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hypertension Ihd C&p Results Received
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JRW
Well, I have now received my results in from my very first C&P exam. Keep in mind, this is my first time to be dealing with the VA. I'm thinking that the results look okay and that this will lead to a decent rating. For all of you more knowledgeable ones out there, I would be glad to get your thoughts on it. I am taking heart, cholesterol, and hypertension medicine on a daily basis.
Please feel free to chime in. Below are excerpts taken from the report itself.
HISTORY OF PRESENTING PROBLEM: The veteran states he became aware of ischemic heart disease in 1979, and then he had a major event in July 2008 in which he had atrial fibrillation and underwent stress testing and it was discovered that he had a blockage that required bypass surgery in 2009. In addition to that, they discovered that his aortic valve was damaged, and he needed a valve replacement; that ocurred in 2009 at the same time.
He does not report a diagnosis of congestive heart failure, but has atrial fibrillation. He has dyspnea on exertion and does not report orthopnea. He does have reports of intermittent edema in his ankles that occurs every day in the afternoon. He does not report chest pain.
TYPE OF EXAMINATION: HEART
The veteran is claiming ischemic heart disease as service-connected.
ESTIMATED EXCERCISE TOLEARNCE: Less than or equal to 3 METS.
PHYSCIAL EXAMINATION VITAL SIGNS: Echocardiagram shows an ejection fraction of 52%. An exercise tolerance test is not being done, as it is contraindicated due to ST and T-wave abnormality. EKG shows sinus rhythm with 1st-degree AV block and ST and T-wave abnormality consistent with inferolateral ischemia.
DIAGNOSIS: Ischemic heart disease with myocardial infarction and aortic valve replacement.
COMMENT: The left ventricular ejection fraction is 52%, and the estimated METS is less than or equal to 3. The left ventricular ejection fraction most closely reflects cardiac function because there are non-cardiac factors witch limit the Veteran's exercise tolerance.
The overall exam did not take too long. The examiner seemed to be okay and did not refute any of the medical data. In fact, he seemed to be very impressed with the detail and organization of my private medical copy.
Any idea on what any of you think the rating might turn out to be?
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