{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:47:56Z","timestamp":1740098876722,"version":"3.37.3"},"reference-count":27,"publisher":"Aerospace Medical Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["aerosp med hum perform"],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:p><jats:bold>INTRODUCTION:<\/jats:bold> Catheter ablation is a widely used and effective treatment option for many tachyarrhythmic disorders. This study analyzes all ablation cases in German military aircrew over a 17-yr period. Recurrence of different arrhythmias and ablation complications were analyzed\n with an aim of refining specific recommendations for aircrew employment.<jats:bold>METHODS:<\/jats:bold> All cases of catheter ablations in pilots and nonpilot aircrew examined at the German Air Force Centre of Aerospace Medicine from 2004 to 2020 were analyzed for sex, age, concomitant diseases, ablated\n arrhythmias, complications, recurrences, time elapsed from ablation to reablation, number of ablations, and aeromedical disposition, including restrictions in case of a return to flying duties.<jats:bold>RESULTS:<\/jats:bold> There were 36 aircrew who underwent catheter ablation; 7 were ablated for 2 or\n more different arrhythmias; 10 underwent more than one ablation. Ablated arrhythmias included atrioventricular (AV) nodal re-entrant tachycardias, accessory pathways, focal atrial tachycardias, typical and atypical atrial flutter, atrial fibrillation, and premature atrial and ventricular complexes.\n Recurrence rates differed between the arrhythmias and were lowest in AV re-entrant tachycardias. Complication rates were low.<jats:bold>CONCLUSION:<\/jats:bold> In this aircrew cohort, nearly all aircrew were able to return to flying duties following ablation, albeit some with restrictions. Restrictions\n depended on the underlying arrhythmia, the ablation procedure, and the symptoms prior to ablation. A basic understanding of different arrhythmias, ablation techniques, and long-term success rates is essential for the AME and for the responsible licensing authority. Close cooperation with an\n electrophysiologist is necessary prior to and after ablation to ensure optimal management of aircrew with arrythmias.<jats:bold>Guettler N, Nicol E, Sammito S. <jats:italic>Return to flying after catheter ablation of arrhythmic disorders in military aircrew<\/jats:italic>. Aerosp Med Hum Perform. 2022; 93(10):725\u2013733.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.6065.2022","type":"journal-article","created":{"date-parts":[[2022,10,16]],"date-time":"2022-10-16T04:33:21Z","timestamp":1665894801000},"page":"725-733","source":"Crossref","is-referenced-by-count":1,"title":["Return to Flying After Catheter Ablation of Arrhythmic Disorders in Military Aircrew"],"prefix":"10.3357","volume":"93","author":[{"given":"Norbert","family":"Guettler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Nicol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Sammito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"7","key":"B1","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/S0002-9149(00)01531-9","article-title":"Outcomes after radiofrequency catheter ablation of atrial tachycardia","volume":"87","year":"2001","journal-title":"Am J Cardiol."},{"issue":"1","key":"B2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1540-8159.2011.03227.x","article-title":"Focal left atrial tachycardias not associated with prior catheter ablation for atrial fibrillation: clinical and electrophysiological characteristics","volume":"35","year":"2012","journal-title":"Pacing Clin Electrophysiol."},{"issue":"5","key":"B3","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1093\/eurheartj\/ehz467","article-title":"2019 ESC Guidelines for the management of patients with supraventricular tachycardia. 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