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C&p Exam For Increase In Sc Hypertension


pelicanbrave
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Question

I am currently SC'd 30%: 20% for Left knee Laxity and 10% Hypertention. I had C&P exams in early December seeking an increase in ratings for both conditions. I got the results back from the exams and I would like some clarification of the results if someone would please help me. I'll start with hypertention: I could not finish the Bruce Stress Test due to alot of pain in my back and right ankle. The test lasted 2 minutes and 44 secondsand the results read...

Stage 1

METS 4.60

Target HR 151 Max HR 178

Interpretation:

1. Suboptimal Test

2. Low Exercise Tolerance

3. Symptomatically Negative

4. Electrically Indeterminant secondary to target heart rate not achieved.

5. Indeterminant risk by Duke Score

Positive History of Hypertension; Dyspnea

Dyspnea onset: On moderate exertion

Continuous medication is required for heart disease

Continuous medication is required for control of Hypertension

ECHO:

The left ventricular ejection fraction is >60%

Borderline elevated RV filling pressure

Mild PI

WAS TESTING FOR LV DYSFUNCTION DONE? YES

EJECTION FRACTION: < 30%

This is the short version and I'll address the C&P for the knee if anyone responds. Can someone tell me what this means and if this is good or bad? Thanks in advance!

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How could the ejection fraction be greater than 60 on the ECHO

but then stated as less then 30%???????????????

LV always means left ventricular re: cardio and < means less than, > means greater then

Is your heart condition directy due to the SC HBP or is the SC HBP aggravating the heart condition? Isf so either way then the heart condition should be claimed.

Are you an incountry Vietnam vet and is the diagnosis Ischemic heart disease?

"WAS TESTING FOR LV DYSFUNCTION DONE? YES

EJECTION FRACTION: < 30%"

Maybe this was estimate based on the METS ????

Edited by Berta
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