Hyperaldosteronism (Conn's Syndrome)

DC 7999-7913Endocrine38 CFR 4.119, DC 7999-7913

A condition where the adrenal glands produce too much aldosterone hormone, causing high blood pressure and low potassium levels. Rated by analogy based on treatment needs and complications.

Rating Levels

Your hyperaldosteronism has caused significant cardiovascular involvement, resistant hypertension, or recurrent complications such as cardiac arrhythmias despite treatment.

What the VA looks for

Significant cardiovascular involvement (cardiac arrhythmias, left ventricular hypertrophy)
Resistant hypertension despite multiple medications
Recurrent hypokalemia-related complications
Emergency department visits for arrhythmia or severe hypokalemia
Impact on employment and daily activities documented

Common Pitfalls

⚠Not documenting persistent hypokalemia despite treatment — low potassium levels support higher ratings.
⚠Not filing for secondary hypertension as a separate condition (may be rated under DC 7101).
⚠Not connecting to adrenal adenoma discovered on imaging during service.
⚠Not reporting cardiovascular complications like cardiac arrhythmias caused by electrolyte imbalances.

Related DBQ Forms

DBQ Endocrine Diseases (Other Than Thyroid, Parathyroid, or Diabetes Mellitus)

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…