Grade 2 hypertension

Hypertension, unfortunately, is one of the most common pathologies today. This is especially true for the population of industrialized countries. In recent years, doctors have also noted that this disease has become noticeably younger. Pathological deviations can be found today even in teenagers. In this article, we will try to understand the question of what stage 2 hypertension is, how dangerous is it and how susceptible is it to adequate therapy?

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Causes grade 2 hypertension

Traditionally, high blood pressure is associated with people of retirement age. To some extent, this is correct, because with age, a person experiences a narrowing of the lumen in small blood vessels, as a result of which the passage of blood through them slows down. The heart muscle has to apply more effort (pressure) to pump blood fluid - hence the increase in blood pressure. But there are many more sources that can provoke such a situation. What are the main causes of hypertension stage 2?

• These reasons include the already mentioned above age-related pathological changes associated with the loss of elasticity of blood vessels (atherosclerosis).
• High blood pressure can also be a hereditary predisposition.
• A sedentary lifestyle can also lead to a pathological situation.
• Bad habits: addiction to nicotine or alcohol.
• Overweight.
• Diabetes mellitus, thyroid problems.
• Complicated pregnancy.
• Tumors of various origins.
• Increased salt intake, which slows down the elimination of fluid from the body.
• Severe vascular problems.
• Unbalanced diet, rich in fatty foods and foods with high cholesterol levels.
• Pathology in the functioning of the kidneys and urinary system.
• Changes in hormonal levels.
• Long-term stressful situations.
• The intense, accelerated rhythm of modern life, the society of a metropolis.

Initially, a person experiences a mild form of hypertension, which is caused by a slight increase in pressure (only twenty to forty units). As a rule, the readings on the tonometer change in leaps and bounds: the pressure either soars or returns to normal. A person is essentially amorphous and does not always react to minor discomfort. If no measures are taken, the body adapts and gets used to living with a new load. Against the background of consistently high blood pressure, all organs and systems of the body are subject to greater pressure. Such a situation can lead to a hypertensive crisis, which, in turn, can cause myocardial infarction, stroke, cerebral or pulmonary edema.

Risk #2 for stage 2 hypertension

Medical professionals divide hypertension by the degree of risk it can carry. When assessing, such criteria as factors that aggravate the patient's health situation, as well as the probability of irreparable damage caused to the organs of thought (the brain and the circulatory system that feeds it), target organs (for example, the heart, eyes, kidneys) are considered. Target organs are those organs that suffer the most from high blood pressure, even if it does not cause any unpleasant symptoms.

Factors that aggravate the situation include:

• Age criterion: for the stronger sex, this is the threshold of 55 years and above; for women, this Rubicon is considered to be 65 years.
• The plasma cholesterol level exceeds 6.5 mmol per liter.
• Long period of smoking.
• Pathologically burdened hereditary history.
• Overweight, obesity.
• Diabetes mellitus.
• Sedentary lifestyle, physical inactivity.

The mildest category includes hypertension of the first degree, not aggravated by accompanying factors. Against the background of such hypertension, the risk of suppression of target organs over the course of a decade is less than 15%.

Risk No. 2 with hypertension of the 2nd degree – in this case, aggravating parameters are either completely absent, or the patient’s medical history is burdened by one or two of the above-mentioned factors. In such a situation, the possibility of getting changes in target organs is characterized by figures of 15 – 20%.

The third degree of risk is diagnosed in the presence of three aggravating categories. The probability of suppression of the body can be estimated from 20 to 30%.

The last fourth degree of risk is when hypertensive pathology develops against the background of four or more aggravating factors diagnosed in the patient's medical history. The probability of aggravation of the condition is more than 30%. With a disease of this risk category, associated clinical conditions are already clearly manifested.

"Stage 2 hypertension, risk 2" - this diagnosis is given to a patient if at the time of diagnosis he has not had a stroke, there are no pathological changes in the endocrine system (including diabetes mellitus), that is, the patient, at the moment, is only concerned about arterial hypertension. At the same time, excess body weight significantly increases the risk of irreversible pathological changes in the human body.

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Risk #3 for stage 2 hypertension

If the doctor estimates the possibility of developing regressive changes in the heart area at 20-30 percent, then the diagnosis is "stage 2 hypertension, risk 3". Mostly, these patients have a history of diabetes mellitus, the symptoms are aggravated by atherosclerotic plaques affecting small vessels. In such a situation, the disruption of the renal filters is most likely to progress (renal dysfunction is observed). Against this background, the steadily manifested deterioration of coronary circulation, leading to ischemic heart disease, even at 30-40 years of age, allows us to state stage 2 hypertension, risk 3.

Risk #4 for stage 2 hypertension

If the patient already has a "whole bunch" of diseases, including diabetes, ischemic heart disease and atherosclerosis, this is a clear indication for the diagnosis of "stage 2 hypertension, risk 4". In such a situation, arterial hypertension only aggravates the already difficult situation with a person's health. A similar diagnosis is also made for patients who have experienced one or two myocardial infarctions, regardless of the area of the myocardium in which the ischemic necrosis occurred and what the area of the lesion is.

It is worth understanding that risk is a prognostic, not an absolute parameter. It assumes the possibility of complications developing, and if the patient understands what his disease is, then by taking preventive and therapeutic measures, he can reduce the likelihood of complications progressing, but he will not be able to change the diagnosis itself.

It is important to know that people with arterial hypertension who lead a healthy lifestyle and take care of their health live a fairly high-quality life for a long time. Whereas with a burdened medical history and high risk, life expectancy is significantly reduced. Timely diagnosis and effective treatment aimed at reducing blood pressure indicators makes it possible to extend the number of years lived.

Symptoms grade 2 hypertension

In the case of hypertension of this category, the tonometer shows systolic pressure figures of 160–180 mm Hg and higher, diastolic pressure of 100–110 mm Hg. This parameter is observed almost constantly and at this stage becomes more intense. Symptoms of stage 2 hypertension are somewhat blurred in their manifestation and are determined by the following phenomena:

• Dizziness.
• The face and eyelids are swollen.
• The skin of the face is hyperemic, and a capillary network may appear.
• There is pain and pulsation in the temples.
• Pain symptoms in the occipital region.
• In the morning, a person wakes up exhausted, feeling lethargic and apathetic throughout the day.
• Swelling of the upper limbs.
• Attacks of “flashers” may appear, and things go dark before your eyes.
• Tachycardia (rapid heartbeat) is observed.
• Memory problems appear.
• There is a constant background noise in the ears.
• Emotional instability: tearfulness, irritability, high excitability.
• Dilation of the blood vessels in the whites of the eyes (sclera).
• To compensate for the resistance to blood flow, the wall of the left ventricle of the heart thickens.
• Problems with urination associated with pathological changes in the renal vessels.

Pressure in hypertension stage 2

The second degree of arterial hypertension is classified as moderate hypertension. Systolic pressure readings fall within the range of 160 - 180 mm Hg (sometimes higher), diastolic pressure is mainly indicated by numbers from 100 to 110 mm Hg. Compared to the first degree, the pressure in hypertension of the 2nd degree shows a longer increase in blood pressure. Normalization of indicators is observed quite rarely. Pathological characteristics of arterial hypertension become constant, stably high. The patient experiences more frequent attacks of headache, often accompanied by severe dizziness, loss of spatial orientation. In this case, a person may feel a loss of sensitivity in the phalanges of the upper and lower extremities. The patient is overcome by flushes of blood to the face, causing swelling and "flickering of flies" before the eyes.

Against the background of negative changes occurring in the body, the patient begins to experience constant fatigue, problems with sleep arise, daytime activity and work capacity decrease. If the disease is not treated intensively, the pathology continues to progress, risking becoming more severe.

If the pressure in stage 2 hypertension is not relieved in time, pain behind the breastbone gradually begins to appear, heart failure begins to develop, atherosclerosis progresses rapidly, and non-regressive failure in kidney function occurs.

Read also:

• Hypertension stage 1
• Hypertension stage 3
• Hypertensive crisis

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Pregnancy and hypertension stage 2

Pregnancy and hypertension of the 2nd degree – these two concepts are not the best allies on the path to bearing and giving birth to a baby. But even in such a situation, the expectant mother is able to bear and give birth to a completely healthy child. It should be immediately stipulated that with hypertension of the 3rd degree, pregnancy and giving birth are strictly contraindicated for a woman (this can become a threat to the life of the mother directly).

If stage 2 pathology is diagnosed, then a successful period of gestation and childbirth is a very real event, but only if the woman’s heart and kidneys were functioning normally before conception and there were no hypertensive crises.

It is worth reminding that if a woman's medical history is burdened with hypertension, the pregnant woman should be under constant supervision of a cardiologist during the entire pregnancy and obstetrics. Constant monitoring of the fetus's condition is also necessary. The specialist more carefully monitors how correctly its development is proceeding and reflexes are being formed. If medically necessary, an obstetrician-gynecologist or cardiologist prescribes a course of treatment, which should include drugs that improve the woman's condition, but do not have a significant pathological effect on the embryo.

There have been many cases where blood pressure readings have decreased on their own in the early stages of pregnancy or, conversely, a woman has encountered hypertension for the first time during this period. At the same time, doctors note that pregnant women who suffer from arterial hypertension have toxicosis in the late stages of pregnancy, which is unacceptable for both the mother and the future baby. During this period, a pregnant woman may have problems with her eyes, headaches increase, nausea and vomiting are common. But more severe complications are also observed: detachment of the retina and hemorrhage in the brain.

Constant, vigilant monitoring of the woman's condition by a gynecologist and cardiologist is necessary. A pregnant woman must very scrupulously follow all their instructions if she wants to give birth to a normal, healthy baby.

Diagnostics grade 2 hypertension

Diagnostic methods for determining any disease distinguish instrumental and physical methods of research. The first thing every doctor does is listen to the patient's complaints. Based on them, the doctor gets a certain idea of the pathology. But it is not always possible to get much information from here, especially if the disease is not essential (hereditary) in nature, but manifests itself only with certain symptoms. This is also where the diagnosis of hypertension stage 2 begins.

The patient's poor health and symptomatology of negative manifestations allow the doctor to initially assume the presence of hypertension stage 2. The next step is usually monitoring blood pressure, which is measured twice a day (morning and evening) for two weeks. If the patient is already being observed by a doctor with hypertension stage 1, then the "new" diagnosis becomes almost automatic, in the case of ineffective therapy and further growth of blood pressure with additional symptoms.

Physical research methods include:

• Regular measurement of blood pressure using a tonometer.
• Study of the condition of peripheral vessels.
• Assessment of the condition of the skin: presence of swelling and hyperemia.
• Percussion of the vascular bundle is performed.
• Listening to the heart and lungs with a stethoscope.
• Percussion (by tapping with the phalanges of the fingers) determination of the configuration of the heart.

A qualified specialist using this method is already able to make a guess about existing complications of the vascular system, heart and kidneys at the examination stage.

Instrumental methods make it possible to conduct both direct studies and obtain indirect confirmation of developing pathology.

• An ultrasound examination of the kidneys, liver, endocrine glands, and pancreas is performed. This method allows assessing the condition of the organs, identifying the cause of the pathology, and assessing the consequences of complications.
• Ultrasound of the heart, echocardiography. Using this technique, it is possible to visually examine the hypertrophy of the left ventricle, and in the case of its stretching (dilation), to assess the level of cardiac decompensation.
• In parallel with EchoCG, an assessment of the electrical activity of the heart muscles is also carried out, which is obtained using an ECG (electrocardiogram). This method allows one to obtain a clinical picture of the changes that have affected the organ.
• Dopplerography allows assessing the situation with renal artery stenosis. Narrowing of one vessel is enough for arterial hypertension to begin to progress. In case of thrombosis of this blood vessel, indications corresponding to hypertension of the 2nd degree are indicated almost instantly. Therapy of this pathology is quite long and may not give the expected result. The body's response to such a situation is activation of the renin-aldosterone-angiotensin system. The humoral indicator is basic in the functioning of these systems, while it can be called the most powerful and long-lasting mechanism aimed at stimulating the growth of blood pressure.
• Urine and blood analysis.

Stage 2 hypertension is a pathology that is a consequence of malfunctions in the endocrine glands, the renal system, or morphological or functional disorders in target organs (for example, the heart). The diagnosis of stage 2 hypertension is aimed at recognizing these deviations.

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Treatment grade 2 hypertension

Only after all the necessary studies have been carried out can a complete picture of the pathological changes in the body's condition be obtained, on the basis of which a diagnosis is made. Only after this can treatment of stage 2 hypertension be started. Therapy is mainly prescribed by a local therapist. A consultation with a cardiologist or neurologist may be required to clarify and adjust the treatment plan.

The traditional treatment strategy for stage 2 hypertension includes:

• Diuretics, or diuretics. These include veroshpiron, ravel, thiazide, furosemide, diuver and others.
• Antihypertensive drugs are prescribed without fail: bisoprolol, physiotens, artil, lisinopril and other drugs with similar effects.
• Medicines that reduce blood cholesterol levels. This may be zovastikor, atorvastatin.
• Medicines that reduce blood viscosity are also prescribed: cardiomagnyl, aspicard.

It is worth knowing that special importance in the quality of therapy is given to the time accuracy of administration: medications must be taken strictly on time.

Treatment regimen for stage 2 hypertension

It is important to remember that you should not treat hypertension on your own. Such liberty can significantly complicate the situation, up to disability, or even a threat to life. The treatment regimen for stage 2 hypertension is strictly individual for each patient. Therapy is usually prescribed as a complex, which includes not one, but several different drugs. This approach to treatment allows you to specifically affect different processes that provoke high blood pressure. In addition, this approach to treatment makes it possible to use drugs in reduced dosages, since some drugs, when prescribed in tandem, enhance each other's pharmacodynamics.

But there are also problems with such a prescription. In complex therapy, it is necessary to select drugs very carefully, because they not only "help" to activate the pharmacological properties of the "neighbor", but may not be combined, being antagonists. As a result, instead of improving the situation, additional complications can occur.

The treatment regimen for stage 2 hypertension is prescribed specifically for the patient's gender. When drawing it up, the attending physician must take into account: •

• Age limit.
• Tendency to physical inactivity.
• Disorders in the endocrine system are assessed:
  • Diabetes mellitus.
  • Excess weight.
• Having problems with the cardiovascular system.
  • Angina pectoris.
  • Tachycardia.
  • Cardiac dysfunction.
• Disruptions in the functioning of other target organs.
• High levels of cholesterol in blood plasma.

Only those drugs are prescribed for which the patient has no contraindications and which have proven themselves well in tandem work. But even in this case, close monitoring of the patient's condition is necessary at first, in order to avoid undesirable reactions. If necessary, the drugs are changed to others with similar characteristics.

The doctor also takes into account the specifics of each drug. To date, the most complete data on the effect is available for diuretics and beta-blockers, which have been used in medicine for a long time. Doctors know that the maximum therapeutic result from them can only be obtained at the initial stage of the disease. Innovative drugs have not yet been thoroughly studied, although there are already certain positive indicators. A qualified doctor is able to fairly accurately predict the expected effectiveness of a combination of drugs.

One of the main rules of regimen therapy is the strict adherence to time indicators and the continuity of drug intake.

Medicines for hypertension stage 2

To relieve high blood pressure, various methods of influencing the body and their combinations are used. The doctor can prescribe drugs for hypertension of the 2nd degree in a complex. Such therapy may include:

• Medicines:
  • Angiotensin-converting enzyme (ACE) inhibitors are medications that help relieve tension in blood vessels by reducing the production of a hormone that causes them to narrow.
  • ARB inhibitors - their action is similar to the previous drugs - they inhibit angiotensin-II receptors.
  • Calcium channel blockers help control the effect of calcium on the state of the blood vessels and the myocardium. The drugs relieve muscle tension and relax the blood vessels.
  • Beta blockers are drugs that specifically target the cardiovascular system. They reduce the rate of contraction of the heart muscle, thereby relieving the heart. o
  • Renin inhibitors reduce blood renin activity, providing cardioprotective and nephroprotective effects.
• Our ancestors' recipes are also used as medicines for stage 2 hypertension. Herbal compositions with sedative properties are mainly used: chamomile, peppermint, valerian, hawthorn, lemon balm. Beekeeping products and citrus fruits are actively used.
• Dietary adjustments are essential.

Pills for hypertension stage 2

During the therapy, the attending physician prescribes tablets for hypertension of the 2nd degree of various directions. Diuretics are necessarily prescribed. For example, thiazide, which effectively removes excess fluid from the patient's body. Adult patients are administered the drug in a dosage of 0.6 - 0.8 g per day, divided into three to four doses. Children are prescribed the drug at the rate of 10 - 20 mg per kilogram of the baby's weight. In case of obvious side effects, the amount of the drug taken is reduced: adults to 30 mg, children - to 5 mg per kilogram. The duration of treatment is monitored by a doctor.

Contraindications to prescribing the drug include leukopenia and individual intolerance to the drug.

Along with diuretics, the doctor also prescribes other medications. ACE inhibitors: captopril, lisinopril, trandolapril, enalapril, quinapril, cilazapril, ramipril, fosinopril, perindopril.

Captopril is administered orally one hour before meals. The starting dose is 25 mg, administered twice a day. If medically necessary, the amount of the drug can be increased every two to four weeks until the desired result is achieved. If the patient is diagnosed with renal dysfunction, the starting dosage is lower. And only after a longer interval is the dose allowed to be increased.

Captopril is contraindicated in cases of severe renal and kidney failure, aortic stenosis, angioedema, cardiogenic shock, during pregnancy and breastfeeding, and in patients under 18 years of age.

ARB inhibitors are used in combination therapy: losartan, candesartan, eprosartan, telmisartan, irbesartan, olmesaran, valsartan.

Candesartan is administered orally once a day at a dosage of 4 mg - this is the starting amount of the drug. The maximum permissible daily dose should not exceed 16 mg, in the case of maintenance therapy - 8 mg. For patients with impaired renal and / or hepatic function, the starting amount of the drug is 2 mg.

Candesartan is not approved for use during pregnancy and breastfeeding.

In complex therapy, beta-blockers are used - tablets for stage 2 hypertension - such as acebutolol, metoprolol, pindolol, oxprenolol, atenolol, sotalol, bisoprolol, propranolol, timolol.

Metoprolol is administered orally with food or immediately after a meal. The starting dose of the drug is 0.05 - 0.1 g, divided into one or two doses. If the desired therapeutic result is not observed, the dosage is gradually increased to 0.1 - 0.2 g, or another antihypertensive drug is prescribed in parallel. The amount of the drug taken should not exceed 0.2 g

Contraindications of this drug are quite extensive and it is necessary to be very careful when prescribing it. This drug should not be included in the treatment protocol in case of severe bradycardia, decompensated heart failure, angina, cardiogenic shock, during pregnancy and lactation, with increased sensitivity to the components of the drug, as well as for persons under 18 years of age.

Calcium channel blockers: amlodipine, lacidipine, nisodipine, lecranidipine, diltiazem, nicardipine, verapamil, felodipine, nifedipine, isradipine.

Lecranidipine is used with a small amount of liquid 15 minutes before the planned meal. The drug is prescribed at 10 mg once a day. If therapeutic effectiveness cannot be achieved, the dosage can be gradually increased to 20 mg per day.

The drug should not be prescribed to a patient with a history of chronic heart failure in the decompensation stage, liver and kidney dysfunction, unstable angina and bradycardia, individual intolerance to the components of the drug, as well as lactose, pregnancy, lactation, galactosemia, age under 18 years, galactose-glucose malabsorption syndrome.

Renin inhibitors, such as aliskiren. This drug is administered regardless of meal time. The recommended starting dosage is 0.15 g once daily. A positive antihypertensive effect can be observed after two weeks of therapy. If the effect is absent or insufficient, the dosage can be increased to 0.3 g taken once daily.

The drug is contraindicated for use in cases of severe renal and hepatic dysfunction, if the patient is on hemodialysis, in cases of hypersensitivity to the components of the drug, as well as for persons under 18 years of age.

If the therapy does not bring tangible results, the doctor replaces the drug, for example, with alpha-blockers. These drugs are classified as strong vasodilators of central action. But the use of alpha-blockers is burdened by serious side effects.

Herbs for hypertension stage 2

It would be useful to consider herbs and herbal infusions that are quite effective in combating stage 2 hypertension.

• You can prepare the following mixture (herbs taken in equal proportions): motherwort, marsh cudweed, field horsetail, valerian root. A decoction of this combination works great for isolated blood pressure surges in stressful situations. It has diuretic properties.
• In equal parts: peppermint, silverweed, chamomile, buckthorn bark, yarrow.
• The following herbs are also effective for stage 2 hypertension: two parts each of motherwort herb, hawthorn flowers, and marsh cudweed; one part each of field horsetail, birch leaf, and spring adonis.
• The above-listed infusions are prepared as follows: one teaspoon of the composition is poured with 200 g of boiling water and kept in a water bath for 15 minutes. Then it is cooled and filtered. The resulting liquid is divided into two doses and drunk half an hour before meals throughout the day.
• You can also prepare the following mixture: three parts of black chokeberry and four berries of rose hips and hawthorn, two parts of dill seeds. Pour three tablespoons of the mixture with a liter of hot water (boiling water). Keep it in a thermos for two hours. Drink a glass three times a day.
• Viburnum juice also shows good effectiveness, taken one-quarter glass three to four times a day.

Nutrition for hypertension stage 2

Nutrition for stage 2 hypertension also plays an important role in therapy. People suffering from this disease should understand the foods that should absolutely not be consumed:

• High-fat foods: fatty meats and fish.
• Confectionery, ice cream, cakes, pastries, croutons, chips.
• Fast food products.
• Alcoholic beverages.
• Drinks with high caffeine content.
• Spicy and hot foods, smoked foods, pickling and canning.
• Limit the amount of salt you consume.
• Reduce consumption of animal fats (sour cream, butter).
• Minimize the consumption of easily digestible carbohydrates: jam, candy, preserves, sugar.
• Get rid of smoking.

What can be recommended:

• It is necessary to eat a lot of parsley - it is an irreplaceable assistant for the blood vessels of the circulatory system.
• It would be a good idea to include nuts and dried fruits in your diet – they are simply a storehouse of vitamins and microelements, especially potassium (which supports heart function and is involved in removing fluid from the body) and magnesium (vasodilatory properties).
• Don't ignore garlic in your diet. Eating a few cloves daily will boost your heart.
• For the first course, it is better to prepare vegetable, cereal or milk soups. Consume meat broth no more than once a week.
• Drink no more than 1.5 liters of liquid per day.

Prevention

A person must take care of his health. Therefore, the prevention of hypertension of the 2nd degree is a great opportunity to maintain health and prolong the quality of life. The rules of prevention are quite simple and will not force you to radically change your usual way of life. This especially affects people who are hereditarily burdened with hypertension. If relatives in the family suffered from arterial hypertension, such a person should be instilled with a healthy lifestyle from early childhood.

Let's highlight several basic recommendations, following which you can maintain your blood pressure at acceptable levels.

• First of all, nutrition. It should be balanced, with a high content of vitamins and microelements. Restrictions on animal fats and products with a high content of easily digestible carbohydrates.
• Eliminate bad habits from your life: nicotine, drugs and alcohol.
• Hypodynamia is stage 2 hypertension, movement is a normal, full life: light jogging in the morning, exercise, daily walking, swimming.
• A complete rest.
• Monitor your weight and avoid becoming obese.
• Change of loads. Alternation of work and rest.
• It is necessary to avoid excitement and stressful situations.
• Do not ignore preventive examinations by specialists.
• At the first unpleasant symptoms, do not delay and contact qualified specialists.
• Every home should have a tonometer so that, if necessary, you can always measure your blood pressure yourself.

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Forecast

It is worth noting that hypertension is not completely curable, but even in this situation, you can live a full and happy life for many years. But this will happen only under one condition: if hypertension is treated, blood pressure is adequately maintained at normal levels and a healthy lifestyle is maintained. Then the prognosis for stage 2 hypertension can be considered clearly favorable. If any of these points are not met, life expectancy is significantly reduced.

Stage 2 hypertension and the army

Many patients who are susceptible to this disease are interested in: is stage 2 hypertension compatible with the army? Quite often we have to deal with this conflict of interests. The army does not want to lose an extra soldier, and a person does not want to further damage his health.

Based on the legislative framework, it can be stated that hypertension of the 2nd degree is a contraindication to military service. A joint act of the Ministry of Health and the Ministry of Defense stipulates the correctness of confirming the diagnosis. If the disease is confirmed, such a person is either discharged or sent for therapeutic treatment, after which the question of the person's ability to continue military service is raised again.

According to the article of the Act, the medical examination must take place in a hospital, where the conscript undergoes a full medical examination. Based on its results and on the basis of previous dispensary or outpatient observations over the course of six months, the military medical commission makes a decision on the suitability or unsuitability of the conscript for military service.

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Stage 2 hypertension and disability

If the profession of a person diagnosed with stage 2 hypertension is associated with emotional and psychological or increased physical stress, such an employee must be transferred to a more gentle regime. But if the disease is severe, frequent crises are observed - it is necessary to limit the ability to work. Stage 2 hypertension and disability in this case go hand in hand. Such patients are usually transferred to the III disability group, and if it continues to progress, despite the therapy, to the II. When the disease stabilizes and the indicators improve, the disability can be removed or transferred from the II group to the III.

The decision to assign or remove disability is made by the VTEK. The patient undergoes periodic re-examination, based on the results of which a new decision is made.

Attacks of pressure surges today quite often bother not only elderly people. The disease has become much younger. This is also connected with the environment in which we have to live, but, first of all, such a situation depends on the person himself. In many ways, hypertension of the 2nd degree is the result of a negligent attitude towards one's body. Only healthy nutrition, an active lifestyle and timely seeking help from doctors can become a guarantee of excellent health.