External
Repatriation Medical Authority Statement

Carotid arterial disease - Cigar smoking Factor

Last reviewed for CCPS 10 June 2012.

Investigative Documents

Claimant Report - Smoking [CRD905]

Claimant Report - Smoking [CRV905]

Preliminary questions [13636]

26916

there is some evidence that cigar smoking may be a factor in the development or worsening of the condition under consideration.

13696the veteran has established the causal connection between the cigar smoking and VEA service for carotid arterial disease.

13697the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of carotid arterial disease.

13699the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of carotid arterial disease.

or

13700the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of carotid arterial 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.

13698the veteran has established the causal connection between the cigar smoking and VEA service for the clinical worsening of carotid arterial disease.

13701the veteran has established the causal connection between the cigar smoking and operational service for the clinical worsening of carotid arterial disease.

or

13702the veteran has established the causal connection between the cigar smoking and eligible service for the clinical worsening of carotid arterial disease.

Clinical onset and operational service [13699]

13706

the veteran has smoked at least 15 pack years of cigars before the clinical onset of carotid arterial disease and, where smoking has ceased, the clinical onset of carotid arterial disease occurred within 30 years of cessation.

4921the veteran has some period or periods of cigar smoking that are causally related to operational service.

Clinical onset and eligible service [13700]

13703

the veteran has smoked at least 20 pack years of cigars before the clinical onset of carotid arterial disease and, where smoking has ceased, the clinical onset of carotid arterial disease occurred within 30 years of cessation.

4922the veteran has some period or periods of cigar smoking that are causally related to eligible service.

Clinical worsening and operational service [13701]

13705

the veteran has smoked at least 15 pack years of cigars before the clinical worsening of carotid arterial disease and, where smoking has ceased, the clinical worsening of carotid arterial disease occurred within 30 years of cessation.

4921the veteran has some period or periods of cigar smoking that are causally related to operational service.

9196

the clinical onset of the condition under consideration occurred prior to that part of operational service to which the period or periods of cigar smoking are causally related.

Clinical worsening and eligible service [13702]

13704

the veteran has smoked at least 20 pack years of cigars before the clinical worsening of carotid arterial disease and, where smoking has ceased, the clinical worsening of carotid arterial disease occurred within 30 years of cessation.

4922the veteran has some period or periods of cigar smoking that are causally related to eligible service.

9197

the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the period or periods of cigar smoking are causally related.