OpenLegislation

Division (e) Rhythm/Conduction disturbances:

United Kingdom

Original text. Later amendments are not shown.

  1. (1)

    Applicants for a class 3 medical certificate with any significant disturbance of cardiac conduction or rhythm, intermittent or established shall be referred to the licensing authority and undergo cardiological evaluation with satisfactory results before a fit assessment may be considered. These disturbances shall include any of the following:

    1. (i)

      disturbance of supraventricular rhythm, including intermittent or established sinoatrial dysfunction, atrial fibrillation and/or flutter and asymptomatic sinus pauses;

    2. (ii)

      complete left bundle branch block;

    3. (iii)

      Mobitz type 2 atrioventricular block;

    4. (iv)

      broad and/or narrow complex tachycardia;

    5. (v)

      ventricular pre-excitation;

    6. (vi)

      asymptomatic QT prolongation;

    7. (vii)

      Brugada pattern on electrocardiography.

  2. (2)

    Applicants with any of the conditions listed in points (i) to (viii) may be assessed as fit in the absence of any other abnormality and subject to satisfactory cardiological evaluation:

    1. (i)

      incomplete bundle branch block;

    2. (ii)

      complete right bundle branch block;

    3. (iii)

      stable left axis deviation;

    4. (iv)

      asymptomatic sinus bradycardia;

    5. (v)

      asymptomatic sinus tachycardia;

    6. (vi)

      asymptomatic isolated uniform supra-ventricular or ventricular ectopic complexes;

    7. (vii)

      first degree atrioventricular block;

    8. (viii)

      Mobitz type 1 atrioventricular block.

  3. (3)

    Applicants with a history of any of the following conditions shall be referred to the licensing authority and undergo cardiological evaluation with satisfactory results before a fit assessment may be considered:

    1. (i)

      ablation therapy;

    2. (ii)

      pacemaker implantation.

  4. (4)

    Applicants with any of the following conditions shall be assessed as unfit:

    1. (i)

      symptomatic sinoatrial disease;

    2. (ii)

      complete atrioventricular block;

    3. (iii)

      symptomatic QT prolongation;

    4. (iv)

      an automatic implantable defibrillating system;

    5. (v)

      a ventricular anti-tachycardia pacemaker.