Ischaemic heart disease

Atrial fibrillation and atrial flutter - Ischaemic heart disease Factor

Definition

Note that coronary atherosclerosis that has not resulted in angina, an infarct or some other cardiac disability is not covered by the RMA SOP definition.

Establishing a history of ischaemic heart disease

Ischaemic heart disease is a cardiac disability which arises from an imbalance between the supply and myocardial demand for oxygen.  This imbalance results from coronary atheroma [also called coronary atherosclerosis and coronary artery disease] or coronary vasospasm.  NB - the presence of coronary artery disease [as may be shown by an angiogram] does not establish the presence of ischaemic heart disease, unless there is some cardiac disability such as angina.

If a veteran or member had ischaemic heart disease he or she would most likely have sought 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 symptoms and/or medical treatment at a particular time generally will be accepted, provided this is not negated by other evidence.  Seek medical advice if it is unclear whether the claimed symptoms and treatment at that time can be attributed to ischaemic heart disease rather than to some other illness or injury.

19161 the veteran has suffered from ischaemic heart disease at some time.

34711 the veteran suffered from ischaemic heart disease at the time of the clinical onset of the condition under consideration.

34712  the veteran has established the causal connection between the ischaemic heart disease and VEA service for the clinical onset of the condition under consideration.

34713   the veteran has established the causal connection between the ischaemic heart disease and operational service for the clinical onset of the condition under consideration.

or

34714   the veteran has established the causal connection between the ischaemic heart disease and eligible service for the clinical onset of the condition under consideration.

Clinical onset and operational service [34713]

30360  the ischaemic heart disease is causally related to operational service.

Clinical onset and eligible service [34714]

30361  the ischaemic heart disease is causally related to eligible service.