For airline pilots over 40, an annual ECG.
A person applying for first-class medical certification must demonstrate an absence of myocardial infarction and other clinically significant abnormality on electrocardiographic examination: At the first application after reaching the 35th birthday; and On an annual basis after reaching the 40th birthday. An ECG will satisfy a requirement of paragraph (b) of this section if it is dated no earlier than 60 days before the date of the application it is to accompany and was performed and transmitted according to acceptable standards and techniques.
So not all of these these suggested tests (from the letter to the FAA) are currently being done. “and administer EKGs, D-dimer tests, troponin tests, and cardiac MRIs”
The tests not currently done are the ones the doctors signing the letter say might show damage that the current EKG/ECG would fail to uncover. That’s what I thought.