14 Applicants with sequelae of disease of, or surgical
intervention on, any part of the digestive tract or its
adnexa, likely to cause incapacitation in flight, in particular
any obstruction due to stricture or compression, shall be
assessed as unfit.
6.3.2.14.1 Recommendation.— An applicant who has
undergone a major surgical operation on the biliary passages
or the digestive tract or its adnexa with a total or partial
excision or a diversion of any of these organs should be
assessed as unfit until such time as the medical assessor,
having access to the details of the operation concerned, considers
that the effects of the operation are not likely to cause
incapacitation in flight.
Chapter 6 Annex 1 — Personnel Licensing
6-5 23/11/06
6.3.2.15 Applicants with metabolic, nutritional or endocrine
disorders that are likely to interfere with the safe exercise
of their licence and rating privileges shall be assessed as unfit.
6.3.2.16 Applicants with insulin-treated diabetes mellitus
shall be assessed as unfit.
6.3.2.16.1 Applicants with non-insulin-treated diabetes
mellitus shall be assessed as unfit unless the condition is
　
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