hypertension C&P for Hypertension Question

[Silverdj1]

Hello, Just had my C&P for hypertension and got the exam results. Can someone look at the results and tell me what my rating might be. Thank you.

 
                                  Hypertension
                        Disability Benefits Questionnaire

   
    
    Is this DBQ being completed in conjunction with a VA 21-2507, C&P
Examination
    Request?
    [X] Yes   [ ] No
   

    ACE and Evidence Review
    -----------------------
    Indicate method used to obtain medical information to complete this
document:
   
    [X] In-person examination
   

    Evidence Review
    ---------------
    Evidence reviewed (check all that apply):
   
    [X] VA e-folder (VBMS or Virtual VA)
    [X] CPRS

    Evidence Comments:
      Evidence of elevated BPs dating back to 8/1996 - 123/92; 2000 - 145/82,
      152/82, 132/85  2004 - 136/90  2005 - 136/102, 130/90

    1. Diagnosis
    ------------
    Does the Veteran now have or has he/she ever been diagnosed with
hypertension
    or isolated systolic hypertension based on the following criteria:
    [X] Yes   [ ] No
   
        [X] Hypertension
              ICD code: XXX                  Date of diagnosis: 2005???
             
    2. Medical history
    ------------------
    a. Describe the history (including onset and course) of the Veteran's
       hypertension condition (brief summary):
          Veteran reports he has had high blood pressure for a number of years -
          does not recall specific date
         
    b. Does the Veteran's treatment plan include taking continuous medication
for
       hypertension or isolated systolic hypertension?
       [X] Yes   [ ] No
      
       If yes, list only those medications used for the diagnosed conditions:
          Lisinopril 20 mg daily
         
    c. Was the Veteran's initial diagnosis of hypertension or isolated systolic
       hypertension confirmed by blood pressure (BP) readings taken 2 or more
       times on at least 3 different days?
       [ ] Yes   [ ] No   [X] Unknown
      

    d. Does the Veteran have a history of a diastolic BP elevation to
       predominantly 100 or more?
       [ ] Yes   [X] No
      
    3. Current blood pressure readings
    ----------------------------------
                                Systolic Diastolic
       Blood pressure reading 1:  144  / 88     Date: 2/3/2017
       Blood pressure reading 2:  157  / 94     Date: 2/3/2017
       Blood pressure reading 3:  148  / 91     Date: 2/3/2017

       Average Blood Pressure Reading: 149 / 91
      
    4. Other pertinent physical findings, complications, conditions, signs,
       symptoms and scars
    -----------------------------------------------------------------------
    a. Does the Veteran have any other pertinent physical findings,
       complications, conditions, signs or symptoms related to the conditions
       listed in the Diagnosis Section above?
       [X] Yes   [ ] No
      
           If yes, describe (brief summary):
              Veteran reports he will experience headaches when his blood
              pressure is up; states he grets readings that are higher at home
on
              his machine
             
    b. Does the Veteran have any scars (surgical or otherwise) related to any
       conditions or to the treatment of any conditions listed in the Diagnosis
       Section above?
       [ ] Yes   [X] No
      
    c. Comments, if any:
         No Side Effects on BP medication
        
    5. Functional impact
    --------------------
    Does the Veteran's hypertension or isolated systolic hypertension impact his
    or her ability to work?
    [ ] Yes   [X] No
   

    6. Remarks, if any
    ------------------
       Opinion: The Veteran's diagnosis of hypertension is at least as likely as
       not realted to elevated BPs in active duty service.

       Rationale: There is evidence of elevated BPs in active military STRs.

       Veteran reports that he has taken his BP medication today.
      

[jfrei]

1. “at least as likely as not” (equal to or greater than 50%)
2. Is the connection ticket

no experience with this my guess is 0 to 10 % hopefully someone with more experience answers

Edited March 11, 2017 by jfrei

[jfrei]

10 percent evaluation may be assigned for hypertensive 
vascular disease (hypertension and isolated systolic 
hypertension) with diastolic pressure predominantly 100 or 
more, or; systolic pressure predominantly 160 or more, or; 
minimum evaluation for an individual with a history of 
diastolic pressure predominantly 100 or more who requires 
continuous medication for control.  A 20 percent disability 
evaluation is assigned with diastolic pressure predominantly 
110 or more, or; systolic pressure predominantly 200 or more.  
A 40 percent disability rating is in order with diastolic 
pressure predominantly 120 or more; and 60 percent with 
diastolic pressure predominantly 130 or more. 38 C.F.R. 
§ 4.104, Diagnostic Code 7101. 

Note (1) to Diagnostic Code 7101 provides that hypertension 
or isolated systolic hypertension must be confirmed by 
readings taken two or more times on at least three different 
days.  For purposes of this section, the term hypertension 
means that the diastolic blood pressure is predominantly 90 
mm. or greater, and isolated systolic hypertension means that 
the systolic blood pressure is predominantly 160 mm. or 
greater with a diastolic blood pressure of less than 90 mm. 
38 C.F.R. § 4.104.

Where there is a question as to which of two evaluations 
shall be applied, the higher evaluation will be assigned if 
the disability picture more nearly approximates the criteria 
required for that rating.  Otherwise, the lower rating will 
be assigned. 38 C.F.R. § 4.7 (2009).  When there is an 
approximate balance of positive and negative evidence 
regarding the merits of an issue material to the 
determination of the matter, the benefit of the doubt in 
resolving each such issue shall be given to the claimant. 
38 U.S.C.A. § 5107(b) (West 2002 & Supp. 2009); 38 C.F.R. § 

Edited March 11, 2017 by jfrei

[Carl the Engineer]

If they service connect it, it will be rated at 0% as it is controlled by medicine.  I am SC's at 0% for hypertension.  You might get a 10% rating, but I doubt it.

This is a good thing.  Not bad.

Once you are rated for hypertension, then claim heart disease secondary to your hypertension.  If your HBP has caused any additional damage, you can get rated for that.  The VA will not search for or make any assumpions on there own.  I found that out.

I claimed heart disease secondary to my 0% rated HPB and was awarded 30% for enlarged left ventricle (by x-ray).

The x-ray showing the enlarged left ventricle was from 2008 when I claimed HPB.  Only after I found out from this site that HBP and heart disease are seperate, did I file for heart disease secondary to HPB and won in 2016.  If I knew in 08 what I know now, I would have had another 30% for the last 8 years.

The VA does not volunteer any of this info, so remember, you are on your own.

And this site of course,

Hamslice

 

[Silverdj1]

Thanks everyone for the great info and taking time to reply. I will hope for the best and use the information you provided. Again Thanks.

[Bayshore]

Can i ask Dr. at c&p what is there recomendatons?

[GBArmy]

Bayshore I'm not sure what the basis is for your question. You have tagged onto a posting 4 years old. In the future, start a brand new question/post. Examiners are not making any final decisions on your claim; they are assembling facts to present to the rater. They can't tell you what the decision is regarding if you are approved or what rate you will get. I've had them tell me if the facts as presented/discovered are service-connected or not. If they say yes, then getting a copy of their completed DBQ would give you a very strong idea where your rating should be if the rater