Any advice gratefully received.
 

I used to fly on a class II with a PPL. In 2016 I had an incidence of AF for which I was grounded. During investigations it was also found I had bradycardia, so to be able to treat the AF with drugs I had to have a pacemaker fitted to baseline my heartrate. I was then prescribed sotalol and apixoban and everything was hunky dory. When I went to do my medical my AME advised me that although I had passed the class II the CAA would want me to do the trio of heart tests, echocardiogram etc before he could issue it. He told me that he could issue a medical for a LAPL if I was willing to drop my IR(R). If I did the tests in future I could always apply for a reissue of the PPL.

I decided to go for this and have been flying happily on a LAPL for a couple of years. Last month I had an incidence of flutter for about twenty minutes. I went to see the doc and he increased my sotalol dose. I informed my AME but he had retired in the meantime. I then contacted an AME who was recommended by a local flying school. He grounded me and sent me an e mail to that effect. Apparently I now have to do the trio of tests to get my LAPL medical back. I have in the meantime had a follow up ECG which is absolutely fine.

My question is, if I didn't have to do the heart tests to get a LAPL medical why do I have to do them now?

The relevant AMC's for an LAPL are here:

LAPL AMC's

Perhaps trying a selection of AME's might produce one more willing to help.

Good Luck.

I am not an AME but I think this document is your friend. For an LAPL the wording basically says it is OK if a specialist is happy. With your history it is to be hoped you have a good relationship with your cardiologist who can pen the relevant note if you show him the cardiology section in the document, and then find a reasonable AME.....