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Warren Silberman

Warren Silberman

  • Former Manager, FAA Aerospace Medical Certification
  • Doctor of Osteopathic Medicine
  • Expert in Aerospace/Preventive Medicine
  • Pilot since 1986
  • PPS participants-only:
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A common diagnosis: Atrial fibrillation

One of the more commonly seen irregular heart rhythms at the FAA is atrial fibrillation, or A-fib. Your normal electrical heart beat originates in the upper chamber in the heart known as the atrium. It starts in an area known as the sinus node and spreads from there. In atrial fibrillation the electrical impulse begins from many areas, at least 250 in a minute!

Fortunately, all these impulses do not make the heart contract (or beat). The problem this irregular heart rhythm causes is that the blood in the atria cannot be adequately pumped out. The turbulence of blood as the atria are “fibrillating” also results in the formation of clots. If a clot breaks loose, it can result in a stroke… To continue reading…


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Dr. Warren Silberman is the former manager of FAA Aerospace Medical Certification and a doctor of osteopathic medicine. A pilot since 1986, he is recognized nationally as an expert in aerospace/preventative medicine, and is a regular writer for AOPA’s Pilot Protection Services.

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