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hypertension Ihd -Va Definition And
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VA different higher normal HBP/HTN for vets 1 2
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Berta
With the hopeful resolve of most AO IHD claims in the next few months-I wanted to get this info posted here again.
And to remind all- if their claim comes under Nehmer and they have contacted NVLSP, I have posted the link here many times, please contact NVLSP again to let them know of the decision.
"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"
(Of course if IHD has caused stroke or any other secondary condition, those conditions should be claimed as secondary to the IHD and will need medical evidence of the nexus of the claimed secondary to the IHD. )
VA will be using 38 CFR$ 4.104 to rate the AO IHD claims.
They will be using either diagnostic code 7005 0r 7006
"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 percent 100
More than one episode of acute congestive heart failure in the past year,
or; workload of greater than 3 METs but not greater than 5 METs
results in dyspnea, fatigue, angina, dizziness, or syncope, or; left
ventricular dysfunction with an ejection fraction of 30 to 50 percent 60
Workload of greater than 5 METs but not greater than 7 METs results
in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of
cardiac hypertrophy or dilatation on electrocardiogram,
echocardiogram, or X-ray 30
Workload of greater than 7 METs but not greater than 10 METs results
in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous
medication required 10
7006 Myocardial infarction:
During and for three months following myocardial infarction,
documented by laboratory tests 100
Thereafter:
With history of documented myocardial infarction, 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 percent 100
More than one episode of acute congestive heart failure in the past year,
or; workload of greater than 3 METs but not greater than 5 METs
results in dyspnea, fatigue, angina, dizziness, or syncope, or;
left ventricular dysfunction with an ejection fraction of 30 to
50 percent 60
Workload of greater than 5 METs but not greater than 7 METs results
in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of
cardiac hypertrophy or dilatation on electrocardiogram,
echocardiogram, or X-ray 30
Workload of greater than 7 METs but not greater than 10 METs
results in dyspnea, fatigue, angina, dizziness, or syncope, or;
continuous medication required 10
VA Schedule of Ratings.
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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Berta
With the hopeful resolve of most AO IHD claims in the next few months-I wanted to get this info posted here again. And to remind all- if their claim comes under Nehmer and they have contacted NVLS
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