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Guide for Aviation Medical Examiners

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

Common Conditions and Course of Action

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

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