Are they enlisted in the army with the IRR in 2019

Diagnosis of arrhythmia involves the assignment of the appropriate categories of suitability (“B”, “C”), depending on the progressing symptoms of the disease, conscripts should serve in the following troops:

  • Category “B” (serviceability with some restrictions). A conscript may serve on guard duty, drive a car, make rocket or gun crews, and service equipment repairs in the railway troops;
  • Category “B” (limited shelf life). In this case, the conscript is exempted from military service and is assigned to the reserve forces with a call to military training. In the event of hostilities, it can be called up in the order of 2 turns and has the right to undergo a second medical examination.

It is known that among 40.1% of recruits, problems were found in the functioning of the cardiovascular system. Therefore, young men of military age are concerned about a lot of questions, among which are whether they will be taken into the army with tachycardia. As the saying goes, “the enemy must be known in person,” so it’s worthwhile to understand what tachycardia is.

This is a violation of the heart rhythm, in which the heart rate exceeds 90 beats per minute and even sometimes reaches 150 or more. Normally, a person’s heart contracts rhythmically, heart rate is 70 and – / 10, i.e. 60 to 80 beats per minute. With tachycardia, these indicators are sharply overestimated, arteries in the neck can pulsate, a feeling of anxiety appears.

Our main “manager” of the heart is considered the sinus node. So, if problems arise in his automatism, tachycardia or bradycardia appears. The second voiced rhythm disturbance is manifested by a decrease in heart rate. Here, very often, doctors resort to the implantation of an artificial pacemaker, the presence of which is a priori considered a contraindication for military service. But our question remains open, so they take into the army with tachycardia or not.

Heart disease is not a specific diagnosis, but a whole group of diseases in which the normal functioning of the heart is disturbed. Their cause is a defect in the structure of the organ itself, one or more of its valves or blood vessels. It includes such pathologies: defects of the interatrial septum (ASD), interventricular septum (DMS), septum between the pulmonary artery and aorta, etc. Congenital and acquired heart disease (CHD) are known.

Surgery is one of the most effective treatments for heart defects.

The clinical picture of the disease depends on its severity and variety. This can be shortness of breath, fainting, noise and pain in the heart, cyanosis, frequent infectious diseases. In most cases, the only effective treatment is surgery.

From people of military age, you can often hear stories about how someone was taken into the army with a heart defect. It really happens, but usually young men with a similar disease are not recruited. Although, there are also nuances here. Whether they will be conscripted into the army depends on the following conditions:

  • the possibility of blood outflow;
  • the presence of insufficiency;
  • general health of the conscript at the time of the medical examination;
  • normal functioning of the heart valves.

A conscript can count on category “B” in case of defects between the atria or with congenital valvular defects. Category “D” can be obtained with heart failure II – IV FC (functional class). The medical commission should make a similar decision in case of insufficiency of the aortic, mitral or tricuspid valves, as well as with regurgitation of the second degree.

However, it would be a mistake to consider heart defects as an absolute guarantee against sending to the army – it all depends on the particular case. For example, in case of insufficiency of the bicuspid aortic valve, a conscript may be considered fit – if the defect is compensated. There is a cardiac pathology called the “open oval window.”

Syndrome of premature or early repolarization of the ventricles (SRH) is a curious and complex electrophysiological phenomenon in the nature of which science has not yet fully understood. There is also no consensus on the effects of the syndrome on patients. Some doctors consider SRGR as a whole harmless to the body, while others believe that it can lead to a heart attack or cause sudden cardiac arrest.

In most cases, SRGR can only be detected with an electrocardiogram.

Two processes occur cyclically in the heart muscle: depolarization (contraction) and repolarization (relaxation). The normal operation of the system is ensured by electrical impulses passing through the cardiomyocyte. With ATS, a slight malfunction occurs in the organ, which can only be seen on the ECG.

Typically, SRH is observed in people who are regularly exposed to significant physical exertion, most often it is detected in young men. Moreover, this cardiopathy can hardly be called rare – its spread reaches 8%. Myocardial hypertrophy is considered to be the main reason for the development of ATS. For example, athletes often have thickening of the walls of the left ventricle – this is how they adapt to constant loads. Other risk factors include metabolic disorders, cardiomyopathy, myocarditis, the presence of additional chords, and a genetic predisposition.

SRGR cannot be called a disease in the usual sense of the word. As a rule, it is expressed only in changes in the electrocardiogram, and a test with physical activity on a bicycle or treadmill removes these symptoms. In some cases, the syndrome is accompanied by a clinical picture resembling tachycardia. However, it has been established that SRGR can cause dangerous arrhythmias and cause latent forms of failure.

Typically, the medical board does not consider SRHR to be a good reason to be exempted. If at the same time the young man complains of heart pain, fainting, dizziness or darkening in the eyes, then he is sent for an additional examination. Sometimes for his passage a young man is granted a delay of six months. To obtain category “B”, the syndrome must be accompanied by severe forms of arrhythmia.

Another abnormality in the structure of the heart, which can lead to sad consequences, is Wolf-Parkinson-White syndrome (WPW or ERW). This cardiopathology is characterized by violations of the rhythm of the organ – early excitation of the ventricles. The main clinical manifestations of the syndrome are tachyarrhythmia (supraventricular, atrial fibrillation and flutter), heart failure. There are several forms of ERW: manifest, latent and transient.

Wolf-Parkinson-White Syndrome – A Good Reason for Exemption from the Army

This syndrome is considered an “uninvited” disease – young people who have WPW syndrome are given the category “D” or “B”. The specific solution depends on the functional class of heart failure that occurs with ERW. In any case, the army service is not compatible with WPW – the risks of serious complications are too great.

Bradycardia is a slowdown in the normal rhythm of the heart, which extremely negatively affects the functioning of all body systems. In healthy people, the heart rate (HR) is 60-80 beats per minute, with bradycardia it can drop to 30-50 beats. The frequency of contractions is controlled by the sinus node or pacemaker, located at the site of the flow of the vena cava into the right atrium.

Slowing down the work can be the result of a number of reasons: with myocardial damage, impaired functioning of the nervous system, cerebral edema, under the influence of drugs, with poisoning, starvation, etc. Heart rate decreases under the influence of low temperature, with severe fatigue. Low heart rate is absolutely normal for trained athletes.

Severe form of bradycardia gives grounds for exemption from military service

With moderate bradycardia, the heart beats 40-50 times per minute. This is quite enough for normal blood circulation. In some people, such a frequency of contractions is an individual physiological feature, therefore, does not cause them special discomfort. Reducing heart rate to 30 beats per minute leads to oxygen starvation of tissues and is fraught with serious consequences.

Heart rhythm disturbance goes through article 42 of the Schedule of Diseases. It contains four functional classes (FCs) for bradycardia. The first and second class of diseases give the right to the conscript to apply for category “B”, the third and fourth – for complete exemption from military service with category “D”. The diagnosis should be confirmed by appropriate cardiological indicators recorded in medical documents.

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Heart disease and army

Assigning the category of unsuitability for the diagnosis of arrhythmia requires an accurate diagnosis and determination of the type of disease, since the pathology has a certain classification.

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During the examination of the recruit pay attention to the following aspects:

  • The data indicated on the medical record to exclude the omission of negative symptoms by the doctor;
  • Conducting an electrocardiogram;
  • The implementation of the ECG when using special simulators at rest and physical activity;
  • An accurate diagnosis is established after receiving all the results of the study and consulting with other specialists.

With an exacerbation of the disease, a conscript may be given a temporary reprieve (from 6 to 12 months). If, after a period of time, the negative symptoms disappear, then it is possible to assign another category of validity.

Diagnosis of pathology involves exemption from the army, if the following manifestations are ascertained:

  • Mitral valve prolapse in combination with heart disease;
  • Definition of dilatational, hypertrophic and constrictive cardiomyopathy;
  • The presence of infectious endocarditis;
  • Diagnosis of extensive pericardial obliteration.

Many are interested in the question of how strongly arrhythmia affects the performance of military service. Minor changes in the work of the cardiovascular system do not give the corresponding category of unsuitability.

At the same time, the development of serious pathologies, which are discussed in more detail above in the article, requires mandatory exemption from the army, as diseases worsen with increased physical exertion or emotional overstrain, which can lead to irreversible processes in the body.

To make a decision on the suitability category in the army with a diagnosis of arrhythmia, the commission should be based on the reasons for the change in heart rhythm presented. Most often, sinus arrhythmia is manifested.

With this diagnosis, military service is not contraindicated (the exception is the need for surgical intervention or a potential health hazard). In some cases, physical fitness has a beneficial effect on the body in the presence of arrhythmia.

Arrhythmia can indicate a serious illness in the body. If the following pathologies are identified, the commission assigns the category “D” (complete exemption from the army):

  • Mitral valve prolapse;
  • Heart ischemia;
  • Heart failure;
  • Neurosis, heart disease;
  • Pronounced obesity.

The presence of such diseases implies conducting a full examination and receiving the prescribed treatment. If necessary, a second examination is carried out to monitor the pathology in dynamics.

It is important to remember that the physiological type of tachycardia is a condition that does not require further examination and treatment and is considered the norm, in contrast to the pathological type of tachycardia. You should be aware that the presence of arrhythmia carries many hidden dangers that are caused by a decrease in the volume of ejected blood and requires the use of antiarrhythmic drugs.

The heart produces defective blood emissions due to frequent and irregular contractions. Which can lead to the accumulation of residual blood in the cavities of the heart, stretching of its walls and the formation of blood clots in the atria or ventricles. Such violations of intracardiac hemodynamics are fraught with dangerous consequences, with a threat to life and health. Nevertheless, they take it or not take it into the army with tachycardia, it becomes clear only after a thorough examination.

When undergoing a medical examination at a military registration and enlistment office, electrocardiography is a mandatory study, but a normal ECG may not always be effective. The thing is that tachycardia, like bradycardia, can have a paroxysmal character, that is, if there was no attack of heart rhythm about the ECG, this does not mean that the conscript is healthy.

Therefore, for a more accurate identification of the nature of arrhythmias, it is recommended that daily monitoring or ECG according to Holter be performed. At the end of monitoring, Holter ECG data is transferred to a computer and a detailed analysis of the cardiogram is made and an opinion is issued. The results of the study will help to decide whether it is possible to serve with tachycardia in the army in each specific situation.

Since tachycardia alone is not the reason for exemption from the army, in this case, you need to get an accurate and detailed diagnosis that will meet all the requirements of the Disease Schedule. It is on the basis of this document that the medical commission of the military registration and enlistment office decides whether they will take the army with tachycardia and what category of suitability to assign to the conscript.

The decision on the suitability of a young man for conscription in the army is made by the military medical commission, which acts on the basis of Government Decision No. 565 of 04.07.2013/XNUMX/XNUMX. This document includes the so-called Disease Schedule, which contains a list of diseases that are incompatible with military service.

  • “A”. This category indicates that the conscript is absolutely healthy and fit for military service without any restrictions. All doors are open in front of him, including special forces, airborne forces and the submarine fleet;
  • “B”. Young people with minor health problems fall into this category. Such conscripts are taken into the army, but they certainly won’t get into elite combat units;
  • “IN”. This category means that the young man is limitedly fit for military service. He will be given a ticket, but in the event of a mobilization announcement, they will be taken into the army;
  • “G”. Military liable temporarily unfit for draft fall into this group. As a rule, during a physical examination they find a disease that can be cured relatively quickly. D-category draftees are usually granted a deferment to bring their health back to normal, after which they are sent to repay the debt to their homeland;
  • “D”. This category means that the military is completely unfit for military service.

Categories of fitness for military service. They determine the future fate of the draftee

Cardiovascular disease is a very extensive group of pathologies, each of which has its own etiology, clinical picture, and many other features. In the CVD Disease Schedule, several articles are devoted at once, from 42 to 48. A conscript having a similar diagnosis can receive any fitness category, from “A” to “D” – in each case the final word is left to the medical board.

With ventricular extrasystole (one of the varieties of cardiac arrhythmias), untimely contractions of the ventricles of the heart are carried out – in other words, such contractions are called extrasystoles. A similar phenomenon does not always speak of certain diseases, extrasystole in some cases can also occur in absolutely healthy people.

Specialists from the draft board do not consider ventricular extrasystole as a disease. For this reason, all young men with a similar diagnostic opinion are drafted into the army. Doctors say that vegetative-vascular dystonia and neurosis are an unqualified diagnosis of other diseases with such signs, for example: diseases of the nervous system and psyche, possible heart diseases, hypertension, malfunctioning of the vascular system.

For this reason, doctors from the military commissariat mark “leaking mild form” and take the young man to the service, believing that healthy nutrition in the army, regular stay in the fresh air, daily routine and physical activity will cure those suffering from ventricular extrasystole.

According to the Schedule of Diseases, the classification according to Laun and Wolf is used:

  1. Grade 1 – monomorphic extraordinary contractions are recorded (not more than 30 per hour of observation);
  2. Degree 2 – contractions occur more often, from one focus (more than 30 per hour);
  3. Grade 3 – polytopic extrasystole;
  4. Degree 4 – is divided from the ECG rhythm pattern;
  5. Grade 5 – the most dangerous in the prognostic sense type “R on T” is registered, which means that the extrasystole “climbed” to the previous normal contraction and can lead to rhythm disturbance.

In addition, a “zero” degree is highlighted for people who do not have extrasystole.

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The brightness of the expression of symptoms will be personalized. Typical signs of extrasystole:

  • Feeling of a sinking heart;
  • Interruptions in the rhythm;
  • Strong tremors in the chest.

In addition, hot flashes, lack of air, weakness, a feeling of anxiety and discomfort can be expressed. If the disease passes in an intensive form, then the internal organs will feel a lack of oxygen, in particular, coronary, cerebral and renal blood circulation is reduced. Extrasystole can cause dizziness, angina attacks and fainting.

According to the Schedule of Diseases, article 42 are exempted from service with the assignment of category “D” to those young men who have a degree of ventricular extrasystole classification according to Launa-Wolf 3-4 gradation. This diagnostic conclusion can be delivered only by a cardiologist after a thorough study of the activity of the heart. They will not be taken to the service with vivid symptoms of extrasystole due to sudden complications, cardiac arrest.

Shelf life is determined by the Disease Schedule. A conscript whose complaints are determined by the state of ventricular extrasystole by the commission may not be allowed to serve. However, for this purpose, at the time of passing the medical commission, it is required to have the appropriate documentation on hand that will prove this diagnosis.

With problems of this type, according to the Schedule of Diseases and Article 42, the conscript will be released from the army with the fitness category “D”.

as soon as the condition that triggered the syndrome is eliminated, the heart rate will return to normal. Organic type disorders appear with significant cardiovascular diseases: myocardial infarction, ischemic disease, dystrophy of the heart muscle. As a rule, this kind of disease is characteristic of a population older than 40-60 years.

What decision will the draft board make with a diagnosis of arrhythmia?

Another factor on which the future of the draft citizen depends is the classification of the violation. The suitability decision is made after comparing the specialist with the Laun-Wolf test, which was given above in the article.

A diagnosis of VVD can be served, especially in cases where neuropsychiatric symptoms do not occur. However, a conscript who enters the service should inform the army doctors that symptoms accompanying the IRR may occur. It will also not be superfluous to undergo an examination, control blood pressure and, if necessary, use special medications.

Going to the draft board, each conscript must understand that in 97 cases out of 100 with a diagnosis of VVD, he is allowed to serve in the army. In addition, many doctors are simply sure that a long stay in the fresh air, constant physical activity, and a properly balanced diet can completely cure a conscript from such an ailment as vegetovascular dystonia.

Of course, one should not deny the fact that for some conscripts with a vegetovascular disorder, all of the above conditions will benefit. Blood pressure can normalize, pain in the heart disappears, and asthma attacks also cease to appear. But for some fighters from drill training it can become much worse, in particular, if vegetative-vascular dystonia is accompanied by hypertension. Check out the article on which diseases you don’t enlist in the army to draw up the correct examination plan.

This can lead to the fact that the walls of the heart are stretched, and blood clots can form in its lower parts. Such violations of intracardiac dynamics are fraught with dangerous consequences that pose a threat to life. Nevertheless, they take it or not take it into the army with tachycardia, it becomes clear only in a single, specific case, having weighed all the pros and cons (all the nuances are described in the Schedule of Diseases).

At a physical examination at a military registration and enlistment office, young people undergo electrocardiography, but a normal ECG and even with additional leads may not always be effective. The thing is that tachycardia, like bradycardia, can be episodic, transient in nature. Therefore, it will be rational to conduct daily monitoring or ECG according to Holter.

This small unit is carried with you in a handbag on a strap, at this time it is forbidden to wet the body and equipment. And so no particular contraindications such a study has. After the monitoring time has passed, the ECG data for Holter is transferred to a computer and an analysis of the cardiogram is done. Thus, the slightest, episodic or permanent violations will be recorded. The results of the study will help to understand whether it is possible to serve a particular person with tachycardia in the army.

Sinus arrhythmia and army

Usain Bolt (multiple champion in the 100m race) alone has a heart rate of 33 beats per minute!

Most likely, your bradycardia not only does not interfere with military service, but rather serves as an indicator of good health and well-trained body. With regular physical exertion, athletes experience physiological bradycardia.

It is absolutely safe and even useful, so the body, undergoing heavy loads during training, saves its resources in a calm state. Just like a car engine in a state of motionlessness idles.

With a high degree of probability, we can talk about organic bradycardia. This means that pathological changes exist in the structure of the heart, central nervous system or endocrine organs. You need an examination by a good cardiologist, and if the diagnosis is confirmed, then you are guaranteed to avoid military service.

You will not find the disease “bradycardia” in the Schedule of Diseases for which the conscript is exempted from the conscription. However, it is the reason for a thorough examination of the cardiovascular system. Bradycardia can be a symptom of a serious illness that will relieve you of military service.

The possibility of military service with a diagnosis of sinus arrhythmia is determined by the type of disease progression. Such concepts as this pathology and the army can be quite compatible if the violations do not have organic causes of origin.

An exception is the appearance of constant attacks of slow or increased heart rate in a pronounced form. This condition requires special control and observation, therefore, it is a contraindication for military service.

The phenomenon of bradycardia does not cause fears for human health, but it can be a complication of other serious diseases developing in the body. Most often, such a pathology is a weak sinus node syndrome.

The list of other diseases that cause bradycardia:

  • Oncological pathologies;
  • Damage to the brain;
  • Stomach ulcer or duodenal ulcer;
  • Violation of the thyroid gland.

The assignment of the category of unsuitability is carried out with such manifestations as atrioventricular block of the first degree, complete blockade of one leg of the bundle of His.

How to increase extrasystoles?

For those who are trying to “squeeze” the army away from such a disease and are wondering how to increase extrasystoles, it is worth bearing in mind that it will not always work to increase them. But the following methods may help:

  1. Physical activity (before the examination it’s good to run, jump, load your body).
  2. Stressful situations.
  3. Emotional and physical stress.
  4. Drinking alcohol (not the best option, as coming to the medical board in a drunken state will not work).
  5. Coffee or energy.

Atrial fibrillation and the army

The concept of atrial fibrillation implies the presence of dangerous pathologies in which the conscript is assigned the category “D”:

  • Paroxysmal tachycardia with flutter and atrial fibrillation;
  • The appearance of attacks of Adams-Stokes-Morgagni;
  • Separate forms of ventricular extrasystole;
  • Syndrome of weak sinus node.

The above diagnoses require serious treatment and surgery. Therefore, the draftee is shown a temporary delay with further control of the disease in dynamics.

Reviews

Dear readers, you can leave your comment about whether they will take to serve in the army with extrasystole in the comments, your opinion will be useful to other users of the site!

Reviews of the presence of arrhythmia and military service have different opinions, since the assignment of the appropriate fitness category depends on the diagnosis and the reason for the change in heart rate.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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