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Evidence checklist

Supraventricular Tachycardia

DC 701038 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
ECG or Holter monitor capturing SVT episodesCritical

Electrocardiogram or ambulatory monitor documenting narrow-complex tachycardia, confirming SVT type (AVNRT, AVRT, atrial tachycardia) and episode frequency. Objective rhythm documentation is essential.

Private provider · independent opinion
Electrophysiology (EP) study results

EP study documenting inducible SVT, ablation target, and procedural outcome. If ablation was performed, EP records confirm the arrhythmia mechanism.

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

A medical opinion connecting SVT to service-connected hypertension, thyroid disease, stimulant use during service, or other in-service cause.

Private provider · independent opinion
Exercise stress test with METs estimationCritical

Stress test documenting functional capacity in METs, which drives the cardiac rating percentage. Also documents exercise-induced SVT if present.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Treatment records (medications, ablation, cardioversion)

Records of rate/rhythm control medications, ablation procedures, electrical cardioversion, and treatment response.

VA or private records · written request
03

Lay statements

0 of 2 collected
Episode frequency and duration log

Personal or medical log documenting SVT episode frequency, duration, and associated symptoms (palpitations, lightheadedness, presyncope, chest pain). Episode burden supports rating level.

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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Heart ConditionsCritical

Standardized form capturing arrhythmia documentation, METs, ejection fraction, and functional limitations from SVT.

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
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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