Hypertensive Heart Disease
Hypertensive heart disease is rated under DC 7007 using the basic heart condition METs schedule. This condition develops when high blood pressure puts extra strain on the heart over time. It is one of the basic heart conditions, so only one evaluation is allowed across all basic heart diagnoses. However, you can receive a separate rating for hypertension (DC 7101) in addition to this one.
VA Rating Levels
Workload of 7.1 to 10.0 METs causes symptoms like shortness of breath, fatigue, chest pain, dizziness, or fainting. Or continuous medication is required.
Workload of 5.1 to 7.0 METs causes symptoms. Or there is evidence of cardiac hypertrophy or dilation on EKG, echocardiogram, or X-ray.
Workload of 3.1 to 5.0 METs causes symptoms.
Workload of 3.0 METs or less causes symptoms, or there is chronic congestive heart failure.
Exam Tips & Key Evidence
- →Unlike most basic heart conditions, you can get a separate rating for hypertension alongside hypertensive heart disease. Make sure both are claimed if they apply to you.
- →This condition is commonly secondary to long-standing high blood pressure. If your hypertension has been service-connected, this may be a strong secondary claim.
- →The METs test is the main way this gets evaluated. Be honest about your limitations during testing, and describe how everyday activities like climbing stairs or carrying groceries affect you.
- →Only one evaluation is allowed for all basic heart conditions. If you also have CAD or valve disease, the VA will assign whichever rating is most favorable.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.104, DC 7007