Downloaded from https://www.everyspec.com Table 3–1 Methods of assessing cardiovascular disability—Continued New York Heart Association Therapeutic Classification METS Equivalents (Required for PEB adjudication) Class I=8 METS or greater Class II=5–8 METS Class III=3–5 METS Class IV=Less than 3 METS Chapter 4 Medical Fitness Standards For Flying Duty 4–1. General a. In this regulation, the term “flying duty” is synonymous with “flight status” and “aviation service.” The term “aircrew” or “aircrew member” applies to rated and non–rated personnel in aviation service, unmanned aerial systems (UAS), and air traffic control. All provisions apply to the AA, USAR and the ARNG/ARNGUS. b.
The Aviation Medicine Consultant (AMC) to TSG will recommend to TSG a senior specialist in aerospace medicine to be placed on orders for designation as the Director, U.S. Army Aeromedical Activity (USAAMA). Responsibilities will include all administrative actions and medical fitness standards for flying duty for all active and RC/NG Army aviators. The U.S. Army Aeromedical Activity is located at Building 301, Dustoff Street, Fort Rucker, AL 36362–5333. c. Provisions in this chapter are subject to NATO Standardization Agreement (STANAG) 3526, which applies to allied nation aircrews serving with U.S. Forces or attending U.S. Army training programs, and to U.S.
aircrews serving with foreign forces (see Aeromedical Technical Bulletins (ATB), International Military Students for additional guid- ance at: https://aamaweb.usaama.rucker.amedd.army.mil/). d. This chapter lists medical conditions and physical defects that are causes for rejection in selection, training, and retention of— (1) Army aviators. (2) DA civilian (DAC) pilots and contract civilian pilots who are employed by firms under contract to DA. (3) Flight surgeons (FSs) (AOC 61N), aeromedical physician assistants (APAs).(AOC 65 DM3), and aviation medicine nurse practitioners (AMNP) (AOC 66NP1).
Aviation medical examiners (AME defined in para 6-9f) and DAC/contract civilian FS/APA/AMNP are not required to meet these standards. (4) Military, DAC, and DA contract air traffic controllers (ATCs). 38 AR 40–501 • 14 December 2007 Class New York Heart Association Functional Classification Canadian Cardiovascular Soci- ety Functional Classification Specific activity scale (Goldstein et al: Circulation 64:1227, 1981) New York Heart Association Functional Classification (Re- vised) IV. Patient with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symp- toms of cardiac insufficiency or of the anginal syndrome may be present even at rest.
If any physical activity is undertaken, discomfort is increased. Inability to carry on any physical activity without dis- comfort—anginal syndrome may be present at rest. Patient cannot or does not perform to completion activi- ties requiring ≥2 metabolic equivalents. Cannot carry activities listed above (spec- ify activity scale, Class III). Severely compromised. Therapeutic Classification Revised classification (prog- nosis) Class A– Patients with cardiac disease whose physical activity need not be restricted Class I—Good. Class B– Patients with cardiac disease whose ordinary activity need not be restricted, but who should be advised against severe or competitive physical efforts.
Class II—Good with therapy. Class C– Patients with cardiac disease whose ordinary physical activity should be moderately re- stricted, and whose more strenuous efforts should be discontinued. Class III—Fair with therapy. Class D– Patients with cardiac disease who should be at complete rest, confined to bed or chair. Class IV—Guarded despite therapy.