Decision Considerations - Aerospace Medical Dispositions
Item 36. Heart - Arrhythmias

Common Conditions and Course of Action

Disease/Condition Class Evaluation Data Disposition
Bradycardia (<50 bpm) All Document history and findings, CVE Protocol, and submit any tests deemed appropriate If no evidence of structural, functional or coronary heart disease - Issue

Otherwise - Requires FAA Decision
Bundle Branch Block (Left and Right) All CVE and GXT Protocols

See GXT BBB Requirements
If no evidence of structural, functional or coronary heart disease - Issue

Otherwise - Requires FAA Decision
History of Implanted Pacemakers All See Implanted Pacemaker Protocol Requires FAA Decision
PAC (2 or more on ECG) All Requires evaluation, e.g., check for MVP, caffeine, pulmonary disease, thyroid, etc. If no evidence of structural, functional or coronary heart disease - Issue

Otherwise - Requires FAA Decision
PVC’s (2 or more on standard ECG) All Max GXT – to include a baseline ECG If no evidence of structural, functional or coronary heart disease and PVC’s resolve with exercise - Issue

Otherwise - Requires FAA Decision
1st Degree AV Block All Document history and findings, CVE Protocol, and submit any tests deemed appropriate If no evidence of structural, functional or coronary heart disease - Issue

Otherwise - Requires FAA Decision
2nd Degree AV Block

Mobitz I
All Document history and findings, CVE Protocol, and submit any tests deemed appropriate If no evidence of structural, functional or coronary heart disease - Issue

Otherwise - Requires FAA Decision
2nd Degree AV Block

Mobitz II
All CVE Protocol in accordance w/ Hypertensive Evaluation Specifications and 24-hour Holter Requires FAA Decision
3rd Degree AV Block All CVE Protocol in accordance w/ Hypertensive Evaluation Specifications and 24-hour Holter Requires FAA Decision
Preexcitation All CVE Protocol, GXT, and 24-hour Holter Requires FAA Decision
Radio Frequency Ablation All 3-month wait, then 24-hour Holter If Holter negative for arrhythmia, no recurrence – Issue

Otherwise - Requires FAA Decision
Supraventricular Tachycardia All CHD Protocol with ECHO and 24-hour Holter Initial Special Issuance - Requires FAA Decision

Followup Special Issuance’s - See AASI Protocol