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ICAO Preliminary Unedited Version — October 2008 III-App. 1A-1
APPENDIX 1A.— BASIC ELECTROCARDIOGRAPHY
Resting electrocardiography forms part of the clinical examination for the medical assessment. Its
frequency is dictated by age and class of medical assessment applied for. The requirements are specified
in ICAO 6.3.2.6, 6.4.2.6 and 6.5.2.6 with sub-paragraphs for commercial pilots, private pilots and air
traffic controllers respectively.
The technique for recording the 12-lead resting electrocardiogram is given on page 7. Standard
amplification gives a deflection of 1mV/cm, and the standard paper speed is 25 mm/s. Faster paper speeds
are sometimes employed for more detailed scrutiny of the PQRST-complex and different amplifications
may be employed in the case of lower (or higher) voltages being encountered. As the great majority of
electrocardiographs are now AC-coupled, recording the decay time constant is now rarely required.
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