Table 3

Recommendations for syncope

Careful aeromedical evaluation is necessary to elucidate the cause of syncope and to determine the risk of recurrence.Highly recommended
Recurrent syncope of any cause should be disqualifying for aircrew duties, if an underlying disease cannot be treated or if the triggering factor cannot be adequately controlled.Highly recommended
Aircrew with a single episode of syncope associated with a clear precipitant, likely neurocardiogenic (vasovagal) in origin, or G induced in the centrifuge, should be able to return to unrestricted flying duties.Highly recommended
If syncope is orthostatic or neurogenic and the triggering factor can be adequately controlled, and the recurrence rate is within the limits of the 1% safety rule, return to restricted aircrew duties may be possible after a period of observation.Consider