First class certificates are required for those intending to be pilot-in-command in an air carrier operation requiring an Airline Transport Pilot (ATP) certificate. Other operations, including those under Part 91, may require a first class medical for insurance purposes, although it is not a federal requirement in such cases.
To qualify for the first class medical certificate, pilots must meet the requirements for the third and second class certificates plus:
- Heart Function: Electrocardiogram must show normal heart function once at age 35 and annually for those age 40 and over
For pilots under 40 years of age, first class medical certificates expire on the last day of the month they were issued, one year from the date of issue. The FAA introduced this rule on July 24, 2008.[23][24] For all others, they are valid until the last day of the month, six months after they were issued. The certificate holder may then only exercise the privileges of a second class medical certificate until the last day of the month, twelve months after the certificate was issued, thereafter the privileges of a third class medical until the last day of the month, twenty four months after the medical was issued ( FAA $61.23 (d-1-iii) ).
Für mich liest sich das wie ein halbjährliches Ruhe-EKG. Es ist fraglich inwieweit dies zur Verlaufsbeobachtung eines Patienten mit Koronarer Herzkrankheit ausreicht.
