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Do they take in the army with hypertension?
When young people reach military age, they often wonder if they are recruited into the army with hypertension. Blood pressure tends to rise today even among young people. Hypertension, as a disease, acquires or inherits every third inhabitant of the globe. Therefore, recruits often have this disease, to whom the military registration and enlistment office can issue an indefinite ticket due to special indications and requirements of the certification commission.
Diagnosis of hypertension
Arterial hypertension is taken out as an independent diagnosis with a thorough examination of the patient. It necessarily includes daily monitoring of pressure or measurement of this parameter at least three times a day in an outpatient setting. During the study, high blood pressure should be recorded without preliminary physical exertion and emotional overstrain.
The pressure is measured according to the Korotkov method: the patient is in a sitting position, arms and legs should not be crossed, the cuff is applied to the shoulder parallel to the heart. This measurement is as accurate as possible and reflects the actual heart rate.
During the measurement, the upper and lower pressure, as well as its average, are recorded. All data are recorded in the patient's medical record. The collected anamnesis, complaints and the result of a visual, percussion, palpation examination are also recorded here.
Typically, recruits with hypertension of any degree have the following symptoms:
- Decreased visual acuity, difficulty orientation at dusk and at night.
- Frequent bleeding from the nose, tendency to ascending swelling in the morning.
- Feeling of lack of air after physical exertion, during stressful situations, as well as a feeling of interruptions in the work of the heart.
- Increased fatigue, inability to concentrate and fix on details in work.
In addition to a general examination, some laboratory tests are necessary to confirm hypertension. The variety of forms of hypertension is often associated with other somatic diseases of the kidneys, endocrine organs, and the blood system. All this is revealed in the course of a detailed examination of the recruit, who, if necessary, is issued an exemption from the army.
Classification of hypertension
In medical practice, for convenience, the diagnosis of high blood pressure is comprehensively classified and takes into account the clinical picture of the disease, blood pressure parameters, and the risk of complications.
Most often, hypertension is divided into stages that help assess the functionality of the human heart and blood vessels.
At the first stage of arterial hypertension, systolic pressure does not exceed 149 mm Hg. Exemption from the army is usually not issued to a conscript with such increased pressure, since it is quite simple to reduce it. Young men with such a diagnosis are fit for service, however, with some restrictions. Their service will be somewhat facilitated, but such a diagnosis is not a reason for complete exemption from military service, as many believe. The military registration and enlistment office issues an exemption from the army in the form of an indefinite military ID at higher blood pressure thresholds.
However, recruits in the first stage of hypertension are subject to examination. The pressure may not deviate from the accepted norms in a state of sleep or absolute rest, but as soon as the young man gets nervous, the risk of a hypertensive crisis increases. Even low blood pressure numbers cause irreversible damage to internal organs, which can form their own pathologies that can reduce the physical data of young people.
Hypertension of the second stage is called a state with a pressure of up to 169 mm Hg. According to the legislation, pressure from 150 mm Hg of a constant nature is the reason for refusing to call. The military commissariat implies that army conditions can adversely affect the condition of such conscripts, which creates a risk to life and its quality. Even the young man's inveterate desire to defend his homeland cannot resist a dangerous diagnosis.
Hypertension of the third degree also cancels military service. Military conditions will not be able to provide such people with qualified assistance when it is necessary to reduce pressure as soon as possible, otherwise the risk of a heart attack or stroke is high. Constant stressful situations, heavy physical activity are incompatible with such a cardiovascular pathology. 
Increased pressure of the second and third stages is an infrequent reason for denial of military service. The military registration and enlistment office considers a permanently confirmed diagnosis as a complete withdrawal and issues an indefinite military certificate. In the future, a hospital examination is not required, since the disease is irreversible, and high blood pressure can rarely be reduced to optimal numbers. The conscript receives a full exemption from the army without the need for annual confirmation.
summoning stones
The military registration and enlistment office may have a fairly biased commission that will not agree with the results of a medical examination and medical recommendations. Members of the military registration and enlistment office can refuse to challenge even persons of the second degree of hypertension. Although military service for such young men is a serious health risk, which can lead to irreversible consequences. If the diagnosis is confirmed in the hospital, the military registration and enlistment office is obliged to pay attention to this. Often, the commission expresses the opinion that the pressure in the service is leveling off, and hypertension is not as dangerous as medical workers dictate. 
Most often, controversial issues arise with hypertension of the second degree, the numbers of which are almost borderline. The higher the pressure, the higher the risk of complications and the more likely their implementation. Moreover, a hypertensive crisis can cause not only vascular accidents. Pressure surges are dangerous for any organ of the human body, since the flow of oxygenated blood to them is hindered, and they tolerate the state of hypoxia in different ways. The risk of ischemic damage to each functioning organ at a pressure of 15 mm Hg increases with each stressful situation, which is plentiful in military service.
Knowing the risk of a possible meeting with a rather biased commission, a recruit with a real disease of hypertension of any degree needs to carefully prepare.
The preparation plan should include:
- Full examination by a qualified doctor, the steady delivery of all prescribed tests.
- Collect information about your disease for the last six months, assess the risk of complications and recurrence of pathology. The clinical picture of the disease must strictly correspond to the degree of hypertension. It is good to have a prescription confirmation that the pressure can only be reduced with medication.
- In the military registration and enlistment office it is necessary to show confidence and knowledge of one's rights.
- Unreasonable actions in your address, refusal to challenge in case of a clear illness of a degree established by law, urgently appeal in court.
Unfortunately, modern practice shows that it is quite difficult for a conscript to defend his rights and prove the presence of a true disease. The risk of being challenged in good faith is quite low, although in case of hypertension of the second and third stages, the legislation obliges the commission to refuse service in the army.
Diversion options may be considered when first-degree hypertension is accompanied by multiple complications. Unfortunately, not everyone understands the danger of this disease for every person, whether he is a conscript or an old man. It is more difficult to reduce high blood pressure at a young age, when there are no actual reasons for the formation of the disease. Medical posts in the army are equipped with a list of medicines that is too small to fight even the first stage of hypertension, which members of the commission in the military registration and enlistment office do not provide.
Naturally, many young men are trying to “catch up” with pressure to withdraw from the army. However, they do not understand what a dangerous disease they are joking with, since hypertension of any degree does not spare anyone, for which it was called the “silent killer”. Burdened heredity and bad ecology without our participation will play a cruel joke on the vessels and heart, and military service can remain a pleasant and exciting memory in life.
