hypertension Phone Call For C@p Examination Today

[Guest jstacy]

This afternon I received a call from the local VA to schedule an appt for C@P exam. Scheduled it for tommorrow afternoon. I Inquired to the nice lady what the exam was for and she said it was for Hypertenison / Heart.

I had a C@P back in 94 for this but the SMR was not available. Claim was denied. Records were reveived in 1997, Asked to reopen, denied on no new evidence. Record was reviewed in 2005 and HTN was found in SMR. send a Cue Claim as well as MD statement dignosing HTN within first post service year with DIastolic readings over 100.

Have since been diagnosed with Heart disease, CAD, Ejection at 50 woth Diffuse NArrowing of all epicardial arteries with Pulmonary Hypertension.

I have printed out all records , Exam criteria, and hopefully have loaded up my stack of information.

Am I forgetting anything?

What are Hadit's thoughts concerning the Cue.

John

[john999]

I know that at least two secondary conditions of DMII are considered presumptive unless shown otherwise. They are arterioscelorsis and cataracts.

[Guest jangrin]

Jstacy or john999,

How does the VA rate arteriosclerosis. It is such a "silent" disease and the VA does not perform most heart test and arteriosclerosis is not just the heart. I understand that it can ben in peripheral body parts and brain as well.

How can the VA rate this?

Jangrin

[Guest jstacy]

Jangrin, it is rated under Coronary Artery disease or CAD. It is often diagnosed by Heart Cath or Angio , I believe a CT scan with contrast will also pick it up.

Here is the Directive.

7005 Arteriosclerotic heart disease (Coronary artery disease):

With documented coronary artery disease resulting in:

Chronic congestive heart failure, or; workload of 3 METs or 100

less results in dyspnea, fatigue, angina, dizziness, or

syncope, or; left ventricular dysfunction with an ejection

fraction of less than 30 percent...........................

More than one episode of acute congestive heart failure in 60

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..............

Workload of greater than 5 METs but not greater than 7 METs 30

results in dyspnea, fatigue, angina, dizziness, or syncope,

or; evidence of cardiac hypertrophy or dilatation on

electrocardiogram, echocardiogram, or X-ray................

Workload of greater than 7 METs but not greater than 10 METs 10

results in dyspnea, fatigue, angina, dizziness, or syncope,

or; continuous medication required.........................

Note: If nonservice-connected arteriosclerotic heart disease is

superimposed on service-connected valvular or other non-

arteriosclerotic heart disease, request a medical opinion as to

which condition is causing the current signs and symptoms.

Edited October 13, 2006 by jstacy

[john999]

Yes, a CT scan will show it in the legs I know that. An ultra sound will show it also. If it is in the legs the person may get cramps in their calfs when they walk. I found mine by accident via a CT scan for some other purpose.