<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/e30fa375-f26d-40ba-8f35-9b6f7409d0e6/sharing.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/e30fa375-f26d-40ba-8f35-9b6f7409d0e6/sharing.png" width="40px" /> The cardiovascular system transports oxygen, nutrients, hormones, and waste products throughout the body. It comprises the heart, blood vessels, and blood.

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<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/f1d6c2d0-64dc-497c-9d8c-89f2ab141e06/CFR_Regulations.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/f1d6c2d0-64dc-497c-9d8c-89f2ab141e06/CFR_Regulations.png" width="40px" /> The Cardiovascular System


4.100- Necessity for Complete Diagnosis

4.104 - Schedule of Ratings - Cardiovascular

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<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/9c18b44e-aca2-440b-a638-502f04ea39ec/bindersonshelf.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/9c18b44e-aca2-440b-a638-502f04ea39ec/bindersonshelf.png" width="40px" /> Additional Resources


Attacking the Comp & Pen Exam ****

Medical Research Backlink

M21-1MR Backlink

Secondary Conditions Backlink

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| **The General Rating Formula:

Heart Conditions** Rating %
An MET test causes symptoms (like shortness of breath, fatigue, chest pain, dizziness, heart palpitations, arrhythmia, or fainting) at 7.1 to 10.0 METs

OR

Continuous medication is required for control | 10% | | An MET test causes symptoms (like shortness of breath, fatigue, chest pain, dizziness, heart palpitations, arrhythmia, or fainting) at 5.1 to 7.0 METs

OR

Evidence (echocardiogram, multigated acquisition scan, MRI, etc.) of hypertrophy or dilatation | 30% | | an MET test causes symptoms *(like shortness of breath, fatigue, chest pain, dizziness, heart palpitations, arrhythmia, or fainting)*at 3.1 to 5.0 METs | 60% | | an MET test causes symptoms (like shortness of breath, fatigue, chest pain, dizziness, heart palpitations, arrhythmia, or fainting) at 3.0 METs or less | 100% |

<aside> ❤️ The General Rating Formula for Heart Conditions

All heart conditions are rated on this General Rating Formula unless otherwise noted.

Note: It is very important that the physician performing your exam gets an MET (metabolic equivalent of task) test done for ANY heart condition. An MET test, more often known as an exercise test, checks for how much oxygen is being used by the body to perform increasingly strenuous tasks. 1 MET equals the amount of oxygen a person uses when at rest. The only time an MET test is not required is if it is medically contraindicated or if a 100% rating can be made without it. For all other cases, it is essential to getting a proper heart rating. Be proactive and make sure an MET test is done!

It is also vital that the need for medication for the condition and whether or not there is hypertrophy or dilation is clearly recorded by the physician.

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<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/d3a413f5-a2b7-4d1b-ba26-0ab8ab15ebe2/exam_512px.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/d3a413f5-a2b7-4d1b-ba26-0ab8ab15ebe2/exam_512px.png" width="40px" /> Rating Criteria


Aneurysms

Aortic Valve Replacement (7016)

Arteriovenous Fistula (DC 7113)

Blood Flow Restrictions and Blocks

Cancer of the Blood Vessels (DC 7123)

Cardiac Pacemakers

Cardiomyopathy

Cor Pulmonale

Coronary Artery Disease

Coronary Bypass Surgery

Damage Caused by Frostbite (DC 7122)

Endocarditis (7001)

Heart Transplant

Heart Valve Replacement

Hypertension/High Blood Pressure (DC 7101)

Hypertensive Heart Disease

Hyperthyroid Heart Disease

Myocardial Infarction (Heart Attack)

Pericardial Adhesions

Pericarditis

Post-Phlebitic Syndrome

Pulmonary Embolism (6807)

Supraventricular Arrhythmias

Syphilitic Heart Disease

Valvular Heart Disease

Varicose Veins (DC 7120)

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