Is postural orthostatic tachycardia syndrome ratable?

M

Munashiimaru

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
My sinus tachycardia was apparently not ratable. I had a tilt table test today and believe I met the criteria for POTS (heart rate went from 90s to 120s and became light headed) although the tech would only say a physician would make the determination. I've seen people here rated for sinus tachycardia and heard of people med boarded for POTS, but I can't seem to find information on it in the vasrd.

I already have a separation date, but I'm planning on bringing some things up to the VA once I'm out to try to get to 100% (from 90) since I don't think in my current state I can actually hold a job.
 
Yes, it is ratable.
 
Do you know off hand where in the vasrd is it (or under what condition is it counted as)?
 
There are two conditions that you discuss- they are not the same and would not be rated the same.

A quick look says that the sinus tachycardia would likely be rated under DC 7010 Supraventricular arrhythmias. The POTS would depend, in part, on the symptoms. If it were syncope, it would likely be rated by analogy to petit mal epilepsy.
 
Thanks for the info. It's more the exercise intolerance / cycles of crushing fatigue that gets me with POTS.
 
Jason Perry said:
There are two conditions that you discuss- they are not the same and would not be rated the same.

A quick look says that the sinus tachycardia would likely be rated under DC 7010 Supraventricular arrhythmias. The POTS would depend, in part, on the symptoms. If it were syncope, it would likely be rated by analogy to petit mal epilepsy.
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Jason,

I have been denied SC for SVT twice now by VA, and confused as to why. The first denial said the episodes were "intermittent". The second said "not incurred in or aggravated by Active Duty." While I was on Active Duty I had two trips to the ER for racing heart rate, heart holter results (attached), and my civilian PCM's records from Active duty stating SVT on average of 2 x per week. My current VA PCM says I have SVT, in an e-mail to me June 2013, and he prescribed a beta blocker that I am currently on for SVT. The only thing I see in 7010 is you need four or more episodes in a year. My Holter results for 24 hours showed:

Supraventricular Events:
Isolateds: 58
Couplets: 56
Runs: 16
-Longest: 26 beats, 100 bpm
-Fastest: 3 beats, 250 bpm
-Slowest: 6 beats, 87 bpm

Ventricular Events:
Isolateds: 5
Couplets: 0
Runs: 0

Holter Summary:
Ventricular Ectopics: 5 (<1%)
Supraventricular Ectopics: 336 (<1%)

Should I be granted service connection for SVT based on these Holter results, and if so, at what rate should I be fighting for compensation at?

Nate
 

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Sounds clear that you should be granted Service Connection. As far as rating, this is more difficult. Your condition back in 2007 may or may not be probative of current rating. Seems to me you would need a current exam to establish current rating. However, you may be eligible for "staged" rating, i.e., a determination of ratings over time (assuming current rating is not most appropriate).
 
I was rated for POTS. They gave me 30% and it was considered an unfitting condition. I haven't received my letter from the VA telling me what diagnostic code it was rated under though. Initially they just gave me 10% for the POTS and called it arrhythmia, but when I went down to the PEB for the hearing they sent it back to the VA to be rerated. Apparently my MEB doctors didn't send down most of medical records pertaining to it. I have other conditions like migraines, IBS, etc. that are related to the POTS and they were all rated separately.
 
DV26 said:
I was rated for POTS. They gave me 30% and it was considered an unfitting condition. I haven't received my letter from the VA telling me what diagnostic code it was rated under though. Initially they just gave me 10% for the POTS and called it arrhythmia, but when I went down to the PEB for the hearing they sent it back to the VA to be rerated. Apparently my MEB doctors didn't send down most of medical records pertaining to it. I have other conditions like migraines, IBS, etc. that are related to the POTS and they were all rated separately.
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I just got a physically disqualified letter from the USAFR. This year marks 15 years of service between active duty and reserves. My POTS was discovered when I passed out during a PT test and was sent to the doctors for evaluation. In my letter they make no mention of disability or medical retirement. What would be my next steps I need to take?
 
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