Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 36. Heart - Atrial Fibrillation

Disease/Condition	Class	Evaluation Data	Disposition
History of Atrial Fibrillation > 5 years ago	All	Document previous workup for CAD and structural heart disease	If no ischemia, no history of emboli, no structural or functional heart disease - Issue Otherwise - Requires FAA Decision
Chronic	All	CVE Protocol with ECHO, EST and 24-hour Holter	Requires FAA Decision
Paroxysmal/Lone	All	CVE Protocol with ECHO, EST and 24-hour Holter	Initial Special Issuance - Requires FAA Decision Followup Special Issuance�s - See AASI Protocol