An acute hypertensive episode

Intracerebral haemorrhage - An acute hypertensive episode Factor

The RMA states that acute hypotensive episode "means a sudden drop in blood pressure of a sufficient degree to cause cerebral hypoperfusion".

Cerebral hypoperfusion means inadequate blood supply to the cerebrum, including the cerebral hemispheres. Only a significant drop in blood pressure would cause cerebral hypoperfusion. Such a drop would be apparent clinically and medical attention would be required.

Investigative Documents

Preliminary questions [37239]

37241 there is some evidence that an acute hypertensive episode may be a factor in the development of the condition under consideration.

37244 the veteran had an acute hypertensive episode at the time of the clinical onset of the condition under consideration, a cerebrovascular accident.

37254 the acute hypertensive episode at the time of the clinical onset of the condition under consideration, a cerebrovascular accident, was due to an illness or injury which is identifiable.

37246  the veteran has established the causal connection between the acute hypertensive episode and VEA service for the clinical onset of cerebrovascular accident.

37247   the veteran has established the causal connection between the acute hypertensive episode and operational service for the clinical onset of cerebrovascular accident.

or

37248   the veteran has established the causal connection between the acute hypertensive episode and eligible service for the clinical onset of cerebrovascular accident.

Clinical onset and operational service [37247]

37255  the identified illness or injury which caused the acute hypertensive episode is causally related to operational service.

Clinical onset and eligible service [37248]

37256  the identified illness or injury which caused the acute hypertensive episode is causally related to eligible service.