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Medical Renewal risks and Cardiovascular Health

Silvaire wrote:

Otherwise there is no reason why the subject of an ECG/EKG would come up during an examination for a FAA Class 2 or 3 medical.

Not so, on the history section you must divulge the information otherwise you will be in noncompliance. You cant hide the fact that you had an EKG and then they want to know for what reason. Which makes sense. However you can simply lie by omission. The same thing with driving under the influence. As well as have you ever been convicted of a Felony and (more recently) a misdemeanor? I mean seriously. What ever happened to privacy?

KHTO, LHTL

Tango wrote:

IF THERE ARE NO AME CONCERNS. EASA will not follow this because they don’t need to – they have had the same condition (1st degree AV block ie stable PR interval longer than 200 ms) as a non-issue for years and don’t even specify an upper limit. The stuff you read about this on social media etc is mind-blowingly dumb at times.

Now you see, that is nice to know without going off the deep end about Vaxxers vs Unvaxxers.

KHTO, LHTL

Silvaire wrote:

Otherwise there is no reason why the subject of an ECG/EKG would come up during an examination for a FAA Class 2 or 3 medical.

Medical records and history is PRIVATE and should not be disclosed unless the individual wishes so, in writing. GDPR.

Obviously your AME will have your records if he is the GP with whom you consult, but no other can see nor ask for your records unless you sign consent.

Hence the vast clamour against digital ID…..The world will the know your inner secrets.

Fly safe. I want this thing to land l...
EGPF Glasgow

Not so, on the history section you must divulge the information otherwise you will be in noncompliance.

That information is not requested. It’s an interesting point but it’s not necessary to provide details on testing in the section listing doctor visits in the last 3 years, as far as I know. Just who you visited, i.e. Dr Spock MD and the reason for the visit. You aren’t “hiding” anything. Some people get EKGs as part of their periodic physical exam, along with an lot of other tests, and in that case the entry would be “periodic physical exam, no issues noted” , if that is the case. The Airman himself is not expected to answer questions that are not asked.

The relevant question that is asked in the application is whether you have had “cardiac or vascular trouble”, not whether you’ve had a specific test to determine whether you may have that trouble, or not.

A DUI is a completely different matter, as are Felony convictions as there are specific questions about those items in the application.

Last Edited by Silvaire at 29 Jan 19:48

Alright I just got off the phone with AOPA medical Members services.

If you have seen a Dr since your last medical it should be listed on the form. If such a visit identifies a condition. It must be reported on the history form. It includes EKG and any medications prescribed for that condition. If everything is normal no report by you is required. Common sense, No?

It is an honor system so they accept the fact that you are truthfully filling out the form.

Of course, if for some reason there is an issue and they investigate, your chances of having your Lic and medical revoked is a given.

Why did they changed the parameters for the EKG interval? According to the AOPA specialist, it was in the works for a while by various Pilot advocacy groups. The reason is, because of the added costs associated with doing additional tests if the EKG test fell outside the accepted standards. According to the AOPA Pilot specialist, he also said that there was no correlation with limiting medical conditions if the interval was widened. That is why they changed the interval. The question I asked was, when did the pilot groups start lobbying for the EKG change? He did not know. My other question was, how they came up with the original interval to begin with? He did not know.

Here is a brand new article written by the AOPA organization. It is pretty much a provaxx position so a lot of you should feel less threatened.

https://www.aopa.org/news-and-media/all-news/2023/january/25/federal-air-surgeon-takes-on-tough-issues

Hope this helps.

KHTO, LHTL

If you have seen a Dr since your last medical it should be listed on the form. If such a visit identifies a condition. It must be reported on the history form. It includes EKG and any medications prescribed for that condition. If everything is normal no report by you is required.

Exactly, including the last sentence.

If a reportable condition is identified, and if one is in the US, nowadays one might start looking into BasicMed versus filling out the online FAA medical application.

Last Edited by Silvaire at 30 Jan 16:30

Silvaire wrote:

Exactly, including the last sentence.

Yes, it’s common sense. Why would you report a normal finding?

KHTO, LHTL

Yes, common sense. But what to do between the moment you suspect something may be wrong with your heart and the moment your doctor gives you the final result, that all is fine? Do the rules say something about grounding yourself in the meantime, which may also be common sense

Private field, Mallorca, Spain

Well according to the info I have if you dont feel fit to fly you should not fly. A lot of it involves trust that the FAA is giving the pilots. Otherwise there would be a regulation book as thick as the US tax code covering every contingency which a pilot might encounter.

KHTO, LHTL

Buckerfan wrote:

SO – QUESTION: If I tell my AME that my doctor wants me to take statins etc is this going to lead to him requiring me to do a full “cardiac evaluation”? Does anyone know what symptoms trigger such a process? Is there a formal FAA/CAA/NAA definition of cardiac disease? Or will my AME take a reasonable approach and simply say, sure, it’s a good preventative measure, go ahead.

I BRING GOOD NEWS!!

I can answer the question I posed a couple of months ago – and it is very good news.

I had my FAA and CAA medical renewal exams today, with Dr Nomy Ahmed of Flying Medicine in Watford, outer London, UK.

He told me definitively that in his view a recommendation from my GP to take statins would in no way force him to start a cardiac evaluation. In fact – he is of the view that ALL males over the age of 40, whether pilots or lesser mortals, should take statins regardless of their BP or cholesterol levels. His view is that the science is clear:

  • all men over the age of 30 start to develop plaque on their cardiac arteries, regardless of diet, exercise, genetics etc
  • the latest statins do two key things: 1) stabilise existing plaque deposits thus reducing chance of a plaque breaking off and causing stroke/heart attack, 2) actually start to dissolve plaque deposits
  • they also have an anti inflammatory effect generally which is good for a whole host of reasons including to reduce risk of dementia, prostate cancer etc
  • the side effects of modern statins are low risk in his view
  • he only requires a pilot starting statins to not fly for a “couple of days” just to be sure there are no adverse effects
  • he is similarly of the view that most male pilots should also take BP medication; even if your BP is under the limit as any reduction is good. Thus “135 is better than 140, 130 is better than 135, 125 is better than 130 etc”. However, a pilot starting BP medication is required to be grounded for two weeks and to then take a BP test by their GP to be reported to their AME.
Last Edited by Buckerfan at 15 Apr 16:08
Upper Harford private strip UK, near EGBJ, United Kingdom
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