Be Fit Before TMT For DGCA Medicals

DGCA cardiovascular evaluations usually require a maximal stress test which is typically performed on a treadmill. Insufficient performance on this test is often the reason for denial of an class 1 medical. The conditioning program below is designed to provide general information to prepare for this test.

Physical inactivity is widely accepted as a risk factor for heart disease and many other health problems. Pilots who desire to manage these risks should consider an active lifestyle as a pre-requisite to flight fitness.

Conditioning for the DGCA Treadmill Stress Test

The DGCA requires all applicants taking the maximal stress test to demonstrate a minimum functional capacity equivalent to completion of stage III of the Standard Bruce Treadmill Protocol and that you achieve your age predicted maximum heart rate. Conditioning may dramatically enhance your chance of a successful test.

Before you start

Acquire the use of a treadmill with the capability of at least 8% incline.

If your physician agrees to discontinuation of cardiovascular medications the heart rate method will be accurate if not utilize the Rating of Perceived Exertion (RPE) scale*.
Do not discontinue medications or begin this routine without your physicians consent. Heart rate monitor watches with a chest strap are ideal and any good stop watch or treadmill timer will work to keep time.

Calculate 70% of your max heart rate [(220 - age) x .7 = 70% Max Heart Rate or Target Heart Rate]

Start the three minute timer and begin walking on a treadmill and slowly increase the speed to 3.4 mph with 0 %grade during the first 3 minutes.

Reduce speed if necessary to maintain Target Heart Rate.

Do not increase the grade/incline until you can maintain 3.4mph & 0%grade.

Increase the grade/incline 2% each 3 minutes until you establish a heart rate equivalent to 70% of your predicted max heart rate or 3-5 on the Perceived Exertion (RPE) scale.

Continue to walk at this heart rate making adjustments in incline if necessary.

Walk 3-5 times per week for 25-45 minutes.

If you are de-conditioned limit your time to a total of 10 - 12 minutes the first week.

During the second week each exercise session should last 15-25 minutes.

When you can exercise at 3.4mph and an incline of 8% while maintaining a heart rate in the 70% heart rate zone, you can be reasonably assured of completing the DGCA's required level of exercise.

Do not exercise at intensities greater than 6 on the RPE scale or 70% of your maximum age predicted heart rate without the supervision of a qualified health professional.

*Rate your overall exertion, not just the fatigue in one area of your body. In addition you should comply with any specific level recommended by a health professional knowledgeable in your condition.