It is not a disability subject to compensation.Ĭonfirmed by ECG, with five or more treatment interventions per yearĬonfirmed by ECG, with one to four treatment interventions per year or, confirmed by ECG with either continuous use of oral medications to control or use of vagal maneuvers to control Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. There are five general classes of bradyarrhythmia: Sinus bradycardia, including sinoatrial block atrioventricular (AV) junctional (nodal) escape rhythm AV heart block (second or third degree) or AV dissociation atrial fibrillation or flutter with a slow ventricular response and, idioventricular escape rhythm. Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. Rate under the appropriate cardiovascular diagnostic code, depending on particular findings.įor DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture.ħ009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation:įor one month following hospital discharge for implantation or re-implantation Thereafter, use the General Rating Formula. Note: If non-service-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.ĭuring and for three months following myocardial infarction, confirmed by laboratory tests Note: Evaluate syphilitic aortic aneurysms under DC 7110 (Aortic aneurysm: Ascending, thoracic, abdominal).ħ005 Arteriosclerotic heart disease (coronary artery disease). Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. Workload of 7.1–10.0 METs results in heart failure symptoms or continuous medication required for controlħ000 Valvular heart disease (including rheumatic heart disease),ĭuring active infection with cardiac involvement and for three months following cessation of therapy for the active infection Workload of 5.1–7.0 METs results in heart failure symptoms or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging) Workload of 3.1–5.0 METs results in heart failure symptoms Workload of 3.0 METs or less results in heart failure symptoms GENERAL RATING FORMULA FOR DISEASES OF THE HEART: Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. When the level of METs at which breathlessness, fatigue, angina, dizziness, or syncope develops is required for evaluation, and a laboratory determination of METs by exercise testing cannot be done for medical reasons, a medical examiner may estimate the level of activity (expressed in METs and supported by specific examples, such as slow stair climbing or shoveling snow) that results in those symptoms. Note (2): One MET (metabolic equivalent) is the energy cost of standing quietly at rest and represents an oxygen uptake of 3.5 milliliters per kilogram of body weight per minute. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it.
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