3rd Class SI post Heart Attack

kayakmike

Filing Flight Plan
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Nov 3, 2024
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kayakmike
Read through some past posts and got some great info here. Didn't want to hijack one of the other threads so starting a new one.

Had a heart attack Sept 9. 100% occluded LAD & stent placed. Discharge ECG showed EF 55-60% and "completely normal global and regional left ventricular systolic function with no evidence of wall motion abnormalities."

I've been planning to get a new 3rd Class SI. I've been gathering required documents per 5/29/24 "Protocol for Coronary Heart Disease (CHD) 3rd Class". Just waiting on stress test next week (at METS 14/Bruce protocol stage 5 in cardiac rehab with no issues). Working with AOPA PPS to review documents prior to meeting with an AME. Pretty much returned to normal exercise activities ~2 weeks post discharge (including 2-3 hour long aggressive bike rides).

I saw references, particularly from Dr. Chien, on some posts about having no part of the heart behind a 70% lesion. Cath report makes reference to 2 smaller vessels with 80% stenosis (but too small to treat).

Is that 70% documented somewhere (couldn't find reference to that other than posts on this site)? It looks like CAD rules were tweaked 5/29/24 (i.e. no wait time post MI for 3rd class, etc.) and not sure if that 70% still applies or where it is documented.

Am I just spinning my wheels if all vessels need to be <70%, but there are 2 that cannot be treated that sit at 80%? Seems like this may be a no-win situation if a cardiologist says it's medically untreatable and unnecessary but FAA has other requirements?
 
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