Evidence Checklist: Endocarditis

Echocardiogram showing valve damage and ejection fractionCritical

Echocardiography documenting valvular damage, vegetations, regurgitation severity, and left ventricular ejection fraction resulting from endocarditis.

Nexus opinion linking endocarditis to service ("at least as likely as not")Critical

A medical opinion connecting your endocarditis or its cardiac residuals to an in-service infection, dental procedure, IV drug use during service, or other service-related cause.

Exercise stress test with METs estimationCritical

Stress test results documenting your exercise capacity in METs (metabolic equivalents). METs level is a primary driver of VA heart condition ratings.

Hospitalization records for acute infection

Records from hospitalization for the initial endocarditis episode, including blood cultures, IV antibiotic treatment, and duration of stay.

Ongoing cardiology records

Follow-up records from your cardiologist documenting residual valve damage, heart failure symptoms, and ongoing monitoring.

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.

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.

Completed DBQ Heart ConditionsCritical

Standardized form capturing ejection fraction, METs capacity, and functional limitations from endocarditis residuals.

Service treatment records (STRs)Critical

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