Haematological disorder associated with a hypercoagulable state

Ischaemic heart disease - Haematological disorder associated with a hypercoagulable state Factor

This means a blood disorder which results in an abnormally increased tendency to develop blood clots.

The following list contains the conditions defined by the RMA as being haematological disorders associated with a hypercoagulable state:

• antiphospholipid antibody syndrome; or
• disseminated intravascular coagulation; or
• heparin-induced thrombocytopenia and thrombosis; or
• hyperproteinaemia; or
• hyperviscosity syndrome; or
• inherited coagulation protein disorders associated with hypercoagulability; or
• myeloproliferative disease; or
• primary or secondary polycythaemia; or
• primary or secondary thrombocytosis; or
• sickle cell disease or sickle cell trait; or
• thrombotic thrombocytopaenic purpura.

If a veteran or member had one of these haematological disorders he or she would have needed significant medical attention at some time.  Such medical treatment would normally be recorded in doctors' notes and/or hospital records.  However, if these records cannot be obtained, a reliable history of appropriate medical treatment at a particular time will generally be accepted, unless there is contradictory evidence.  Seek medical advice if it is unclear whether the claimed symptoms and treatment at that time can be attributed to one of these haematological disorders rather than to some other condition.

Last reviewed for CCPS 27 April 2010.

Investigative Documents

Preliminary questions [38924]

38931 there is some evidence that a haematological disorder from the specified list associated with a hypercoagulable state may be a factor in the development or worsening of the condition under consideration.

12754 the veteran has had a haematological disorder from the specified list associated with a hypercoagulable state at some time.

12755  the haematological disorder from the specified list associated with a hypercoagulable state is an illness or injury which is identifiable.

38932  the veteran has established the causal connection between the haematological disorder associated with a hypercoagulable state and operational service for ischaemic heart disease.

38935 the veteran had the identified illness or injury, a haematological disorder associated with a hypercoagulable state, at the time of the clinical onset of the condition under consideration.

38933   the veteran has established the causal connection between the haematological disorder associated with a hypercoagulable state and operational service for the clinical onset of ischaemic heart disease.

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.

38936 the veteran had the identified illness or injury, a haematological disorder associated with a hypercoagulable state, at the time of the clinical worsening of the condition under consideration.

38934   the veteran has established the causal connection between the haematological disorder associated with a hypercoagulable state and operational service for the clinical worsening of ischaemic heart disease.

Clinical onset and operational service [38933]

12760  the identified illness or injury, a haematological disorder associated with a hypercoagulable state, is causally related to operational service.

Clinical worsening and operational service [38934]

12760  the identified illness or injury, a haematological disorder associated with a hypercoagulable state, is causally related to operational service.

38937 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a haematological disorder associated with a hypercoagulable state, is causally related.