• Guide for Aviation Medical Examiners Topics
  • AMCS Login
  • Search Guide
  • Application Process
    • Applicant History
    • Application Review
    • Exam Techniques
    • General Information
  • Decision Considerations
  • Important Notices
  • Pharmaceuticals
  • Special Issuances
  • Substances Dependence/Abuse
  • Synopsis of Medical Standards

---

Aerospace Medical Dispositions
Item 36. Heart - Arrhythmias

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