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JAA Class 2 Medical - ECG Problems!!

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Old 24th Feb 2011, 19:11
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JAA Class 2 Medical - ECG Problems!!

Hi peeps.

I had my Class 2 medical ECG today (not the full medical which is next week). The ECG has come back with the following findings which understandably I'm very concerned about. I suspect some of you peeps have heard these statements before, and maybe had similar findings on your ECG so Iwas looking for some advice.

The 3 points are:

Sinus rhythm with sinus arrhythmia
Incomplete right bundle branch block
Borderline ECG

Now I have done some research via the trusty google searches and the info I turn up doesn't seem to suggest that any of these are major issues. The top one is apparently a common thing with most younger people which disappears with age.

The thing is I'm a very fit guy indeed. I train 5 times a week, running, weight lifting etc etc. I can easily run several miles without a problem and have never ever had any problems with my heart or general well being and fitness.

Do you think I should be concerned? Do any of you have any experience with these things. Most importantly, will these things stop me from achieving the class 2 medical??
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Old 24th Feb 2011, 19:50
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Having gone through a very similar experience a couple of years ago, don't despair. RBBB is more of a condition than a problem. Look on the CAA web site and you will find a flow chart that tells you what they will need. Get your AME to refer you to a local cardiologist who is aviation savvy and you probably will be OK. The most you may get is a temporary suspension for a while pending the results of tests. I still have a Class 2 and I have Left Bundle Branch Block which is usually much more of a problem than RBBB. Took me a few tests to get my Class 2 back but I nevertheless made it in the end.
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Old 24th Feb 2011, 20:03
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Although you will probably get some good feedback here it might be worthwhile relocating this thread to the Medical and health area on here for more specific responses
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Old 24th Feb 2011, 20:13
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Thank you Muffin.

I have looked at the CAA website and they talk about the necessary course of action, i.e exercise tests etc when you have a 'Complete' right bundle branch block. My ECG states 'incomplete' which according to the internet is almost like a pre-am to a 'Complete' block. I have also read that providing the 'Incomplete' remains incomplete it shouldn't be of concern!

Fingers crossed for that then!
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Old 24th Feb 2011, 20:22
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without being a resident cardiologist myself i wouldn't worry too much, it would be worth getting the ECG done a second time, in fact im surprised the Doc didnt do that. Resting ECG's are notorious for throwing up strange results, sometimes on perfectly healthy people. In any case if you see a cardioologist you should be able to have the record put straight either way.
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Old 24th Feb 2011, 22:27
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Depending on how you look at it, if you're lucky/unlucky the NHS cardiologist will say "nothing wrong with you, go away and stop bothering us".

That's the lucky bit. The unlucky bit is when the CAA says "yes you can have your medical, we just want you to have this bunch of tests repeated each year, if nothing gets any worse you get to keep the medical" ... leaving you to find a grand a year for the private cardiologist (the NHS won't do the tests for free if they say you're not ill).
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Old 25th Feb 2011, 17:44
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Very true Gertrude.

I have to have a 24 hour recording ECG every 6 months at around £600 a time not because I need it but because the CAA require it. Thats on top of the annual class 2 medical of course.
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