Hi,
I completed a Class 2 initial medical today and everything was excellent up until my ECG where it diagnosed an 'Incomplete Right Bundle Branch Block' but no other issues. My AME didn't really seem sure on what to do with this and was surprised given my other results and lifestyle/health in general so asked that I take the ECG to a local private clinic. As a (now) poor working student I'm not sure I can get the time or money to do this or wait ages on the NHS to help me out.
Later in the day I was checking the CAA website, specifically on this document:
http://www.caa.co.uk/docs/1859/JARGuidanceV3-07.pdf
On page 35 (51 of the pdf document) it states that
(e) Applicants with complete right
bundle branch block require
cardiological evaluation on first
presentation and subsequently in
compliance with appropriate items in
paragraph 7 Appendix 1 to Subpart
B.
RBBB algorithm January 2005
Incomplete Right Bundle Branch
Block
This does not require investigation. The
RBBB algorithm only applies to complete
right bundle branch block. (Incomplete
RBBB - QRS complex up to 0.11 sec;
complete RBBB - QRS complex 0.12 sec
or more). June 1997
After checking with the CAA at Gatwick about the issue, they said they have no problem with it and cannot deny a medical due to this with regard to the ECG's diagnosis. Do I have a case for asking the AME to re-consider, given this document's contents? He is a pilot himself and rather approachable but wanted to make sure that I have read and interpreted the 'theory' correctly.
Thanks in advance