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Commercial pilot after myocardial infarction — DOccMed MCQ

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HardFitness for WorkCommercial pilot after myocardial infarctionDOccMed

A 56-year-old commercial pilot attends occupational health six weeks after an NSTEMI treated with PCI. His echocardiogram shows LVEF 42%, he is in cardiac rehabilitation and he asks for a letter supporting immediate return to flying duties. What is the most appropriate advice regarding fitness for work?

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Correct answer: CAdvise specialist aviation medical assessment before flying duties are considered

Piloting is a highly regulated safety-critical occupation, and return to flying after myocardial infarction requires aviation medical standards rather than a generic fit note. Clinical recovery, ventricular function, arrhythmia risk and medication effects need specialist assessment. Ground-based duties may be considered separately if suitable. The OH advice should avoid exceeding competence or regulatory authority.

Reference: CAA medical standards; FOM Fitness for Work guidance