Therapeutic radiation to the mediastinum or the chest wall overlying the heart

Ischaemic heart disease - Therapeutic radiation to the mediastinum or the chest wall overlying the heart Factor

The mediastinum is that area of the central part of the chest cavity between the right and left lungs.  It contains the heart and its pericardium, the bases of the great vessels, the trachea and bronchi, oesophagus, thymus, lymph nodes, thoracic duct, phrenic and vagus nerves and other structures and tissues.

The chest wall is that part of the body surrounding the chest cavity and includes the skin, muscles, bones, nerves, blood vessels and membranes.

The heart is located in the middle of chest cavity, slightly to the left of centre.

Seek medical advice if you are not sure if a particular area constitutes the chest wall region overlying the heart.

Last reviewed for CCPS 27 April 2010.

Preliminary questions [26989]

26990 there is some evidence that therapeutic radiation involving the mediastinum or the chest wall region overlying the heart may be a factor in the development or worsening of the condition under consideration.

26991 the veteran has undergone a course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart at some time.

26994 the veteran underwent a course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart as treatment for an illness or injury which is identifiable.

26992  the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and VEA service for the condition under consideration.

33440 the veteran underwent a course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart for treatment of the identified illness or injury before the clinical onset of the condition under consideration.

26993   the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and VEA service for the clinical onset of the condition under consideration.

26997  the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and operational service for the clinical onset of the condition under consideration.

or

26998  the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and eligible service for the clinical onset of the condition under consideration.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

26995 the veteran underwent a course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart for treatment of the identified illness or injury before the clinical worsening of the condition under consideration.

26996   the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and VEA service for the clinical worsening of the condition under consideration.

26999  the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and operational service for the clinical worsening of the condition under consideration.

or

27000  the veteran has established the causal connection between the therapeutic radiation involving the mediastinum or the chest wall region overlying the heart and eligible service for the clinical worsening of the condition under consideration.

Clinical onset and operational service [26997]

27004  the identified illness or injury, for which the course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart was undergone, is causally related to operational service.

Clinical onset and eligible service [26998]

27005  the identified illness or injury, for which the course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart was undergone, is causally related to eligible service.

Clinical worsening and operational service [26999]

27004  the identified illness or injury, for which the course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart was undergone, is causally related to operational service.

27006 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, for which the course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart was undergone, is causally related.

Clinical worsening and eligible service [27000]

27005  the identified illness or injury, for which the course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart was undergone, is causally related to eligible service.

27007 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, for which the course of therapeutic radiation involving the mediastinum or the chest wall region overlying the heart was undergone, is causally related.