Heart Disease added to Agent Orange V...
Laura

United States

#445 Sep 14, 2010
Thomas wrote:
I was just denied for ischemic heart disease. I had evidence of chest pains while in the military and out ot the military. VA states there is no evidence. Now, they are added a statement saying, they do not have to consider any evidence, doctor, eye witness statements, or other correspondence in their decision. So what do they want? I know my records were purged from one duty station to another. This was standard precedure from Viet Nam to the states. At least it was at Ft. Lewis.
Thomas,

To establish Ischemic Heart Disease, you will need to get your Left Ventricle Ejection Fraction (LVEF) and your METs reading. A report of chest pain is not enough to substantiate your claim.

You will need to discuss this with your physician, as both of those readings require testing. Your LVEF is obtained by echocardiogram; your METs reading is obtained by stress test.

At the bottom of this message is the link to the ratings for IHD.
After you click on the link, click on "4.104 Schedule of Ratings - Cardiovascular". Then, scroll down to "7005 - Arteriosclerotic heart disease (Coronary artery disease)". That explains the criteria for compensation for IHD.

Good luck!

http://www.warms.vba.va.gov/bookc.html#i
Garry Owen

AOL

#446 Sep 14, 2010
Some years back I requested my medical records from Vietnam. I was in field hospitals three times on two tours. The Army said they didn't have any records from Vietnam. One of the times I and two of my buddies were hospitalized after drinking water from a water bladder. I still believe dioxin was in the water. We were in a field hospital for five days from I know dioxin (agent orange), the doctors never told us what it was. The VA also lost my records when I applied for school benefits.
Laura

United States

#447 Sep 14, 2010
Garry Owen wrote:
Some years back I requested my medical records from Vietnam. I was in field hospitals three times on two tours. The Army said they didn't have any records from Vietnam. One of the times I and two of my buddies were hospitalized after drinking water from a water bladder. I still believe dioxin was in the water. We were in a field hospital for five days from I know dioxin (agent orange), the doctors never told us what it was. The VA also lost my records when I applied for school benefits.
Garry,
As long as you served in-country in Vietnam, exposure to Agent Orange is conceded by the VA. You do not need to prove your exposure.
JSR1949

United States

#448 Sep 14, 2010
Laura wrote:
<quoted text>
Thomas,
To establish Ischemic Heart Disease, you will need to get your Left Ventricle Ejection Fraction (LVEF) and your METs reading. A report of chest pain is not enough to substantiate your claim.
You will need to discuss this with your physician, as both of those readings require testing. Your LVEF is obtained by echocardiogram; your METs reading is obtained by stress test.
At the bottom of this message is the link to the ratings for IHD.
After you click on the link, click on "4.104 Schedule of Ratings - Cardiovascular". Then, scroll down to "7005 - Arteriosclerotic heart disease (Coronary artery disease)". That explains the criteria for compensation for IHD.
Good luck!
http://www.warms.vba.va.gov/bookc.html#i
Laura,
When the RO looks at our records for IHD will they go through the whole gamit, such as having Hypertension for 40 years, atrial fib, etc. I understand the three months for bypass surgery. I have had high LVEF and Mets ratings because of my physical conditioning and am very glad for that!The only thing helping me there is the continual meds part for 10%.
What I am wondering is will they look at hypertension, atrial fib, that is on my records sent by my cardilogist and family physician?I know this stuff was included in my treatment reports from my physicians. I was just wondering, especially the Hypoertension section and the ratings for various readings. Just wondering if this is all in the IHD final.
And by the way thank you for your taking the time to answer and help with all these questions, it is a great help!
namvet

Mountain Pine, AR

#449 Sep 14, 2010
would having severe bradycardia along with a pacemaker enough to be considered for IHD ?
jjm2611

Bremerton, WA

#450 Sep 14, 2010
I am a Navy viet nam veteran (1968-1969) who proved boots on the ground. I have been suffering from IHD since 2001. Had angioplasty and stent put in RCA. I filed a VA claim for heart disease in 2006 and it was denied. I re-opened my claim in June 2010. I hope I get retroactive compensation if my claim is approved. I also have a C & P exam for IHD scheduled. But I believe my MET level may be above 3 METS. So I don't know if I will qualify for compensation.
Laura

United States

#451 Sep 14, 2010
JSR1949 wrote:
<quoted text>
Laura,
When the RO looks at our records for IHD will they go through the whole gamit, such as having Hypertension for 40 years, atrial fib, etc. I understand the three months for bypass surgery. I have had high LVEF and Mets ratings because of my physical conditioning and am very glad for that!The only thing helping me there is the continual meds part for 10%.
What I am wondering is will they look at hypertension, atrial fib, that is on my records sent by my cardilogist and family physician?I know this stuff was included in my treatment reports from my physicians. I was just wondering, especially the Hypoertension section and the ratings for various readings. Just wondering if this is all in the IHD final.
And by the way thank you for your taking the time to answer and help with all these questions, it is a great help!
JSR1949,
You have presented several issues, so let's work through them one at a time. First, if you made a previous claim for IHD and were denied, then the Nehmer case requires them to pay retro back to your original claim date. So, in those cases, they will definitely go back and re-visit your medical history.

If you don't have a previous claim, then you must understand that the compensation system is designed to compensate you for your current level of disability. There is no mechanism for them to pay you for any disability that existed prior to the date of your claim.

You mentioned about 3 months of 100% for bypass surgery. That's only payable if you are collecting at the time of the surgery. So, if you had heart surgery in 2003 but your first VA claim is in 2009, you will not get those 3 months of 100%.

Finally, about the hypertension. I know this is hard to believe, but hypertension is not part of the new IHD rule. In fact, here is the note at the end of the new rule:

Note 3: For purposes of this section, the term ischemic heart
disease does not include hypertension or peripheral manifestations
of arteriosclerosis such as peripheral vascular disease or stroke,
or any other condition that does not qualify within the generally
accepted medical definition of Ischemic heart disease.

Sorry I don't have better news - but I hope this helps you understand things!
Laura

United States

#452 Sep 14, 2010
jjm2611 wrote:
I am a Navy viet nam veteran (1968-1969) who proved boots on the ground. I have been suffering from IHD since 2001. Had angioplasty and stent put in RCA. I filed a VA claim for heart disease in 2006 and it was denied. I re-opened my claim in June 2010. I hope I get retroactive compensation if my claim is approved. I also have a C & P exam for IHD scheduled. But I believe my MET level may be above 3 METS. So I don't know if I will qualify for compensation.
jjm2611,
You should frame that 2006 denial - it will be worth some money to you! Yes, that will qualify you for retro compensation if/when your claim is approved.

3 METs is the cutoff for 100%
3-5 METs is good for 60%
5-7 METs is good for 30%
7-10 METs is 10%

There are some other criteria that can come into play, too. If your Left Ventricle Ejection Fraction is low, that can also get you a better rate of compensation than your METs rating would indicate.

Thank you for your service - Good luck with your claim!
Laura

United States

#453 Sep 14, 2010
namvet wrote:
would having severe bradycardia along with a pacemaker enough to be considered for IHD ?
namvet,
Ischemic Heart Disease (IHD) is heart disease caused by reduced blood flow to the heart. It's pretty much the same as coronary artery disease. You will need to ask you cardiologist or family doctor whether your heart disease is ischemic in nature.

Good luck!

Since: Sep 10

Beaverton Oregon

#454 Sep 14, 2010
I had 5 bypasses in 1998...4 heart attacks and 5 stents since then. Was glad to that they now added IHD to the agent orange list. What I don't understand is if the VA is now saying that ischemic heart disease was caused by agent orange why would they not go back to 1998 with regards to back pay ?
MichiganPat

Jackson, MI

#455 Sep 14, 2010
The way the law is written, they can compensate to the date you file prior to rule, July 31, 2010.

However if you file six months from now they can go back to July 31, 2010, this will hold true til July 30, 2011.

Fair, maybe, but that is how law is written...

Good luck with your rating.
Schiltzy

United States

#456 Sep 14, 2010
Laura.....I came in at 10.1 METs Do you think that I will still be eligible for 10%??
larry from oregon

Portland, OR

#457 Sep 14, 2010
i filed my claim in march this year just last week had interview with va. and now have to do a new stress test since mine was year and half ago. dont know way needed. my medical records should of been enough. three heart attacks an two bypass surgeries ten years ago should have been enough. but at lest things are moving forward. also just got ssdi on first try and forwarded that imformation also. fingers cross i'll servive stress test
Laura

United States

#458 Sep 14, 2010
Schiltzy wrote:
Laura.....I came in at 10.1 METs Do you think that I will still be eligible for 10%??
Schlitzy,

So near and yet so far! 10.1? Really?

The good news is if you are on continuous medication for your heart disease you will still be eligible for 10% despite your good METs reading.

One more thought - Ask your doctor for your ejection fraction. If you are under cardiac care, he/she will have that info. If your ejection fraction would give you a better rating than your METs, the VA will use that number instead.

Best Wishes!
Laura

United States

#459 Sep 14, 2010
larry from oregon wrote:
i filed my claim in march this year just last week had interview with va. and now have to do a new stress test since mine was year and half ago. dont know way needed. my medical records should of been enough. three heart attacks an two bypass surgeries ten years ago should have been enough. but at lest things are moving forward. also just got ssdi on first try and forwarded that imformation also. fingers cross i'll servive stress test
They need to get the updated test results so they can adequately rate your current disability. Good luck on your test!
Anonymous

Cincinnati, OH

#460 Sep 14, 2010
Does anyone know about aortic aneurysium Rate book shows 60 per cent for aneurysm with precluding exertion I have a 4.1 aortic aneurysium and cannot exert would this qualify??? Tks
Laura

United States

#461 Sep 14, 2010
llsurr wrote:
Does anyone know about aortic aneurysium Rate book shows 60 per cent for aneurysm with precluding exertion I have a 4.1 aortic aneurysium and cannot exert would this qualify??? Tks
You will need to check with your doctor to see whether your aortic aneurysm has any connection to ischemic heart disease. If not, you would need to provide direct service connection for it.

There are many sections of the cardiovascular chapter that have nothing to do with IHD - No changes were made to the cardiovascular chapter in the rating book because of this new regulation.
Anonymous

Cincinnati, OH

#462 Sep 14, 2010
Laura Once again tks for info. Will check with Drs. (I see a vascular specialist) about connection to ischemic heart disease. It was the Heart Dr/ who originally discoverd 2 aneuryisms. Then I was referred to a specialist for just the aneurysms. Tks again
Laura

United States

#463 Sep 14, 2010
llsurr wrote:
Laura Once again tks for info. Will check with Drs.(I see a vascular specialist) about connection to ischemic heart disease. It was the Heart Dr/ who originally discoverd 2 aneuryisms. Then I was referred to a specialist for just the aneurysms. Tks again
You're welcome. Take care of yourself - compensation is great (and LONG overdue for you guys), but you have to stay around to collect!
Schiltzy

United States

#464 Sep 14, 2010
Laura wrote:
<quoted text>
Schlitzy,
So near and yet so far! 10.1? Really?
The good news is if you are on continuous medication for your heart disease you will still be eligible for 10% despite your good METs reading.
One more thought - Ask your doctor for your ejection fraction. If you are under cardiac care, he/she will have that info. If your ejection fraction would give you a better rating than your METs, the VA will use that number instead.
Best Wishes!
Laura.....I am on continuous meds. Would that ejection fraction number be on the same report that my METS # is on??

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