Passing this along for anyone going through something similar. I’m over 40 with a 3rd Class Med. During a routine exam, my doctor wrote in my med chart suspected afib based on my relaying a time six months before when I felt like I had a rapid heartbeat that lasted for an hour or so. When I went to my AME to renew my Med Cert she found the note and deferred me and said I would hear from the FAA with a list of requirements. Keep in mind I don’t suffer from Afib symptoms, I’m not on any heart medications, and I stay in good shape. A couple of weeks later the letter from the FAA arrives, they need me to provide documentation of the following tests taken within the last 90 days: Echocardiogram, 24 hr Holter Monitor, Sleep Study, exercise Stress Test (with Bruce protocol), and Thyroid panel blood work. So I go to the local cardiologist’s office, find a nurse, and we read the letter together. She immediately says there is no way the doc is going to sign off on ordering all these tests. “They are not medically necessary.” I beg her to let me talk to the doc. Fortunately he agreed to meet with me even though I didn’t have an appointment. His initial reaction was “no way.” But, I pushed harder and said that flying meant the world to me and to please help. He didn’t want to do it, but in the end he ordered all the test and filled out the FAA Afib form. He also warned that my health insurer may not pay for the tests. $10,000 worth of testing later, we confirmed that I didn’t have any symptoms, and didn’t need any treatment. All of the test results were submitted to the FAA via overnight delivery service. 3 weeks later they were finally scanned into their system. Two months later I received a letter from the FAA advising I was approved for a special issuance Med Cert, but would need to submit to them annual update reports with a 24hr holter monitor re-test. The time, the money, the aggravation, all because I told my primary care doc that I felt like I had a rapid heart rate 6 months beforehand for a short period of time. Good Grief!! Why did I say anything????