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 |