External
Repatriation Medical Authority Statement

Cardiomyopathy - Treatment with nonsteroidal anti-inflammatory drugs Factor

Last reviewed for CCPS 18 July 2007.

Investigative Documents

Medical Report - Treatment with NSAIDs - Aggravation of Cardiomyopathy [MR9384]

Preliminary questions [38067]

38068

there is some evidence that treatment with nonsteroidal anti-inflammatory drugs may be a factor in the worsening of the condition under consideration.

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.

38069

the veteran has been treated with nonsteroidal anti-inflammatory drugs for at least the 30 days before the clinical worsening of cardiomyopathy.

38070

the veteran's treatment with nonsteroidal anti-inflammatory drugs for at least the 30 days before the clinical worsening of cardiomyopathy was materially contributed to by treatment of an illness or injury which is identifiable.

38074the veteran has established the causal connection between being treated with nonsteroidal anti-inflammatory drugs and VEA service for the clinical worsening of the condition under consideration.

38075the veteran has established the causal connection between being treated with nonsteroidal anti-inflammatory drugs and operational service for the clinical worsening of the condition under consideration.

or

38076the veteran has established the causal connection between being treated with nonsteroidal anti-inflammatory drugs and eligible service for the clinical worsening of the condition under consideration.

Clinical worsening and operational service [38075]

38072the identified illness or injury, which materially contributed to the veteran's treatment with nonsteroidal anti-inflammatory drugs for at least the 30 days before the clinical worsening of cardiomyopathy, is causally related to operational service.

38077

the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which materially contributed to the veteran's treatment with nonsteroidal anti-inflammatory drugs for at least the 30 days before the clinical worsening of cardiomyopathy, is causally related.

Clinical worsening and eligible service [38076]

38073the identified illness or injury, which materially contributed to the veteran's treatment with nonsteroidal anti-inflammatory drugs for at least the 30 days before the clinical worsening of cardiomyopathy, is causally related to eligible service.

38078

the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which materially contributed to the veteran's treatment with nonsteroidal anti-inflammatory drugs for at least the 30 days before the clinical worsening of cardiomyopathy, is causally related.