title: Left bundle branch block and private pilot licensing.
abstract: Three otherwise healthy private pilots were licensed with the restriction to fly "as or with safety pilot" because of a left bundle branch block (LBBB). Whether a pilot with this conduction disturbance is allowed to fly unrestricted depends on invasive diagnostic procedures. Above age 40, cardiovascular risk in subjects with LBBB becomes high enough that a flying license should be withheld. A protocol for licensing in LBBB cases under age 40 is given, relying on non-invasive diagnostic procedures, taking into account intermittent occurrence, electrical axis, and duration of QRS complex.
authors.affiliation: Review Committee, Ministry of Transport, The Netherlands. dambrink.jha@worldonline.nl
authors.forename: Jan H A
authors.initials: JH
authors.lastname: Dambrink
authors.forename: Jan-Henk E
authors.initials: JH
authors.lastname: Dambrink
mesh_terms: D000337:Aerospace Medicine / Q000592:standards*; D000367:Age Factors; D000401:Aircraft; D002037:Bundle-Branch Block / Q000150:complications*; D006801:Humans; D008004:Licensure; D008297:Male; D008875:Middle Aged; D017149:Private Sector; D012307:Risk Factors; D012449:Safety