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 " This is due to the fact that this disease is not characteristic of young people, and also by the fact that draft deviators most often use this very diagnosis, trying to " 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 called a persistent increase in blood pressure up to 140/90 mm Hg. st. 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 for military service is determined by the stage of the disease.

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.

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

I degree - from 140/90 to 159/99 mm Hg. st.

II degree - from 160/100 to 179/109 mm Hg. st.

III degree - from 180/110 mm Hg. st. and higher.

Increased blood pressure over time leads to damage to target organs, which include the heart, kidneys, blood vessels, 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 likelihood 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 target organ damage 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:.

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Completely unfit for military service (category " st.

To make a decision on assigning a certain category of fitness to a conscript, doctors use the Schedule of Illnesses (annex to the " We will turn to this list and see if they are taking into the army with hypertension of the 1st degree..

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

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 grade I-II arterial hypertension with arterial pressure at rest 140-179 / 90-109 mm Hg. st. 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 functional class I);

suffering from stage II hypertension with arterial pressure at rest from 160/100 mm Hg. st. 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.

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

If a conscript has symptomatic arterial hypertension, caused, for example, by obesity or a hyperthyroid state, then he is usually given a respite from military service to undergo appropriate treatment.

Completely unfit for military service (category " st. The clinical picture of the disease includes:.

dissecting aortic aneurysm;

macrofocal myocardial infarction;

strokes;

narrowing of retinal arteries;

impaired renal function (proteinuria over 300 mg per day, creatinine clearance below 60 ml per minute, serum creatinine over 133 ?mol / 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, conscripts are hospitalized and a thorough examination is carried out, including:.

repeated daily monitoring of blood pressure;

Ultrasound of the kidneys and heart;

consultations with a neurologist, cardiologist, nephrologist, endocrinologist;

general urine analysis;

blood test (general analysis, glucose, cholesterol, nitrogen, creatinine levels).

If necessary, the survey can be expanded.

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