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ablation abnormal ACE inhibitors acute aeromedical concern aeromedical disposition aircraft AME/FS angiography arrhythmias associated asymptomatic atrial fibrillation atrial flutter Aviat Space Environ aviator population beta-blockers blood pressure cardiomyopathy cause chronic clinical cockpit complications considered coronary angiography coronary artery defects develop diagnosis dilated disorders disqualified echocardiography episode etiology evaluation event rates flight duty flight surgeon flying follow-up graded exercise testing headache heart disease hemodynamic hemodynamic symptoms hypertension idiopathic impairment incapacitating individuals infection ischemic left ventricular left ventricular hypertrophy lesion lone AFib long-term medical waiver migraine mild military aviators mitral regurgitation mitral valve myocardial infarction neurologic normal occur pain patients performed pilot prognosis psychiatric pulmonary radiofrequency ablation recommended recurrence regurgitation repair reported right ventricular risk factors screening seizures severe side effects significant CHD stenosis stroke studies sudden death supraventricular surgery surgical syncope tachyarrhythmias therapy tion treatment tumor underlying usually ventricular tachycardia vertigo white coat hypertension