Evidence Checklist: Myocardial Infarction Residuals
DC 7006
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Exercise stress test with METs estimation (post-MI)Critical
Post-MI stress test documenting functional capacity in METs. METs level is the primary rating driver: 3 or less = 100%, 3-5 = 60%, 5-7 = 30%, over 7 = 10%. Should be performed after cardiac rehabilitation.
Echocardiogram with ejection fraction (post-MI)Critical
Post-MI echocardiography documenting left ventricular EF, regional wall motion abnormalities, and any mechanical complications. EF below 30% with CHF symptoms supports 100%.
Nexus opinion linking MI to service or service-connected conditionCritical
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.
Treatment Records
Acute MI hospitalization records (troponin, EKG, cath)Critical
Inpatient records from the acute MI event: troponin elevation labs, ECG changes (ST elevation, Q waves), cardiac catheterization, and interventional procedure records (stent, PTCA).
Ongoing cardiology records documenting residual functional limitations
Serial cardiology follow-up records showing ejection fraction trends, symptom burden, and NYHA functional class after the MI.
Cardiac rehabilitation records
Records from cardiac rehab documenting exercise tolerance, progression, and any limitations encountered during rehabilitation.
Lay Statements & Personal Documentation
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Heart Conditions (Ischemic Heart Disease)Critical
Standardized form capturing METs capacity, ejection fraction, workload tolerance, and functional limitations after myocardial infarction.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.