Table 5

Recommendations for myocardial infarction (MI)

Cardiology specialist consultation is strongly recommended for all aircrew with suspected MI before a return to flight/control duties. Strongly recommended
Cardiac MRI is recommended in all aircrew where there is diagnostic uncertainty of the diagnosis of MI. Strongly recommended
Aircrew with a history of MI may be considered for a return to operational duties. Pilots require restriction to non-high performance aircraft with another pilot qualified on type. Criteria include minimal scar burden with normal global left ventricular function, no evidence of ischaemia or arrhythmia, acceptably low residual coronary artery disease burden, and normal cardiopulmonary function off all antianginal medications. Consider
Aircrew with a history of MI with any evidence of heart failure, tobacco use or diabetes should not be returned to flight duties. Not recommended