Manual of the Medical Department (NAVMED P-117): Chapter 15: Medical Examinations: Physical Standards
Department of the Navy
Bureau of Medicine and Surgery
(a) Congenital a acquired lesions of the aorta and major vessels, such as syphilitic aortitis, demonstrable atherosclerosis which interferes with circulation, congenital a acquired dilation of the aorta (especially it associated with other features of Marfan's syndrome), and pronounced dilatation of the main pulmonary artery.
(b) Hypertension evidenced by preponderant diastolic blood pressure over 90 mm or preponderant systolic blood pressure aver 159 mm at any age. High blood pressure requiring medication for control or history of treatment fa hypertension including dietary restriction.
(c) Marked circulatory instability as indicated by orthostatic hypotension, persistent tachycardia, severe peripheral vasomotor disturbances and sympatheticotonia.
(d) Peripheral vascular disease including Raynaud's phenomenon, Buerger's disease (thromboangiitis obliterans), erythromelalgia, arteriosclerotic, and diabetic vascular diseases. Special tests will be used in doubtful cases.
(e) Thrombophlebitis
- (1) History of thrombophlebitis with persistent thrombus or evidence of circulatory obstruction or deep venous incompetence in the involved veins.
- (2) Recurrent thrombophlebitis.
- (3) Varicose veins, if more than mild, or it associated with edema, skin ulceration, or residual scars from ulceration.
(f) Miscellaneous
- (1) Aneurysm of the heart or major vessel, congenital or acquired.
- (2) History and evidence of a congenital abnormality which has been treated by surgery but with residual abnormalities or complications, for example: Patent ductus arteriosus with residual cardiac enlargement or pulmonary hypertension, resection of a coarctation of the aorta without a graft when there are other cardiac abnormalities or complications; closure of a secundum type atrial septal detect when there are residual abnormalities a complications.
- (3) Major congenital abnormalities and defects of the heart and vessels unless satisfactorily corrected without residuals or complications. Uncomplicated dextrocardia and other minor asymptomatic anomalies are acceptable.
- (4) Substantiated history of rheumatic fever a chorea within the previous 2 years, recurrent attacks of rheumatic fever or chorea at any time, or with evidence of residual cardiac damage.
- (5) History of pulmonary or systemic embolization.