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Evidence checklist

Coronary Artery Disease

DC 700538 CFR § 4.104Cardiovascular

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 4 collected
Exercise stress test or nuclear stress test with METs resultCritical

Stress test documenting the workload in METs at which heart failure symptoms appear. The VA uses METs to assign ratings: 3.0 METs or less = 100%, 3.1-5.0 METs = 60%, 5.1-7.0 METs = 30%, and 7.1-10.0 METs (or continuous medication required for control) = 10%.

Private provider · independent opinion
Echocardiogram documenting ejection fraction (EF%)Critical

Echocardiography showing whether there is cardiac hypertrophy or dilatation — that finding is its own route to 30% under the General Rating Formula. Ejection fraction was removed from the General Rating Formula when 38 CFR 4.104 was amended effective November 2021 and no longer sets a percentage. What the echocardiogram still establishes is cardiac hypertrophy or dilatation, which is its own route to 30% with no METs score needed.

Private provider · independent opinion
Cardiac catheterization or coronary angiography reportCritical

Cath report documenting the degree of coronary artery stenosis, number of vessels involved, and any interventions (stent, balloon angioplasty). Establishes objective diagnosis.

Private provider · independent opinion
Nexus opinion linking CAD to service ("at least as likely as not")Critical

A medical opinion connecting CAD to military service. For veterans with Agent Orange exposure, ischemic heart disease is a presumptive condition — document qualifying service instead.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Ongoing cardiology treatment records

Follow-up records from your cardiologist documenting symptoms, medication adjustments, and functional status over time.

VA or private records · written request
03

Lay statements

0 of 3 collected
Personal symptom log (chest pain episodes, dyspnea, fatigue)

A personal log documenting frequency and severity of cardiac symptoms — chest tightness, exertional dyspnea, palpitations — that affect daily function.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Heart Conditions (Ischemic Heart Disease)Critical

Standardized form capturing METs capacity, ejection fraction, workload tolerance, and functional class. Raters rely on this form to determine rating level.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.