Aeromedical assessment of civil aviation aircrews with pre-excitation syndrome
10.3760/cma.j.cn113854-20240507-00073
- VernacularTitle:民航空勤人员预激综合征的航空医学鉴定
- Author:
Dan MA
1
;
Zhanmin XU
1
Author Information
1. 民用航空医学中心民用航空人员体检鉴定所，北京100123
- Publication Type:Journal Article
- Keywords:
Pre-excitation syndromes;
Eligibility determination;
Aircrews
- From:
Chinese Journal of Aerospace Medicine
2025;36(1):44-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the diagnosis and treatment of pre-excitation syndrome in civil aircrews, and to provide data for aeromedical assessment of this disease.Methods:The clinical data of 20 civil aircrews was retrospectively analyzed who were diagnosed with pre-excitation syndrome during the annual health checkup at a civil aviation physical examination institution between April 2022 and June 2023. The pathogenesis, electrocardiographic manifestations, diagnosis and treatment, and results of aeromedical assessment of pre-excitation syndrome were summarized.Results:Among the 20 civil aircrews detected with pre-excitation syndrome, 1 case showed apical hypertrophic cardiomyopathy on echocardiography, which was identified as unqualified for flight missions by aeromedical assessment. Supraventricular tachycardia or ventricular tachycardia occurred in 3 cases, 2 of whom were determined as qualified after specially-permitted assessment, but their duration of flight and duties as a captain were restricted. One security guard was determined as qualified. One aircrew and one security guard developed symptoms of palpitation caused by paroxysmal supraventricular tachycardia, but were identified as qualified after radiofrequency ablation. The other 14 aircrews had no symptoms of palpitation, nor was arrhythmia revealed by Holter. Aeromedical assessment concluded that they were eligible for flight.Conclusions:The aeromedical assessment of pre-excitation syndrome among civil aircrews should be individualized and based on 24 h Holter findings, treadmill exercise test, echocardiography, cardiac electrophysiology and other examinations.
