CardiovascularDC 7010

Arrhythmia / Atrial Fibrillation

Arrhythmias including atrial fibrillation are rated under 38 CFR § 4.104, Diagnostic Code 7010. The rating is based on frequency and severity of episodes, requirement for continuous medication, and cardiac function.

VA Rating Levels

10%

Paroxysmal (episodic) arrhythmia, well-controlled with medication; minimal cardiac impairment.

30%

Permanent arrhythmia with moderate cardiac symptoms; requires continuous medication for control.

60%

Workload of 3–5 METs causes dyspnea, fatigue, palpitations, or syncope, or; left ventricular dysfunction due to arrhythmia.

100%

Chronic ventricular arrhythmia with defibrillator implant or severe failure — rated as a single episode of heart failure or equivalent.

Exam Tips & Key Evidence

→AFib is commonly secondary to hypertension, sleep apnea, or coronary artery disease
→Document any syncope (fainting), hospitalizations, or cardioversions
→Holter monitor or event recorder results are valuable evidence

Commonly Related Conditions

Hypertension (High Blood Pressure)Sleep Apnea Coronary Artery Disease / Ischemic Heart Disease

38 CFR Reference

38 CFR § 4.104, Diagnostic Code 7010