Erectile dysfunction - 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.
Last reviewed for CCPS 5 October 2005.
Preliminary questions [35250]
19161 the veteran has suffered from ischaemic heart disease at some time.
35251 the veteran has established the causal connection between the ischaemic heart disease and VEA service for erectile dysfunction.
35258 the veteran had ischaemic heart disease at the time of the clinical onset of erectile dysfunction.
35252 the veteran has established the causal connection between the ischaemic heart disease and VEA service for the clinical onset of erectile dysfunction.
35254 the veteran has established the causal connection between the ischaemic heart disease and operational service for the clinical onset of erectile dysfunction.
or
35255 the veteran has established the causal connection between the ischaemic heart disease and eligible service for the clinical onset of erectile dysfunction.
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.
35259 the veteran had ischaemic heart disease at the time of the clinical worsening of erectile dysfunction.
35253 the veteran has established the causal connection between the ischaemic heart disease and VEA service for the clinical worsening of erectile dysfunction.
35256 the veteran has established the causal connection between the ischaemic heart disease and operational service for the clinical worsening of erectile dysfunction.
or
35257 the veteran has established the causal connection between the ischaemic heart disease and eligible service for the clinical worsening of erectile dysfunction.
Clinical onset and operational service [35254]
30360 the ischaemic heart disease is causally related to operational service.
Clinical onset and eligible service [35255]
30361 the ischaemic heart disease is causally related to eligible service.
Clinical worsening and operational service [35256]
30360 the ischaemic heart disease is causally related to operational service.
35260 the clinical onset of erectile dysfunction occurred prior to that part of operational service to which the ischaemic heart disease is causally related.
Clinical worsening and eligible service [35257]
30361 the ischaemic heart disease is causally related to eligible service.
35261 the clinical onset of erectile dysfunction occurred prior to that part of eligible service to which the ischaemic heart disease is causally related.