Guide for Aviation Medical Examiners
Decision Considerations - 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)
*IRBBB or ICVD (PDF) |
All | See Protocol for Bundle Branch Block (BBB) | If no evidence of structural, functional or coronary heart disease - Issue Otherwise - Requires FAA Decision |
| History of Implanted Pacemakers | All | See Pacemaker Disposition Table (PDF) | 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 with PR interval of LESS than 300 ms |
All | If no symptoms or AME concerns | ISSUE Annotate Item 60 |
| 1st Degree AV Block with PR interval of 300 ms or MORE |
All | Submit the following: A current Holter and cardiac evaluation |
DEFER Submit information to the FAA for review |
| 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
* If performed for atrial fibrillation AFib/A-Flutter (PDF), see that section first. |
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 |
Last updated: Tuesday, October 25, 2022