Considerations
This spectrum of ventricular pre-excitation syndromes includes Wolff-Parkinson-White pattern, Lown-Ganong-Levine and other similar conditions related to an accessory pathway.
They also include atrioventricular and atrioventricular nodal re-entrant tachycardia, (AVRT and AVNRT respectively). These can lead to rapid tachycardia and cardiovascular compromise, and even syncope. This is more likely to occur if AF develops.
WPW may be compatible with flying with demonstration of a long by-pass tract refractory period.
Information to be provided
On the first occasion that an abnormal ECG, suggestive of pre-excitation, is identified or that a history of tachy-arrhythmia or cardiovascular compromise exists:
- A cardiologist report;
- A 24h Holter monitor;
- Electrophysiology study will often be required;
- Other tests as may be suggested by the cardiologist or CAA during an AMC process.
On subsequent occasions:
- ECG;
- 24-Holter or other tests as may have been suggested by a cardiologist or CAA.
Disposition
- An applicant with a history of ventricular pre-excitation should be considered as having a condition that is of aeromedical significance;
- An applicant with a history of ventricular pre-excitation treated by radioablation should be considered as having a condition that is of aeromedical significance;
- An applicant with a history of accessory pathway successfully treated by radio-ablation may be considered as having a condition that is not of aeromedical significance if a previous AMC has deemed the condition to be no longer of aeromedical significance, in the absence of new ECG changes or symptoms
