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Cardiological Disorders Leading to Ineligibility for Compulsory Military Service

Tautvydas Ribinskas1, Tautvydas Rugelis2, Eglė Labanauskaitė2,3

  • 1Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.

Medicina (Kaunas, Lithuania)
|May 27, 2026
PubMed

Insights

Cardiovascular diseases significantly impact military service eligibility in Lithuania. Hypertension and severe heart conditions were the primary reasons for ineligibility, while rhythm disorders were more compatible with service.

Area of Science:

  • Cardiology
  • Public Health
  • Military Medicine

Background:

  • Cardiovascular disorders are a major cause of medical ineligibility for compulsory military service.
  • Understanding these patterns is crucial for Lithuania's military recruitment and public health strategies.

Purpose of the Study:

  • To analyze cardiovascular disease patterns in conscription-age individuals.
  • To assess the association between cardiovascular conditions and military service eligibility.
  • To identify common cardiovascular causes of medical ineligibility.

Main Methods:

  • Retrospective hospital-based study of 521 individuals aged 18-26 with cardiovascular diagnoses.
  • Data analyzed from anonymized medical records at a tertiary care center.
  • Participants categorized into military service eligibility classes based on ICD-10 codes and medical history.

Main Results:

  • No significant impact of gender or place of residence on military service eligibility.
  • Eligibility for military service decreased with increasing age.
  • Essential hypertension and hypertensive heart disease were most common in males; paroxysmal tachycardia and arrhythmias in females.
  • Hypertension and severe cardiovascular conditions significantly reduced eligibility; rhythm disorders were more compatible with service.

Conclusions:

  • Gender and residence do not significantly affect military service eligibility for individuals with cardiovascular disease.
  • Increasing age is associated with decreased eligibility.
  • Hypertension-related cardiovascular disorders are the leading cause of ineligibility for compulsory military service among conscripts.

Keywords:
cardiac eligibilitycardiovascular diseasesconscriptionhypertensionmilitary service eligibilityrhythm disorders

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