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  • 14 Questions about VA Disability Compensation Benefits Claims

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    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
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  • Can a 100 percent Disabled Veteran Work and Earn an Income?

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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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12R3G

Supraventricular Tachycardia (heart Arrhythmia)

Question

The good news: heart arrhythmia is SC. SMR state symptoms "consistent with SVT".

Bad news: never captured on ECG (typical for SVT), holter monitor or event monitor. the events were too sporadic for a 24 hour monitor and I was never offered a long term (30+) event monitor. I've had all the stress tests (stress, thallium stress, stress echocardiagram) which were negative which only proves that my SVT is not triggered by exercise/exertion (again, not unusual). Instead, I was diagnosed--by AF doctors--with SVT and placed on beta blocker which is one of the standard treatment options.

CFR 38 ratings: 7010 Supraventricular arrhythmias: </SPAN>Paroxysmal atrial fibrillation or other supraventricular tachycardia, with more than four episodes per year documented by ECG or Holter monitor: 30%

According to the Mayo Clinic, SVT is a broad term that includes many forms of arrhythmia originating above the ventricles (supraventricular). SVTs usually cause a burst of rapid heartbeats (160 - 200 bpm) that begin and end suddenly and can last from seconds to hours.

The VA, while granting SC, claims that I have some non-rateable heart arrythmia that isn't SVT--despite the classic symptoms leading to the clinical diagnosis and treatment. I sumitted a reconsideration and was denied, still at 0%. With 6-8 episodes per year prior to going on the beta blocker (and almost none since) I should be at 30%.

So now what? IME from my primary physician (internal medicine)? Visit to a cardiologist for an IME? Obviously the VA is hanging its decision on the fact that this isn't "documented by ECG or Holter monitor" but I'm not taking a beta blocker cause I like pills--I have enough to take already! The Catch 22 is that beta blocker is doing its job by preventing the SVT.

Any suggestions? Thanks...

Oh...can't seem to edit personal page/signature/etc. so not sure what will show up when this posts

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