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ischemic heart disease

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Okay I have been diagnosed for some time now and VA service connected for IHD Ischemic Heart Disease due to Vietnam Agent Orange presumptive exposure in 1970.

A private heart surgeon/specialist at civilian hospital did the testing and diagnosis by performing ALL the following test 1. Bruce Treadmill stress test 2. EKG 3.ECHO 4. MRI 5.X-Ray 6. blood and urine test 7. Physical exam and taking of my life and medical history.

As in my case IHD may adversely affect many areas of the heart and arteries.  IHD is also known as CAD or Cardiovascular Disease in the VA 38 CFR 4.104 Diagnostic Code 7005.

There has been a VERY RECENT liberalizing final rule change to the 4.104 DC code 7005 in the Federal Register that was posted on August 1, 2019.  That change to DC code 7005 eliminates any reference to LVEF ejection factors and eliminates any reference to Congestive Heart Failure (CHF) or its symptoms.

The rule change should make it easier for vets to receive a IHD diagnosis and higher disability rating for IHD. 

The METS score obtained from a treadmill stress test is also an IMPORTANT factor in obtaining a higher rating as the adjudicators and examiners must take the lower METS score over and above a higher LVEF factor. 

Estimated LVEF ejection factors and estimated METS score are highly inaccurate and subjective and the examiners should never consider them more accurate than a treadmill METS but the F****** many times ignore your treadmill score which is of course a very appealable claim as I know from experience.

That new rule has now become final according to the GOV Regulations website.   

 

Screen shot final rule change to IHD Ischemice Heart Disease 38 CFR 4.104 DC Code 7005.JPG

Edited by Dustoff 11
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