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So What Constitutes Hypertension?

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Snake Eyes

Question

VA denied hypertension in my most recent claim based on this:

"The evidence does not show an event, disease or injury in service. Your service treatment records do not show a diagnosis of hypertension in service..."

Here are the BP readings in service I used:

140/90 02 December, 1976
120/90 04 March, 1981
154/90 11 January, 1982 (Retention Physical) -- States "Hypertension"
140/84 03 June, 1986
136/84 20 August, 1987
150/88 08 April, 1988
130/90 07 April, 1989
139/82 08 May, 1989
138/82 11 September, 1989
138/82 09 November, 1989
138/82 02 March, 1990
130/84 28 May, 1992 (Periodic Medical Exam)

VA denial also cites DBQ from my cardiologist stating HTN was diagnosed in 2013. My civilian records show I've had it for some time (but since I had the above record in service, it didn't occur to me to submit civilian records).

SO WHAT DOES THE VA CONSIDER "Hypertension"? I'm currently on medication, but even if I weren't, shouldn't the above numbers be worth a "zero" rating?

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Thanks for the input, Hamslice.

Indeed, in talking with Dr. Bash, he only needed less than a minute to look at my records and a 21-438 I submitted in support of a claim to see that the HTN was SC. Whether I get 10% because of meds or 0% doesn't matter as it won't have much of an impact on whether I get an increase (I'm at 90% now -- very hard to get over that particular finish line).

Dr. Bash was very realistic about the DM II claim for which I brought him onboard. Very hard to win based on a primary SC condition of sleep apnea, but apparently he has won some of these.

So even if I get TDIU P&T, I'd pursue these two for the reason you mentioned -- DIC. Think of it as veteran's "estate planning" :-)

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