Hypertension would not normally give rise to a significant risk during work offshore provided it is uncomplicated and well-controlled by treatment. The National Institute for Clinical Excellence (NICE) Guidelines are a useful reference for this condition and should be consulted for further guidance on management.
In respect of work offshore, the following guides the appropriate course of action:
- Individuals with accelerated (malignant) hypertension (Blood Pressure (BP) more than 180/110mmHg with signs of papilloedema and/or retinal haemorrhage) or suspected phaeochromocytoma (possible signs include labile or postural hypotension, headache, palpitations, pallor and diaphoresis) should be referred immediately for investigation and treatment. Certification of fitness should be deferred until the individual is stabilised on appropriate treatment when a full certificate may be issued
- All other individuals with blood pressure above 140/90 should be referred to their GP for further investigation and treatment, where appropriate. Uncomplicated hypertension is unlikely to be a reason for refusal to issue a certificate of fitness although individuals may require short periods of sickness absence while being stabilised on treatment.
- For further details please contact Dr. Ashok Kapoor 0504505865 Dubai www.getwelluae.com