|Army Aviation Medical Standards|
|Heart and vascular system|
The below disqualifying conditions are in addition to the disqualifying conditions listed in the Military Medical Accessions Medical Guide. Unlike medical waivers to join the military, medical waivers for aviation duty are much harder to come by.
The causes for medical unfitness for flying duty Classes 1/1A/2/2F/2S/3 are:
a. History of any abnormal electrocardiographic findings, including but not limited to:
b. History of hypertrophic, dilated, or obstructive cardiomyopathy, to include left ventricular hypertrophy, as documented by clinical or EKG evidence. Hypertrophy due to athletic heart is not disqualifying.
c. History of valvular heart disease, to include mitral valve prolapse, as documented by clinical or electrocardiographic findings.
d. History of myocarditis, or endocarditis, to include subacute bacterial endocarditis. History of pericarditis until reviewed by the Aviation Medicine Approving Authority.
e. Any evidence of coronary artery disease as outlined by APL, Aeromedical Cardiovascular Screening Program.
f. For Classes 2/2F, suspected coronary artery disease such as an elevated cardiac risk index, elevated total cholesterol or cholesterol/high-density lipoprotein (HDL) -cholesterol ratio in conjunction with an abnormal aeromedical graded exercise treadmill test and/or abnormal cardiac fluoroscopy as outlined in APL, Aeromedical Cardiovascular Screening Program.
g. History of congenital anomalies of the heart or great vessels, or surgery to correct these anomalies.
h. History of cor pulmonale or congestive heart failure.
i. History of hypertension with a systolic pressure of 140 mmHg or greater, and/or diastolic pressure of 90 mmHg or greater, with or without systemic complications confirmed by average reading of a 3-day blood pressure check. (See APL, Hypertension in Aircrew Members.)
j. Orthostatic hypotension or orthostatic intolerance or symptomatic hypotension. (See para 4–22e.)
k. History of diseases of the blood and lymphatic vessels, to include but not limited to, aortic aneurysm, arteriosclerotic occlusive disorders, fistulas, vasculitis, vasospastic disorders, thromboembolic disorders, and lymphedema.
l. History of any cardiac surgical procedure, to include pacemaker insertion, valve replacement, bypass tract ablation by any method, coronary angioplasty, and coronary artery bypass.
Specific Flight Class Medical Examinations are:
Derived from Army Regulation 40-501, Standards of Medical Fitness