Special Issuance Medical - AFIB

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07-04-2020, 07:27 AM

AxlF16

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Special Issuance Medical - AFIB

I just submitted the required documents to AMAS for the SI. FWIW its a hell of a cardiac workup! I had intermittent AFIB that was self correcting (no cardioversion req.) on the 30 day event monitor. Started meds and within 5 days it went from ~20% to zero, so I don't anticipate a problem with the SI. In looking through the requirements for later Class I approval it appears that my AME can reissue if I meet certain criteria.

Now here's my question. Do I really have to do a 24 Hour Holter monitor within 90 days of each physical?? That would be 2 per year!

Hoping someone in APC land has walked this path!

PS I think this is the first new thread in 6 or 7 years lol.

07-04-2020, 08:00 AM

YAKflyer

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I am retired so no longer getting 1st Class, but I do keep a 2nd Class and I have to do a Holter before each physical. I had an ablation to repair my condition and have successfully been off any meds since. Doesn't make any difference to the FAA and I'm still doing Holter tests.

07-04-2020, 08:05 AM

AxlF16

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Quote:

Originally Posted by YAKflyer

Thanks. The doctor said that I'm a good candidate for ablation, but for now the meds are working great. I'm going to research the best place/doctors to have the ablation done in the next 2 years. It looks like probably at total of 6 months off - including the procedure, 90 day wait, required tests, then have the SI processed. Gotta do something like that at the right time :-).

Thanks for the info!

07-04-2020, 08:07 AM

Excargodog

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If you are young enough and wait long enough without recurrence I believe you only have to do it for five years:

07-04-2020, 08:10 AM

AxlF16

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Quote:

Originally Posted by Excargodog

If you are young enough and wait long enough without recurrence I believe you only have to do it for five years:

That's interesting. I need to ask Dr Parker about this so I have a full understanding of my options. I'm 53 so that would definitely be a player.

07-04-2020, 09:28 AM

YAKflyer

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Since it seems this is all new for you I found a book called "Beat Your A-Fib very useful. It's available on Amazon and a little pricy but I think worth it.

https://www.amazon.com/Beat-Your-Fib...s%2C189&sr=8-2

07-04-2020, 09:36 AM

AxlF16

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Quote:

Originally Posted by YAKflyer

Thanks 👍👍👍

07-05-2020, 06:17 AM

Dragon7

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Will let you know

Just submitted package 3 weeks ago via ALPA AMAS to Feds.

Will let you know when I get it back.

07-05-2020, 06:33 AM

AxlF16

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Quote:

Originally Posted by Dragon7

Just submitted package 3 weeks ago via ALPA AMAS to Feds.

Will let you know when I get it back.

That's about as real time SA as I can get! Thanks 👍👍

07-05-2020, 11:10 AM

#10

ualav8r

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I had afib in 2011-2012 and long story short is meds didn't help, cardioversion worked for about 9 months and then finally had an ablation in 2012 and have been in sinus rhythm since. My cardiologist keeps me on a low dose anti arrythmia dosage and for my Special Issuance the FAA requires a 24 hour Holter monitor once a year along with the FAA doc's EKG. Waiting for the FAA to get and review packet can take some time so be patient!!!

Greg