Is disability with hypertension of the 3rd degree a risk of 3? This issue becomes urgent for most men and women who first encountered this disease of the cardiovascular system, or who suffered from it for a long period of time, successfully struggled with its consequences, but there came a time when changes in the tissues of vital organs became irreversible and the constant presence of high blood pressure led to the appearance of various kinds of dysfunctions. In such a situation, the patient has a completely justified and other question regarding the grounds for registering a disability group that will be working, or hypertensive patients will not be able to perform their usual work duties.
In fact, everything is not so categorical and for some specialties the presence of this diagnosis really puts an end to professional work, while other types of work are allowed and can be performed by patients with grade 3 hypertension with a risk of 3 without significant load on the cardiovascular system. We will try to figure out in as much detail as possible in which cases of hypertension a disability is imposed, we will study the necessary level of examinations required for assigning a health pension, and what work with this diagnosis is strictly prohibited.
There are 3 main disability groups, each of which is assigned to a person with hypertension based on what symptoms he has been diagnosed with, how severe the disease is and what specific negative consequences or complications for the patient’s health she provoked. In the case of diagnosing a person with grade 3 hypertension with a risk of 3, 3 or 2 disability groups are most often prescribed. To determine it, the following pathologies should be detected in the patient according to the results of a comprehensive examination:
- Appointment of 3 disability groups.
This is the status of a person who is sick with hypertension and retains partial disability. Patients in this category suffer from a chronic form of grade 3 hypertension, which periodically manifests itself in the form of hypertensive crises with a sharp increase in blood pressure. It is possible to reduce blood pressure only with the help of potent drugs, which are administered to the patient intramuscularly and intravenously in the form of injections. The patient also takes tablets, designed to relieve spasm of the main vessels and stimulate the kidneys with the aim of forced outflow of fluid from the body.
Patients of this group no more than 1 time for 3 months lose their ability to work for 7-10 days and are placed in a hospital ward, where they undergo drug therapy aimed at restoring stable blood pressure. After that, the person returns to the performance of his duties. At the discretion of the patient himself, he can combine his main work and at the same time receive a pension of the 3rd disability group, which is more often prescribed by the state so that a person always has the opportunity to purchase medications necessary for regulating blood pressure.
- Appointment of 2 disability groups.
The establishment of a patient of this disability group due to the presence of grade 3 hypertension with a risk of 3 is also carried out according to the results of diagnosing the state of health of the body and all vital organs. In order for hypertensive patients to receive group 2, the general practitioner must determine that irreversible changes have occurred in the organs of the targets whose tissues are most often affected by high blood pressure, which caused the development of secondary diseases. The medical term “target organs”, suffering from grade 3 hypertension, means the heart, kidneys, brain, eyes.
This means that in addition to hypertension, the patient also finds pathologies such as heart failure, ischemic brain disease, inflammatory processes in the kidneys caused by their constant stimulation with diuretics and accelerated work under pressure from the circulatory system. In this case, a prerequisite for the appointment of a disability of group 2 in the case of diagnosing hypertension 3 risk level 3 is the presence of a causal relationship between arterial hypertension and the resulting complications.
All this should be determined by a physician, cardiologist or a group of specialists if the question of assigning a pension due to health reasons is submitted to a collegial consideration by physicians with the subsequent drawing up of an appropriate conclusion. The last document plays a key role in the procedure for granting a patient the status of a disabled person, the implementation of which is included in the range of responsibilities of pension fund specialists at the place of patient registration. The presence of disability group 2 significantly narrows the list of types of work in which a person with grade 3 hypertension with a risk of 3 can perform official duties.
Limitations are associated with the presence of well-grounded warnings and a high probability that, as a result of the presence of a chronic form of hypertension that has already changed the functionality of vital organs, the patient will experience ischemic brain stroke, myocardial infarction, pulmonary artery blockage as a result of a sharp drop in arterial pressure with a separation of a migrating thrombus. In addition, a banal loss of consciousness is not excluded, when the walls of the blood vessels are worn out with hypertension so much that after a sudden narrowing they also expand rapidly and the person experiences darkening in the eyes, physical weakness in the body, and then loses consciousness for 1-3 minutes.
Is disability with grade 3 hypertension a risk of 3 with a prescription of 1 group of disability? The appointment of this category of disability in the presence of a patient with a specified degree of hypertension is extremely rare. According to the existing medical classifier 1, a disability group can be assigned only to a patient with signs of hypertension who, for several years of his life, has suffered from a malignant form of arterial hypertension, which has already passed to stage 4 of its development and there is a real threat that in the future it can lead to to the death of the patient.
In order for the attending physician to have reasons to draw up a medical report that gives the patient the right to receive the status of a disabled person in connection with hypertension, the patient must undergo the following types of tests and undergo a diagnostic examination:
- an electrocardiogram of the heart (according to its results, the doctor determines how serious changes in the heart are and whether they can impede the further performance of the patient’s duties;
- biochemical analysis of blood (the level of sugar, cholesterol, the prerequisite for the formation of atherosclerosis of the great vessels) is being studied;
- a blood test according to the method of Nechipurenko (makes it possible to obtain comprehensive information about the state of health of the kidneys and how badly their structure was damaged due to changes in blood pressure, as well as as a result of taking diuretics);
- echocardiogram (involves the study of the internal structure of the heart and pathologies in the tissues of its valves).
In those clinical cases when hypertension has affected brain tissue, an encephalogram can be given to the patient. This type of diagnosis displays the state of the cerebral cortex and answers the question whether its functionality is maintained at the required level. Therefore, in order to get disability with hypertension of degree 3 risk 3, passing this minimum list of diagnostic measures is a prerequisite.
After 2 or 3 disability groups are assigned to hypertension, the patient is strictly forbidden to be involved in the following types of work:
- performance of labor duties associated with increased psycho-emotional and physical stress;
- participation in the process, when the implementation of each action should be at an accelerated pace with the presence of high air temperature in the environment, noise, vibration of equipment or other mechanical installations;
- you can not work at night, when the body is in a state of wakefulness and does not rest;
- the implementation of electric and gas welding of metal parts (the restriction is due to the fact that the patient may suddenly lose consciousness, get thermal burns, or even die from electric shock);
- engage in the installation of electrical networks that are under voltage;
- perform work on high-rise buildings, industrial facilities, requiring additional nervous and physical stress, as well as concentration;
- with damage to the vessels of the brain, it is forbidden to engage in mental work, which provides for a long thought process for all 8 hours of the working day.
Also under the strictest ban are such specialties as the driver of any vehicle, the air traffic controller and the operator of high-risk installations, the sudden cessation of control of which can trigger an emergency.
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