ADAMS Posted December 13, 2019 Share Posted December 13, 2019 Any one heard of this , I filed a claim for this secondary to hypertension, I had a echo cardiogram, that stated the diagnosis was this heart disease. my question is what is the rating for this. attached is the Echo. doc00580220191213082945.pdf Link to comment Share on other sites More sharing options...
0 Berta Posted December 13, 2019 Share Posted December 13, 2019 "IHD is rated under Diagnostic Code 7005. The rating criteria are as follows. A 10 percent rating is warranted for a workload of greater than 7 metabolic equivalents (METs) but not greater than 10 METs resulting in dyspnea, fatigue, angina, dizziness, or syncope; or continuous medication required. A 30 percent rating is warranted if a workload between 5 and 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is evidence of cardiac hypertrophy or dilatation. A 60 percent rating is warranted if there had been more than one episode of acute congestive heart failure (CHF) in the past year; or if a workload between 3 and 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is left ventricular dysfunction with an ejection fraction of 30-50 percent. A 100 percent rating is warranted if there is chronic CHF; or if a workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is left ventricular dysfunction with an ejection fraction of less than 30 percent. 38 C.F.R. § 4.104, Diagnostic Code 7005 (2017)." https://www.va.gov/vetapp19/files6/19144427.txt You claimed the IHD as secondary to your HBP_ do you have a SC rating now for the HBP? The ECHO states Risk Factors as Hyperlipidemia- are you a diabetic? Are you an incountry Vietnam veteran or did you serve anywhere else, (even in USA) where you might have been exposed to AO? Link to comment Share on other sites More sharing options...
0 Berta Posted December 13, 2019 Share Posted December 13, 2019 to add- I am not a doctor but Ischemic heart disease is often due to affects of hyperlipidemia, ( meaning high cholesterol and high triglycerides- which is a different association than to HBP. I mention that because I had to prove to the VA-General counsel- that my husband died of IHD, which was never diagnosed or treated by the VA, in spite of high glycericide values, an ECHO revealing severe atherosclerotic heart disease, and 2 EKGs clearly indicating heart disease, and the autopsy confirmed that. Years later I was able to prove that he also had undiagnosed and untreated Diabetes Mellitus from AO, and I proved that to myself and then I also obtained 3 IMOs that supported my claim. That is why I asked if you are a diabetic. Link to comment Share on other sites More sharing options...
0 ADAMS Posted December 13, 2019 Author Share Posted December 13, 2019 19 minutes ago, Berta said: "IHD is rated under Diagnostic Code 7005. The rating criteria are as follows. A 10 percent rating is warranted for a workload of greater than 7 metabolic equivalents (METs) but not greater than 10 METs resulting in dyspnea, fatigue, angina, dizziness, or syncope; or continuous medication required. A 30 percent rating is warranted if a workload between 5 and 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is evidence of cardiac hypertrophy or dilatation. A 60 percent rating is warranted if there had been more than one episode of acute congestive heart failure (CHF) in the past year; or if a workload between 3 and 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is left ventricular dysfunction with an ejection fraction of 30-50 percent. A 100 percent rating is warranted if there is chronic CHF; or if a workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is left ventricular dysfunction with an ejection fraction of less than 30 percent. 38 C.F.R. § 4.104, Diagnostic Code 7005 (2017)." https://www.va.gov/vetapp19/files6/19144427.txt You claimed the IHD as secondary to your HBP_ do you have a SC rating now for the HBP? The ECHO states Risk Factors as Hyperlipidemia- are you a diabetic? Are you an incountry Vietnam veteran or did you serve anywhere else, (even in USA) where you might have been exposed to AO? I am SC for Hypertension, I dont have diabetes I have high cholesterol. Gulf war VET. Link to comment Share on other sites More sharing options...
0 Berta Posted December 13, 2019 Share Posted December 13, 2019 (edited) I am glad you are SCed for the HBP- but not glad you have HBP---- There certainly is medical associations between HBP as causing IHD: https://www.webmd.com/hypertension-high-blood-pressure/qa/can-high-blood-pressure-cause-ischemic-heart-disease https://www.mayoclinic.org/diseases-conditions/myocardial-ischemia/symptoms-causes/syc-20375417 But I think you will probably need an IMO/IME to prove the claim. Secondary conditions can often be obvious ones, bu it seems the VA does not always provide a C & P exam that will support these types of claims. A IMO/IME doctor following the IMO criteria here at hadit can rule out any other etiology but for the HBP as the sole cause of the ischemic heart disease. They will give your medical records the first thorough reading they will probably ever get. Edited December 13, 2019 by Berta weather at high altitude Link to comment Share on other sites More sharing options...
0 toddt Posted December 13, 2019 Share Posted December 13, 2019 Echocardiograms for IHD seem to be a new thing for C&P exams. I have always thought that a C&P examiner guessing at your METs level by just asking you questions off of a DBQ was questionable. A physical stress test should give a more accurate METs level. I just received a call for my 3rd C&P exam for IHD and it includes an echocardiogram. You need to get someone who understands the results of your echocardiogram to tell you what it has to do with METs. As Bertha informed you that IHD falls under Diagnostic Code 7005 and she listed the requirements for the different disability per centages. The VA dropped the LVEF several months ago and supposedly just going by your METs level . . . that may have changed with the inclusion of echocardiograms. Link to comment Share on other sites More sharing options...
0 Berta Posted December 13, 2019 Share Posted December 13, 2019 I would hope so- the EF is a prime indicator of how they factor the percentage of disability. Link to comment Share on other sites More sharing options...
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ADAMS
Any one heard of this , I filed a claim for this secondary to hypertension, I had a echo cardiogram, that stated the diagnosis was this heart disease. my question is what is the rating for this. attached is the Echo.
doc00580220191213082945.pdf
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