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hypertension Ihd And Secondarys
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VA different higher normal HBP/HTN for vets 1 2
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Berta
"According to Harrison's Principles of Internal Medicine (Harrison's
Online, Chapter 237, Ischemic Heart Disease, 2008), IHD is a condition
in which there is an inadequate supply of blood and oxygen to a portion
of the myocardium; it typically occurs when there is an imbalance
between myocardial oxygen supply and demand. Therefore, for purposes of
this regulation, the term ``IHD'' includes, but is not limited to,
acute, subacute, and old myocardial infarction; atherosclerotic
cardiovascular disease including coronary artery disease (including
coronary spasm) and coronary bypass surgery; and stable, unstable and
Prinzmetal's angina. Since the term refers only to heart disease, it
does not include hypertension or peripheral manifestations of
arteriosclerosis such as peripheral vascular disease or stroke."
http://www.regulatio...A-2010-VBA-0005
Peripheral Vascular disease is synonymous with PAD Peripheral Arterial Disease and can be a secondary to IHD.
A veteran could have both PAD and also PN as they are two distinctly different disabilities.
Although the regulations above seems to rule out PAD it really doesnt rule it out if there is medical evidence that it is in fact secondary to IHD.I didnt even know my husband had PAD until Dr. Bash ,in a 2004 IMO, stated the veteran's Agent Orange induced diabetes caused development of his PAD.quoting a reference from Braunwald.
As I mentioned here before the VA granted my DMII AO death claim but never rated the DMII at all or any of it's secondarys.I filed a NOD on that.
But:
“People who have coronary heart disease or a history of heart attack or stroke generally also have an increased frequency of having peripheral vascular disease. “
“Peripheral artery disease is due to atherosclerosis. This is a gradual process in which a fatty material builds up inside the arteries.”
http://www.emedicinehealth.com/peripheral_vascular_disease/page2_em.htm#Peripheral%20Vascular%20Disease%20Causes
Since IHD can also cause PAD I mentioned this in my AO claim.
If you have strong medical evidence that you have PAD that is due to your AO IHD, then be sure to claim it as a secondary.It would not surprise me if VA overlooks this condition as a formal diagnosis
because I think the meds for other conditions such as IHD or DMII would control it.
As the regs state Stroke- if you have had a stroke as either consequence of IHD or DMII (by medical evidence) and/or have PAD that can be directly associated to either DMII or IHD under the new regs -you should claim it.
Braunwald is the TOP cardiology text in the USA. Harrison's Principle's (what the IHD regs are based on)was also written with considerable input from Braunwald.
My daughter got me Braunwald for Christmas and unfortuantely I cannot scan anything in it because it takes two people to do that- the book is very heavy and large.
I did get my neighbor to hold it to scan something but the pages are larger than my scanner glass so that didnt work well.
Still there are some excerpts from Braunwald that are googleable.
And from Harrison's Principles.
If you get an IMO from a Cardio doc they surely would use these texts as a citation to bolster their opinion.
I am assuming that all IHD claims under Nehmer are getting a very concise review and might well consider all secondarys to the IHD if a past decision reveals a NSC rating for something that is obviously due to IHD.
But the mantra of VA has always been that you have to ask for what you want so it is best to claim anything that could potentially be a ratable condition directly stemming from the IHD (by medical evidence).
GRADUATE ! Nov 2nd 2007 American Military University !
When thousands of Americans faced annihilation in the 1800s Chief
Osceola's response to his people, the Seminoles, was
simply "They(the US Army)have guns, but so do we."
Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.
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