Paroxysmal atrial tachycardia
What the FAA's documents say about paroxysmal atrial tachycardia, in plain words, with the FAA's own words one press away.
Short version
The FAA's table sorts it into two rows.
| Situation | What the examiner does | Pathway |
|---|---|---|
| First applicationA first-time application | Defers to the FAA | Special Issuance |
| Under an AuthorizationHolding an FAA Authorization | Examiner issues | AASI |
Show the FAA's words: the FAA's table for Paroxysmal atrial tachycardia
- First application · Special Issuance
A first-time application for this AASI. Where the pilot has all the requisite medical information necessary for a determination, the examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
If this is a first-time application for an AASI for the above disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
- Under an Authorization · AASI
The pilot holds an Authorization granted by the FAA. Examiners may reissue if the pilot provides what the AASI lists.
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
- A note on the table, 1
The Item 36 Arrhythmias page's Supraventricular Tachycardia row, for all classes, lists the CVE Protocol with ECHO and a 24-hour Holter, says an initial Special Issuance requires an FAA decision, and says to see the AASI Protocol for follow-up Special Issuances. On the FAA's page, that link opens the AASI for paroxysmal atrial tachycardia.
Supraventricular Tachycardia … All … CVE Protocol ( PDF ) with ECHO and 24-hour Holter … Initial Special Issuance - Requires FAA Decision … Followup Special Issuance's - See AASI Protocol
The FAA pathways for paroxysmal atrial tachycardia
Which exam
Your plan
Step 1: A first-time application
What goes to the FAA for its initial determination.All the medical information needed for a determination. Your AME defers and submits all of it to the AMCD or RFS.
Show the FAA's words: A first-time application
If this is a first-time application for an AASI for the above disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
FAA source: AASI – Paroxysmal Atrial Tachycardia. FAA date 9 March 2023; checked by Crosscheck 14 October 2026.
What the examiner checks
It depends on which row of the FAA's table describes the case.
First applicationDefers to the FAASpecial Issuance
Where the pilot has all the requisite medical information necessary for a determination, the examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
If the examiner defersUnder an AuthorizationExaminer issuesAASI
Examiners may reissue if the pilot provides what the AASI lists.
Show the FAA's words: what the examiner does on each row
- First application · Special Issuance
A first-time application for this AASI. Where the pilot has all the requisite medical information necessary for a determination, the examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
If this is a first-time application for an AASI for the above disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
- Under an Authorization · AASI
The pilot holds an Authorization granted by the FAA. Examiners may reissue if the pilot provides what the AASI lists.
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
If the examiner defersSpecial Issuance
A first-time application for this AASI is deferred; the examiner submits all of the documentation to the AMCD or RFS for the initial determination.
Show the FAA's words: if the examiner defers
When the examiner defers
- Reason 1
A first-time application for this AASI is deferred; the examiner submits all of the documentation to the AMCD or RFS for the initial determination.
If this is a first-time application for an AASI for the above disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
After the FAA decides
AASIThe AASI says an FAA physician provides the initial certification decision and grants the Authorization, and that examiners may then reissue under the Authorization if the pilot provides what it lists.
Show the FAA's words: after the FAA decides
An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401 . … Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
What a Special Issuance is
The Guide says an Authorization for Special Issuance, valid for a specified period, may be granted at the Federal Air Surgeon's discretion to a person who does not meet the established medical standards, if the person shows to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of certificate applied for can be performed without endangering public safety during the period the Authorization would be in force.
How the FAA pathways workAt later examsAASI
The AASI is titled All Classes.
Show the FAA's words: how often the FAA asks again
AME Assisted - All Classes - Paroxysmal Atrial Tachycardia
Under an Authorization, the AASI lists what the pilot provides for the examiner to reissue -- the Authorization granted by the FAA; a statement regarding any recurrences since the last FAA medical examination; and the name and dosage of any medication used for treatment and/or prevention, with comment regarding side effects.
Show the FAA's words: at later exams
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following: … An Authorization granted by the FAA; … A statement regarding any recurrences since the last FAA medical examination; and … The name and dosage of medication(s) used for treatment and/or prevention with comment regarding side effects.
What AASI is
AASI stands for AME Assisted Special Issuance. The Guide describes it as a process that lets the examiner reissue a certificate under the provisions of an Authorization for Special Issuance, to an applicant who has a medical condition that is disqualifying under 14 CFR part 67.
How the FAA pathways workThe Authorization granted by the FAA
The AASI's list for a reissue begins with the Authorization granted by the FAA.
Show the FAA's words: The Authorization granted by the FAA
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following: … An Authorization granted by the FAA;
A statement on any recurrences since the last FAA exam
The AASI asks for a statement regarding any recurrences since the last FAA medical examination.
Show the FAA's words: A statement on any recurrences since the last FAA exam
A statement regarding any recurrences since the last FAA medical examination; and
The name and dosage of any medication, with comment on side effects
The AASI asks for the name and dosage of any medication used for treatment and/or prevention, with comment regarding side effects.
Show the FAA's words: The name and dosage of any medication, with comment on side effects
The name and dosage of medication(s) used for treatment and/or prevention with comment regarding side effects.
What the Authorization letter comes with
The AASI says the Authorization letter comes with attachments that specify the information the treating physicians must provide for the reissue determination.
Show the FAA's words: What the Authorization letter comes with
The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination.
When the examiner defers a reissue
The AASI says the examiner must defer to the AMCD or Region if there have been one or more recurrences, or if the pilot has received some treatment that was not reported in the past, such as radiofrequency ablation.
Show the FAA's words: When the examiner defers a reissue
The Examiner must defer to the AMCD or Region if: … There have been one or more recurrences; or … The applicant has received some treatment that was not reported in the past, such as radiofrequency ablation.
Good to know
Points from the FAA's own documents that are easy to miss.
One recurrence sends the reissue to the FAA
The AASI says the examiner must defer to the AMCD or Region if there have been one or more recurrences.
Show the FAA's words: good to know, 1
The Examiner must defer to the AMCD or Region if: … There have been one or more recurrences; or
Treatment not reported before is deferred
The AASI says the examiner must defer to the AMCD or Region if the pilot has received some treatment that was not reported in the past, and names radiofrequency ablation as an example.
Show the FAA's words: good to know, 2
The Examiner must defer to the AMCD or Region if: … The applicant has received some treatment that was not reported in the past, such as radiofrequency ablation.
The arrhythmias page's row on ablation
The Item 36 Arrhythmias page's Radio Frequency Ablation row, for all classes, says that if it was performed for atrial fibrillation (AFib/A-Flutter), see that section first. It lists a 3-month wait, then a 24-hour Holter. If the Holter is negative for arrhythmia, with no recurrence, it says Issue; otherwise an FAA decision is required.
Show the FAA's words: good to know, 3
Item 36. Heart - Arrhythmias … Radio Frequency Ablation * If performed for atrial fibrillation AFib/A-Flutter ( PDF ) , see that section first. … All … 3-month wait, then 24-hour Holter … If Holter negative for arrhythmia, no recurrence - Issue Otherwise - Requires FAA Decision
The first AASI is deferred to the FAA
When this is a first-time application for this AASI and the pilot has all the requisite medical information necessary for a determination, the AASI says the examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
Show the FAA's words: good to know, 4
If this is a first-time application for an AASI for the above disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
FAA sources
Every FAA document this page relies on, with the FAA's own date and the date Crosscheck last read it. The documents to print open at the FAA, so they are always the FAA's current ones.
- AASI – Paroxysmal Atrial TachycardiaOpen to print: AASI – Paroxysmal Atrial Tachycardia, a page at the FAA, in a new tab
The sheet the examiner follows to reissue under an FAA Authorization.
Special Issuance, AASI
- Open at the FAA: Item 36 – Arrhythmias, a page at the FAA, in a new tab
Related conditions
Each has its own page, with what the FAA's documents say about it.
This reports what the FAA has published. It is not medical advice, and it does not say how the FAA or an examiner will decide a case.