Evidence checklist
Myocardial Infarction Residuals
Evidence strength
Mark what you already have below and your evidence strength appears here.
Specialist opinion
Highest value0 of 3 collectedPost-MI stress test documenting the workload at which heart failure symptoms appear. METs level is the primary rating driver: 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%. Should be performed after cardiac rehabilitation.
Not marked
Post-MI echocardiography documenting regional wall motion abnormalities, any mechanical complications, and whether there is cardiac hypertrophy or dilatation — that finding is its own route to 30%. 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.
Not marked
A medical opinion connecting the MI to ischemic heart disease — which is presumptive for Agent Orange veterans — or to service-connected hypertension, CAD, or other primary cardiac condition.
Not marked
Treatment records
0 of 3 collectedInpatient records from the acute MI event: troponin elevation labs, ECG changes (ST elevation, Q waves), cardiac catheterization, and interventional procedure records (stent, PTCA).
Not marked
Serial cardiology follow-up records showing ejection fraction trends, symptom burden, and NYHA functional class after the MI.
Not marked
Records from cardiac rehab documenting exercise tolerance, progression, and any limitations encountered during rehabilitation.
Not marked
Lay statements
0 of 2 collectedA written statement from someone who can describe observable symptoms and how your condition affects daily life.
Not marked
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Not marked
Benefits questionnaire
0 of 1 collectedStandardized form capturing METs capacity, ejection fraction, workload tolerance, and functional limitations after myocardial infarction.
Not marked
Service records
0 of 1 collectedMilitary medical records showing in-service treatment, complaints, or injuries related to this condition.
Not marked
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.