CFR › Title 14 › Part 67 › §67.21114 CFR §67.211Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗Copy linkCardiovascular standards for a second-class medical certificate are no established medical history or clinical diagnosis of any of the following:(a)Myocardial infarction;(b)Angina pectoris;(c)Coronary heart disease that has required treatment or, if untreated, that has been symptomatic or clinically significant;(d)Cardiac valve replacement;(e)Permanent cardiac pacemaker implantation; or(f)Heart replacement.