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    RBBB v1 2

    Uploaded by

    frehanyaq

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    © All Rights Reserved
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    RBBB v1 2

    Uploaded by

    frehanyaq
    5 views1 page

    Original Title

    rbbb-v1-2

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    © © All Rights Reserved

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    Copyright:

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    5 views1 page

    RBBB v1 2

    Uploaded by

    frehanyaq

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Class 1 / 2 certification – complete Right Bundle Branch Block (RBBB)

    Cardiology review (note 2)


    Shall require:
    Complete RBBB on Some flying may continue (note 1) Exercise ECG
    resting ECG 24 hour ECG
    Echocardiogram
    May require:
    Investigation of coronary arteries

    Notes:
    Results
    1) Initial applicants should not receive a medical certificate until the cardiology assessment is complete. Established pilots may acceptable to
    continue to fly (Class 1 OML / Class 2 unrestricted) but the assessment should be completed within 2 months.
    the CAA (note
    2) 2) By a cardiological specialist. Investigations shall include: 3)
    Exercise ECG – Bruce protocol and symptom limited. Requirements are at least 9 minutes and no significant ECG (apart from RBBB) or blood
    pressure changes. (See UK CAA exercise ECG protocol).
    Class 1 (note 4):
    24 hr ECG – No significant rhythm or conduction disturbance apart from RBBB.
    Age ≤ 40 Initial / Revalidation /
    Echocardiogram – Structurally normal heart and normal LV and RV function (ejection fraction ≥ 50%). Renewal – unrestricted
    Age > 40 Initial – no certificate –
    Further evaluation may be required (for example investigation of the coronary arteries) if any of the above investigations are abnormal.
    review 1 year
    3) For Class 1 applicants the cardiology report will be reviewed by the CAA. It may be necessary to see the investigations in which Age > 40 Revalidation / Renewal –
    case the actual tracings / films / videos / CDs will be requested. In difficult cases a review will be undertaken by the CAA.
    OML – review 1 year (note 5)
    4) Class 1 applicants age 40 or under (initial and revalidation / renewal) may have unrestricted certification.
    Class 2 (note 5):
    Initial Class 1 applicants over age 40 cannot be certificated until completing a satisfactory follow-up review at one year to include an exercise
    ECG. All – unrestricted
    Class 1 applicants over age 40 for revalidation / renewal will need an OML and a review again in a year to include an exercise ECG. At that
    time an unrestricted certificate can be issued if there is no change. If there has been documented gradual progression from incomplete RBBB Follow-up (note 6)
    to complete RBBB over several years, there will be no requirement for an OML.

    5) Class 2 applicants can have unrestricted certification if all the requirements are met. Certification with OSL may be possible if
    only some requirements are achieved.

    6) Pilots with long standing RBBB should expect to be asked to have occasional cardiology reviews to check that all remains well, UK Civil Aviation Authority
    particularly if there is a change to the resting ECG. Guidance Material Version
    1.2 February 2018
    www.caa.co.uk/medical

    PLEASE PRINT THIS DOCUMENT AND TAKE TO YOUR SPECIALIST ADVISOR

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