The problem of hypertension in aviators.
Any pilot who is found to have a diastolic blood pressure greater than 100 mmHg should be investigated and grounded or restricted to multi-crew operation pending control of the blood pressure. Those subsequently receiving thiazide diuretics should have their serum potassium level checked when established on treatment, and potassium supplements or potassium-sparing diuretics prescribed if necessary. Treatment including beta-blocking therapy will require satisfactory performance testing. Cigarette smoking should be strongly and actively discouraged in pilots. High alcohol consumption is clearly hazardous and is a cause of hypertension. Useful biochemical markers of alcohol abuse include mean cell volume and gamma glutamyl transferase. There are abundant reasons for a conservative approach to new antihypertensive drugs in professional aircrew.