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Unfortunately, it is required. The directive was issued as of first of March this year. Check the FAA web site. Since I had a Mitro valve repaired which can cause A-fib they automatically assume you are a candidate for sleep apnea which can trigger A-fib. They have made the determination that...

After 2 years and seven months of trying to get my third class medical ticket I am at the point of giving up. Four or five years ago I had my Mitro valve in my heart repaired not replace repaired. The FAA medical standards say this is not a problem and is acceptable, but what they don't say...