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hypertension A Shout Out For Help & Opinions
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VA different higher normal HBP/HTN for vets 1 2
By Dustoff1970,
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carlie
Rating Decision from my VARO dated November 16,2010.
"The BVA decisions of May 2010 and August of 2010
determined that SC for asthma and bronchitis is granted.
The Board stated that the currently demonstrated asthma and chronic bronchitis are shown as likely as not to their clinical onset during your period of active service."
For the record, this disability has been rated under DC 6600.
" ** An initial 10 percent is granted based on your
FEV1?FVC at 72 percent from August 26, 1999, the date of your claim
for SC for a lung disease.
An evaluation of 10 percent is assigned for forced volume in one second
FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71to 80 percent,
or; DLCO (SB) 66- to 80-percent predicted..
** A 30 percent evaluation is granted based on your DLCO of 55.8 percent effective February 28,2002, the date the PFT results showed you
warranted a higher evaluation.
** A 60 percent evaluation is granted based on your DLCO of 52.7 percent effective October 29, 2008, the date the PFT results showed you
warranted a higher evaluation."
** Here's where my disagreement / question comes into play.
DC - 6600
A higher evaluation of 100 percent is not warranted unless
FEV-1 less than 40 percent of predicted value,
or; the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity (FEV-1/FVC) less than 40 percent,
or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted,
or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption
(with cardiac or respiratory limitation),
or; cor pulmonale (right heart failure),
or; right ventricular hypertrophy,
** or; pulmonary hypertension (shown by Echo or Cardiac Catheterization),
or; episode(s) of acute respiratory failure,
or; requires outpatient oxygen therapy...
**Listed in the Evidence Section of this Rating Decision is :
"A review of XXX XXXXX VA Healthcare System records
dated July 28, 1998 to November 12,2010."
Briefly looking thru my medical records from the above time frame I find:
2/29/2000 - Consult Echocardiogram
Test Indication: Pulmonary Artery Pressure
Impression: Blah - Blah - Blah - Blah,
Mild Pulmonary Hypertension (PAP 35 MMHG).
Confirmed By: XXXX,XXXX, M.D.
Signed by:/es/XXXXXX
ULTRASOUND TECH. XX/XX/XXXX 11:24
Going by the above, doesn't Echocardiogram evidence of Pulmonary Hypertension in 2000 warrant an evaluationof 100 percent ?
Carlie passed away in November 2015 she is missed.
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