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What Constitutes An Episode?



I'm curious to know what would constitute an episode of Arrhythmias/PVC? I'm fuzzy on this portion: "...with more than four episodes per year documented by ECG or Holter monitor..." So, here is the situation. If I wear a Holter monitor for a day and I have Arrhythmias/PVC recordings seven different times throughout the day, does that mean I've had seven episodes or one episode? I'm of the opinion that it means I've had seven episodes. The Schedule for Rating Disabilities does not seem very clear on this point. Any comments would be greatly appreciated.



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I "think" it means more that >4 episodes per year and that one of them was captured by a Holter monitor in order to accurately diagnosed/verify what your heart is doing. The VA SC me for Heart Arrhythmia, but at 0% as "Heart Arrhythmia" is not a rateable condition. Hmmm...Arrhythmia is a generic term for a heart rhythm disorder that comes in one of 2 flavors: bradycardia (too slow) and tachycardia (too fast); and are divided into 2 categories: ventricular (in the ventricals or lower chamber) and supraventricular (literally above the ventricals or upper chambers, i.e. atria). PSVT is a supraventricular tachycardia that comes and goes...I'm a believer--ya gotta connect the dots for them, they won't do it on their own.

My point is, I would not make the mistake I made (and I'm now battling with the VA) and use the word "arrhythmia"...instead, use one of the more accurate/detailed terms such as "supraventricular tachycardia" PSVT or Premature Supraventricular Contractions PVC).

If your Holter monitor session captured 6 or 7 in one day--whoo hoo! Pretty sure all they are looking for is a single capture and documented evidence (SMR, pos-service treatment records) of at least >4 or >6 or more per year.

Good luck...

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Yup, each episode is an event. At least it is in the civilian world...i.e. the real world.

I just had to have a pacemaker put in because the VA cardiologists are idiots. I had it done at a real hospital.

Almost all of my VA EKGs and all of my VA Holter monitor tests have large amounts of arrythimia's present, both tachy & brady as well as long pauses; yet I was told all my tests were "normal" and my chest pain was due to "heartburn".

If you have symptoms with your irregular heart beats...call 911 and go to a real ER. Forget the VA as they are truly cluelss.

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So, are you saying that: If I wear a Holter monitor for a day and I have Arrhythmias/PVC recordings seven different times throughout the day, does that mean I've had seven episodes or one episode?



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You've had 7.


It's hard to explain, but I would have several throughout the day. I was just curious to know if each one that I had throughout the day (on the holter monitor or ekg) would constitute as seven episodes; not one episode.



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Be sure you get a copy of the holter monitor report as well as the actual readout. And don't let the VAMC tell you that you can't have the readout as they might try (they did this with me)...and I let them know different.

You will need these copies for your claim.

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