Guide for Aviation Medical Examiners

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Decision Considerations - Aerospace Medical Dispositions
Item 56. Pulse

If there is bradycardia, tachycardia, or arrhythmia, further evaluation is warranted and deferral may be indicated (see Item 36, for more details.) A cardiac evaluation may be needed to determine the applicant�s qualifications. Temporary stresses or fever may, at times, result in abnormal pulse readings. If the Examiner believes this to be the case, the applicant should be given a few days to recover and then be retested. If this is not possible, the Examiner should defer issuance, pending further evaluation.