Do They Take Into The Army With Hypertension Of 1 Or 2 Degrees: Advice For Conscripts

2024 Author: Rachel Wainwright | [email protected]. Last modified: 2023-12-15 07:39

Do they take into the army with hypertension of 1 degree, 2 and 3

The content of the article:

Types of hypertension
The degree of hypertension
Categories of fitness for military service with hypertension
How to confirm arterial hypertension
Video

Do they take into the army with hypertension? This question is often asked to doctors and recruiting officers by conscripts and their parents. The answer is ambiguous. On the one hand, consistently high blood pressure and military service are incompatible concepts. On the other hand, military doctors treat the diagnosis of "hypertension" among conscripts with a high degree of mistrust. This is explained by the fact that this disease is not typical of young people, and also by the fact that deviators most often use this very diagnosis, trying to "roll away" from the army. In this article, we will describe in detail how the examination of conscripts with manifestations of hypertension is carried out, and what stage of the disease is the basis for recognizing a conscript as partially fit for military service.

The question of the possibility of serving as a conscript with hypertension is decided by a special commission

Types of hypertension

Arterial hypertension, or hypertension, is a persistent increase in blood pressure up to 140/90 mm Hg. Art. and more. Depending on the reason underlying this increase, there are:

symptomatic arterial hypertension - develops against the background of certain diseases of the kidneys, cardiovascular, nervous and endocrine systems;
essential arterial hypertension (hypertension) - develops as an independent chronic disease, in this case the increase in blood pressure is not associated with any other pathology.

Thus, if a conscript has symptomatic arterial hypertension, caused, for example, by obesity or a hyperthyroid state, then he is usually given a deferral from military service to undergo appropriate treatment. With hypertension, the suitability of a conscript to serve in the army is determined by the stage of the disease.

The degree of hypertension

Depending on the indicators of blood pressure measured at rest, the following degrees of hypertension are distinguished:

I degree - from 140/90 to 159/99 mm Hg. Art.;
II degree - from 160/100 to 179/109 mm Hg. Art.;
III degree - from 180/110 mm Hg. Art. and higher.

Increased blood pressure eventually leads to damage to target organs, which include the heart, kidneys, blood vessels, and the brain. According to the likelihood of developing complications, there are four degrees of risk of hypertension:

1 risk - there are no target organ damage, and the risk of their development in the near future does not exceed 15%;
2 risk - the patient has 1-2 factors aggravating the course of hypertension (obesity, diabetes mellitus, lipid metabolism disorders) and the probability of complications is 15-20%;
3 risk - the patient has 3 aggravating factors, and the risk of complications increases to 30%;
4 risk - there are 4 or more aggravating factors, the risk of developing damage to target organs exceeds 30%.

Categories of fitness for military service with hypertension

To understand whether they will be taken into the army with high blood pressure, it is necessary to clarify what categories of fitness for military service are:

category "A" - the conscript is recognized by the military medical commission as healthy and fit for service in any branch of the military;
category "B" - the conscript has minor deviations in the state of health, in connection with which doctors recommend him to serve in a certain branch of the military;
category "B" - there are diseases that significantly limit the ability of a conscript to serve in the army in peacetime (the conscript is given a military ID, but he does not go to serve);
category "D" - there are diseases requiring treatment and therefore the conscript is given a deferral from service for a period of up to 6 months;
category "D" - due to the state of health, the conscript is not fit for military service either in peacetime or in wartime (completely removed from the military register).

To make a decision on assigning a particular fitness category to a conscript, doctors use the Schedule of Diseases (annex to the "Regulations on the conduct of military medical expertise"). Let's turn to this list and see if they are taking into the army with hypertension of 1 degree.

In accordance with Article 43 of the Schedule of Illness, the following criteria for fitness for military service with hypertension are distinguished:

category B - unchanged or with slightly pronounced changes in target organs;
category B - moderately pronounced dysfunctions of target organs;
category D - significant dysfunctions of target organs.

Thus, the following groups of conscripts are recognized as partially fit for military service:

suffering from arterial hypertension of I-II degree with arterial pressure at rest 140-179 / 90-109 mm Hg. Art. without violation of target organs or with mildly pronounced disorders (stage I discirculatory encephalopathy, transient conduction and (or) heart rhythm disturbances, chronic heart failure of I functional class);
suffering from stage II hypertension with arterial pressure at rest from 160/100 mm Hg. Art. and higher and requiring systematic antihypertensive therapy, with moderate disorders of the target organs (chronic heart failure of the II functional class, exertional angina, discirculatory encephalopathy of the II stage, transient cerebral circulation disorders, cerebral hypertensive crises, atherosclerosis of the great vessels, persistent disorders rhythm).

Considering the above, the question of whether they are taking into the army with grade 2 hypertension should be answered in the negative.

The conscripts suffering from stage III hypertension, whose blood pressure at rest exceeds 179/109 mm Hg, are considered completely unfit for military service (category "D"). Art. The clinical picture of the disease contains:

dissecting aortic aneurysm;
large focal myocardial infarction;
strokes;
narrowing of the retinal arteries;
impaired renal function (proteinuria over 300 mg per day, creatinine clearance below 60 ml per minute, serum creatinine over 133 μmol / l).

How to confirm arterial hypertension

When passing the military medical commission, a conscript suffering from arterial hypertension must present his medical record, which must contain data on episodes of high blood pressure. To confirm the diagnosis, the conscripts are hospitalized and a thorough examination is carried out, including:

repeated daily monitoring of blood pressure;
Ultrasound of the kidneys and heart;
consultations of a neuropathologist, cardiologist, nephrologist, endocrinologist;
general urine analysis;
blood test (general analysis, glucose, cholesterol, nitrogen, creatinine levels).

If necessary, the survey can be expanded.