Yes high blood pressure (hypertension) can impact your eligibility for a Class 1 medical certificate but it does not automatically disqualify you. Both the Directorate General of Civil Aviation (DGCA) in India and the Federal Aviation Administration (FAA) in the United States have established guidelines for pilots with hypertension.
DGCA Guidelines (India):
The DGCA considers a blood pressure reading of up to 140/90 mmHg as the upper limit of normal. If your blood pressure exceeds this threshold confirmation of hypertension may be done through 24 hour ambulatory blood pressure monitoring. If diagnosed with hypertension you may be declared temporarily unfit for flying duties for four weeks and advised to undergo a medical review at an approved medical center. After stabilization and treatment you may be eligible for an unrestricted Class 1 medical certificate if your blood pressure is well-controlled without medication.
FAA Guidelines (United States):
The FAA allows certification for blood pressure readings up to 155/95 mmHg without requiring additional evaluation. However, if your blood pressure exceeds this limit, you may still be certified after a cardiovascular evaluation. The FAA requires a detailed clinical progress note from your treating physician indicating that your condition is stable you have been on the current medication regimen for at least two weeks and no changes are recommended. Acceptable medications include combinations of up to three of the following alpha blockers beta blockers ACE inhibitors calcium channel blockers, angiotensin II receptor antagonists, and diuretics. Centrally acting antihypertensive agents such as clonidine, are not allowed .
Managing Hypertension for Certification:
Regardless of the regulatory body, maintaining controlled blood pressure is essential. Lifestyle modifications such as weight reduction regular exercise a low-salt diet and stress management can significantly improve blood pressure control. Additionally, adhering to prescribed medication regimens and regular monitoring are crucial steps in managing hypertension effectively.
If you have high blood pressure it's advisable to consult with a healthcare provider experienced in aviation medicine. They can guide you through the necessary steps to manage your condition and meet the medical certification requirements.