ICAO Annex 1: 6.3.4, 6.4.4, 6.5.4
Civil Aviation Act: s27B
CAR Part 67: 67.103 k & l, 67.105 k & l, 67.107 k & l
General Directions: Timing of Routine Examinations [PDF 500 KB]
Examination Procedures [PDF 1.6 MB]
ICAO medical Manual: Chapter 1

This chapter gives guidance for the assessment of applicants’ cardiovascular system.

The aim of the examination is to ensure that the applicant does not suffer from any cardiovascular condition likely to cause aeromedically significant impairment of the cardiovascular function or an unacceptable risk of incapacitation.

The cardiovascular examination may also identify applicants who are more likely to develop cardiovascular disease in the future, and allows giving preventative advice. This may reduce future aeromedical risk and assist those applicants in retaining their medical certificate for longer, thus keeping experienced pilots and controllers in the work force.

These applicants should be given advice or preferably be referred to their GP to seek such advice. While not part of the Director’s regulatory function, this approach is consistent with sound risk management, medical ethics and most recent ICAO recommendations.

The assessment should consider that an unrestricted medical certificate permits the exercise of all the privileges that are granted under the licence held. These may include aerobatics, high altitude operations with reduced O2 partial pressure, long period of immobility etc. When appropriate, relevant operational restrictions may be imposed.

This chapter of the manual lists a number of frequently encountered cardiovascular conditions relevant to flight safety. The list is not exhaustive. The CAA Aviation Medical Team should be consulted as necessary.