High Blood Pressure and entry requirements.

#1
I recently failed my medical for re-entry to TA due to high blood pressure. (Hypertension) The limit is set at 140/90, mine is a little above this.

now JSP 346 Chapter 3, Leaflet 4: Cardiovascular System states:

Hypertension
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 hypertension should be graded P8.
(Emphasis is mine)

Speaking to the MO last night, his opinion was that treated hypertension (i.e. treated with medication) was an automatic bar to entry although he couldn't find a reference to it in the documentation. He's going to check it out as it was not clear.

Now whilst that wouldn't surprise me, reading the extract above, if untreated hypertension is P8 it would suggest that treated hypertension need not be.

Further, I understand that the rules for serving soldiers will be different but note the use of the word "candidates" above.

Can anyone produce the definitive reference for this?

For the record, I'd rather keep this thread free from general advice about high blood pressure or opinions on what people might LIKE the definitive answer to be.

Thanks.

ES
 
#3
I too show as having high blood pressure when tested in a surgery. I feel no other effects of it. The doctor suggested going onto medication, but warned me it would be permanent and I would be downgraded to P3 as a result.

I was surprised to find that I could refuse this as I felt no affect from the supposed high blood pressure.

I've been informed by someone else that I could possibly suffer from White Coat Syndrome. I underwent the 24hr ambulatory blood pressure testing and my BP was mostly in the green except when exerting myself, which is the same for everyone, I believe.

Wiki explains it best White Coat Syndrome
 
#4
dingerr said:
I too show as having high blood pressure when tested in a surgery. I feel no other effects of it. The doctor suggested going onto medication, but warned me it would be permanent and I would be downgraded to P3 as a result.

I was surprised to find that I could refuse this as I felt no affect from the supposed high blood pressure.

I've been informed by someone else that I could possibly suffer from White Coat Syndrome. I underwent the 24hr ambulatory blood pressure testing and my BP was mostly in the green except when exerting myself, which is the same for everyone, I believe.

Wiki explains it best White Coat Syndrome
Yes, I'm aware of the "white coat syndrome" and there is an element of that but it still is slightly high. P3 is one thing but in this case we're talking P8.

I suppose the answer will come out before long. I'm trying other methods to bring it down but just need the reference to that particular question.
 

Sixty

ADC
Moderator
Book Reviewer
#5
PM theoriginalphantom if you haven't already. He's usually got the answer (and the references) to this type of thing.
 
#6
I know someone who's just joined an Armoured TA regiment and he's on Ramipril for his Hypertension, I'll find out what he was told but it may take a day or two, he's as elusive as the Pimpernel.
 
#7
Sixty said:
PM theoriginalphantom if you haven't already. He's usually got the answer (and the references) to this type of thing.
Yes, it was Toppers who provided the reference I quoted but there is still some ambiguity as to how it should be interpreted.
 
#8
Tommo5050 said:
I know someone who's just joined an Armoured TA regiment and he's on Ramipril for his Hypertension, I'll find out what he was told but it may take a day or two, he's as elusive as the Pimpernel.

That would be VERY helpful indeed. Thanks.
 
#9
I had exactly the same problem, my readings were far higher than yours as well.

I went to my own GP who gave me a machine to use to monitor my own BP morning and night for a week. I wrote down the results then went back to see him. All my reading were normal. He wrote to the MO at Chilwell to say that i was fit to carry on training and that was that!
 
#10
Rockhopperst4 said:
I had exactly the same problem, my readings were far higher than yours as well.

I went to my own GP who gave me a machine to use to monitor my own BP morning and night for a week. I wrote down the results then went back to see him. All my reading were normal. He wrote to the MO at Chilwell to say that i was fit to carry on training and that was that!
Yeah, working on that approach too but would really like to see the written reference for acceptance with treated hypertension. (or not)
 
#11
Has you GP diagnosed hypertension? Should he not be your first port of call?
If he has done the required tests and stated you do not have hypertension how can the MO say you have?
 
#12
ostvic said:
Has you GP diagnosed hypertension? Should he not be your first port of call?
If he has done the required tests and stated you do not have hypertension how can the MO say you have?
Yes, doing all that, just trying to find the reference for treated hypertension at the moment. Thanks.
 
#13
While this is not an answer to your question, would you like details of the DASH Diet? It has been proven to work in reducing high blood pressure. Nothing too fancy but you will have to eat less meat.

Here you go :)
 
#14
Sorry ex stab, my mistake, my mate had been off Ramipril for four months prior to his Medical, his reading was exactly 140/90 so he sneaked through as he was no longer on medication.
 
#15
While waiting to see if anyone can find the definitive reference on this, does anyone have a view on hte following:

If the average systolic and diastolic are ok over the course of a day does it matter if they've been up and down independently? EG: (Today so far)
139 91
124 87
124 86
141 79
(Average 132/86)

Or another day:
130 84
125 91
140 94
137 87
150 95
130 91
140 84
135 90
140 100
137 87

Average: 136.4/90.3

Would 90.3 be considered a fail in this case?
 
#16
I'm no doctor but it's the average over 24 hours not anyONE measurement. Check with tops.
 
#17
The thing i have noticed with mine is that its up and down like nobodies business. If i sit and make an effort to relax and i can get it down to normal levels, but if i just come into the house, sit down and take a reading it will be up. If i do the same thing for my partner her's will be bang on 120/80.

STAB -do you watch how much salt you eat during the day? Hidden salt is the killer. I never add any to food, infact i don't have any in the house but most foods you buy have some in,especially bread and ready meals.
 
#18
Rockhopperst4 said:
The thing i have noticed with mine is that its up and down like nobodies business. If i sit and make an effort to relax and i can get it down to normal levels, but if i just come into the house, sit down and take a reading it will be up. If i do the same thing for my partner her's will be bang on 120/80.

STAB -do you watch how much salt you eat during the day? Hidden salt is the killer. I never add any to food, infact i don't have any in the house but most foods you buy have some in,especially bread and ready meals.
I don't have ready meals and I don't put much in when I make the bread. The main thing that spikes my blood pressure is other people ;)

Does anybody have the reference for entry with Hypertension treated by medication?
 

Similar threads

New Posts

Top