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cbtvet

Ihd Claim

Question

I have recieved a denial of ihd claim because they determined i have not been "officially diagnosed". They did acknowledge i have a history of chest pain. In my medical history there is a diagnosis of atherosclerosis, 2 ekg's showing past heart attack, high blood pressure, angina upon exertion. stress test revealed center chest pain. plus high colesterol. I was given nitro on my first visit to the va. I guess i made a rookie mistake by thinking they would dig and find this information in my medical history. also i had mentioned at one time i didn't think i had a heart problem. They took that as bible, and pointed it out in the denial letter. Question is how should i proceed.

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What I would do - - talk to a non VA interventional cardiologist. The previous stress test should show some idea of your hearts damage.

A heart cath should show the extent of sclerosis. The cardiologist's report will likely show that IHD exists. Past heart attacks cannot be ignored,

even though the VA RO tried to do so. Remember that you have to appeal (NOD) within one year to maintain the original claim date.

If you are a veteran that falls under Nehmer, you should also contact the NVLSP.

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Chuck is correct.

There is an IHD form here for a private doctor to use.

Did you ever have a ECHO done?

I am a little baffled by this decision.

Did you get an actual C & P exam for the claimed heart disease?

Do you have the results of that C & P?

Something seems very wrong here.

"officially diagnosed"

The VA officially diagnosed my husband with IHD 3 years after he died from it.I diagnosed it myself when I filed FCTA case a few months after he died.

His past ECHO and EKGS were completely ignored by the VAMC in his lifetime as well as by the VARO, when I reopened his 1151 claim.

DO you get any heart meds or cholestrol meds?

Can you scan and attach the C & P exam results here ? (Cover the personal stuff)

You certainly present what appears to be IHD if the atherosclerosis involves your heart.Chuck is right that this is determined best by METS, Stress test, the heart cath or ECHO.

EKGs can reveal inferior wall ischemia (past heart attacks)

Do your EKG result strips have that noted on the top of the strip?

This is a very odd decision.

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Here is the form your private doctor will need:

http://www.vba.va.gov/pubs/forms/VBA-21-0960A-1-ARE.pdf

I found a past post you made here:

"Posted 23 September 2011 - 08:24 PM

Thank you. I e-mailed my varo to check on my claim they told me the ihd was in the decesion phase. since i have had no c&p for ihd i was wondering.If they were going to schedule me one , apparently not. "

I responded at the time you posted this to the affect that maybe they had enough current info to rate already in your medical records.

I am concerned here that you might not be getting proper VA care for your heart disease.

You need a private cardio opinion on the IHD form

as well as some input into your overall heart disease treatment.

Can you scan the Reasons and BAses part of the decision and post that here since you didn't get a C & P?

Cover the personal name address C file stuff.

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One more question-

if the IHD cardio doctor diagnoses you with IHD, has your Agent Orange exposure been conceded by the VA?

Either proof of boots on the ground - Vietnam or via their AO ship's lists?

Edited by Berta

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Berta i thank you and chuck for your response. I can't scan but i will give you verbatim info from the decision. the ekg's do have reference to past anterior infarction. the medications i use include nitroglycerin, amlodiapine, gimfibrosil, simvanstatin, propranol, wellbutrin, trazodine . one of the ekg's was done in 05 by a civilian dr. the other by the va in 09. the reason for denial states " the evidence does not show a current diagnosed disability ". "Your condition is not one of the chronic diseases that va presumes related to your military service". summary of evidence 7005 ischemic heart disease {Agent Orange - Vietnam/Ischemic Heart Disease} Not service connected, no diagnosis.

In a box below that it states, " Service connection for ischemic heart disease is denied - No Dx, presumptive - no dx.

Please note the veteran has verified in-country Vietnam service. However, there is no evidence of record establishing the veteran has heart disease. There were references to the veteran having chest pains. However, there was no diagnosis of heart disease of record. In the veteran's most recent treatment reports from the VA Medical Center, he denied having heart disease."

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