2018, Volume 24, Issue 1

DISORDERS OF THE ELECTRICAL CONDUCTION SYSTEM OF THE HEART - A SIGNIFICANT PROBLEM IN AVIATION MEDICINE

Michał A. Kurek¹, Ewelina Zawadzka-Bartczak¹, Katarzyna Barwińska¹, Daria Owsiak¹
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¹Department of Internal Disease, Military Institute of Aviation Medicine


Autor korenspondencyjny: Michał A. Kurek; Department of Internal Disease, Military Institute of Aviation Medicine; email: mkurek@wiml.waw.pl

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Streszczenie

Abstract: Disorders of the electrical conduction system of the heart are a relatively common electrocardiographic abnormality found during aviation medical examinations and one of the reasons for the loss of pilot licenses/licenses to fly. At the same time, the type of arrhythmia and/or cardiac conduction disorders alone usually does not provide a sufficient basis for the performance/continuation of certain professional duties. This paper discusses the pathogenesis of disorders of the electrical conduction system of the heart, types of arrhythmias, their classification, therapeutic and aviation medical certification procedure in some of them, and the possible prognosis in potentially harmless arrhythmias and/or conduction disorders registered in standard ECG, which require more detailed diagnostics in the flying staff population. It may turn out that they constitute certain restrictions or even contraindications to flying.

Słowa kluczowe

supraventricular arrhythmias, ventricular arrhythmias, atrioventricular blocks, intraventricular blocks, flying staff