Cardiovascular disorders and joining up

Discussion in 'Join the Army - Regular Soldier Recruitment' started by theoriginalphantom, May 29, 2008.

Thread Status:
Not open for further replies.

Welcome to the Army Rumour Service, ARRSE

The UK's largest and busiest UNofficial military website.

The heart of the site is the forum area, including:

  1. Do you have a heart condition? Want to join the army? Not used the search function yet? Not been to see your GP or the Careers Office (or whatever they are called this year)

    then read on and ask your bone questions afterwards. Thank you.


    Heart disease
    3.4.1. Candidates with established heart disease are graded P8, except in the following specific circumstances.
    3.4.2. Congenital heart conditions.
    Candidates who have undergone successful correction of the following conditions may be graded P2, subject to the availability of relevant specialist correspondence:

    a. Patent Ductus Arteriosus (PDA)

    b. Atrial Septal Defect (ASD)

    c. Ventricular Septal Defect (VSD)

    In all cases, the single-Service Occupational Physician responsible for the selection of recruits should be consulted, with supporting documentation.

    3.4.3. Cardiac murmurs.
    Although cardiac murmurs may be of no pathological significance, assessment of all murmurs is required by a consultant cardiologist or a service physician approved by the single Service.
    The following guidance applies after confirmation of the cause of the murmur:

    a. Benign physiological murmurs. Grade P2.

    b. Mitral Valve Leaflet Prolapse. If uncomplicated, functionally acceptable and requiring no treatment, grade P2.

    c. Bicuspid aortic valve and other valvular conditions . Normally graded P8.

    3.4.4. Disturbances of Rhythm.
    Candidates with any symptomatic dysrhythmia or those who require medication to suppress disturbance of rhythm should be graded P8. Candidates who have had dysrhythmic foci or accessory pathways ablated should be assessed on an individual basis with the benefit of a full report from that individual’s specialist physician. Advice may be sought from the single-Service Occupational Physician responsible for the selection of recruits. Many of these candidates may be graded P2 if a procedure is deemed to have been curative .

    3.4.5. Cardiomyopathy. A family history, which must be specifically sought, of sudden death before the age of 40 raises the question of inherited cardiomyopathy. Where there is a familial history, assessment by a Consultant Cardiologist is required, with as much information about the family as possible. If a diagnosis of cardiomyopathy is made all such candidates should be graded P8.

    3.4.6. Candidates with an untreated total cholesterol level of 8.0 mmol/l or less may be graded P2 provided they do not require drug therapy. Candidates who apply for entry over the age of 35, with a cholesterol level that gives them a greater than 10% risk of cardiovascular disease within 10 years, will be considered on an individual basis. Candidates taking a statin should normally be graded P8 due to the likelihood of them being unable to tolerate arduous exercise. Candidates with a cholesterol level greater than 8.0mmol/l should normally be graded P8 due to the increased morbidity associated with hypercholesterolaemia.


    3.4.7. Blood pressure should be measured in accordance with the British Hypertension Society (BHS) guidelines (BHS IV). Cases of suspected “white coat” hypertension must be carefully evaluated. Where there is doubt, a 24-hour ambulatory record, should be obtained and interpreted. Candidates with untreated hypertension4 should be graded P8.

    Peripheral vascular diseases
    3.4.8. Raynaud’s phenomenon or disease. Even candidates with primary
    Raynaud’s disease deemed manageable by lifestyle changes, and thus at the lower end of the severity spectrum, should not be accepted as service life is such that the ability to keep the periphery warm at all times cannot be guaranteed and the functional capacity of affected individuals is likely to be impaired. Candidates with primary or secondary Raynaud’s disease or
    phenomenon should therefore be graded P8.
    3.4.9. Congenital arterio-venous malformations. Candidates with congenital arterio-venous malformations should be graded P8.
    3.4.10. Congenital lymphoedema. All candidates with congenital lymphoedema should be graded P8.

    3.4.11. Deep venous thrombosis (DVT). The opinion of the single-Service Occupational Physician responsible for the selection of recruits should be sought on candidates with a previous history of DVT. The referral should detail the clinical circumstances and investigations of the DVT episode. (See also Leaflet 13 - Miscellaneous).

    3.4.12. Thrombophilia. All candidates with thrombophilia should be referred to the single-Service Occupational Physicians responsible for the selection of recruits for an opinion as to medical suitability for Service.

    3.4.13. Varices. Candidates with symptomatic varices or those that affect function should normally be graded P8. Those with asymptomatic minor varicosities, or following surgery with satisfactory outcome, may be graded P2 provided biomechanical function is not compromised.
  2. Thanks for that post. I admit full culpability for diving in with a blood pressure query before soon realising that you are all blue in the face discussing the topic. Apologies on that one.

    Had already spoken with careers office in Belfast but they were unsure what the situation was and I have yet to hear for certain. With any luck it wont hold me back, Im as fit as they come and dont think intensifying my training is likely to change my BP.

    Your help is much appreciated.
  3. "Candidates who have undergone successful correction of the following conditions may be graded P2, subject to the availability of relevant specialist correspondence:" Thanks so just to confirm P2 is accepted is the army correct? so if successful surgery is undergone on a faulty valve for example it would then be graded P2 and if you have the supporting documents to say its all 100 percent no complications etc they would then accept you ? thanks
  4. I have a heart murmur, does that stop me gettin in or what?
  5. More than likely, a lot of people are deferred at ADSC for heart murmurs.
  6. Depends on the severity, many people get picked up for this, but on further investigation it is found to be benign. Mostly these people didn't realise they had a heart murmur. Some do get hoofed out though.
  7. ****, i hope it don't stop me gettin in
  8. I have thrombophilia, ive never been affected by it, my consultant said that so long as im fit and healthy it should never affect me. but will i be disqualified? or will it be reviewed on a case by case at ADSC?

  9. read the first fucking post on this thread. I'll make it easy for you, look for the line with this at the beginning
  10. thanks for the post, was just wondering would they test for all of these at ADSC or just the likes of heart murmurs?
Thread Status:
Not open for further replies.