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Ihd Rating Question


jachay
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Question

Hello everyone, newby here but learning fast. Thank you all for sharing your knowledge and experiences.

My question deals with my husband's IHD/AO/Nehmer claim. In the rating tables, it states:

7005 Arteriosclerotic heart disease (Coronary artery disease):

With documented coronary artery disease resulting in:

Chronic congestive heart failure, or; workload of 3 METs or less results

in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular

dysfunction with an ejection fraction of less than 30.....100%

He has Chronic Congestive Heart Failure, but due to bypass surgery in 1996 and stents in 2008, he was given an Echo for a METS number. He was asked about dyspenea, fatigue, angina, dizzinesss, etc, in 2006 by the technician doing the last treadmill test he has had. His C&P shows a guess of 5 METS. His ETS is estimated at 55. He had his first heart attack at age 43, in 1989, and a second one 10 years later. He served two tours in VN from 1968-1971.

He still works two days a week as a security guard. This is a sedentary job where he presses a button and opens a gate for vehicles....nothing physical....

My question is, does the 5 METS and his job prevent him from being awarded 100%?

Thanks for your help.

Jachay

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  • HadIt.com Elder

I would think 30% & I know that is not what you expected.

Good Luck,

Don

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METS of between 3-5, no greater than five is 60%, but you have documented ihd with congestive heart failure, note the "or" met's

Also if the c&p states and estimate and you have records that show a definite % as the result of a test, then the estimate will not stand, the actual test result will, and if it doesn't it is reason for a NOD.

I would think this would be a rating of 60%-100%. If you get 60% then appeal or ask for DRO review based on the facts not the estimates

Hello everyone, newby here but learning fast. Thank you all for sharing your knowledge and experiences.

My question deals with my husband's IHD/AO/Nehmer claim. In the rating tables, it states:

7005 Arteriosclerotic heart disease (Coronary artery disease):

With documented coronary artery disease resulting in:

Chronic congestive heart failure, or; workload of 3 METs or less results

in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular

dysfunction with an ejection fraction of less than 30.....100%

He has Chronic Congestive Heart Failure, but due to bypass surgery in 1996 and stents in 2008, he was given an Echo for a METS number. He was asked about dyspenea, fatigue, angina, dizzinesss, etc, in 2006 by the technician doing the last treadmill test he has had. His C&P shows a guess of 5 METS. His ETS is estimated at 55. He had his first heart attack at age 43, in 1989, and a second one 10 years later. He served two tours in VN from 1968-1971.

He still works two days a week as a security guard. This is a sedentary job where he presses a button and opens a gate for vehicles....nothing physical....

My question is, does the 5 METS and his job prevent him from being awarded 100%?

Thanks for your help.

Jachay

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Thanks, evan and hawk. This is a difficult one. The chronic CHF is the key, I think, but don't know how they will rate it. I'll let you know when we get the outcome.

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Hawkfire27 and evandc,

Reporting results of my husband's claim.....100%, P&T, based on CHD. The retro goes back to 2004. We are pleased with the decision.

Thanks for your input.

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  • HadIt.com Elder

Great News...You & your vet enjoy & take care.

Good Luck,

Don

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