38 CFR § 4.100 - Application of the general rating formula for diseases of the heart.
§ 4.100 Application of the general rating formula for diseases of the heart.
(a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases.
(b) Even if the requirement for a 10% (based on the need for continuous medication) or 30% (based on the presence of cardiac hypertrophy or dilatation) evaluation is met, METs testing is required in all cases except:
(1) When there is a medical contraindication.
(2) When a 100% evaluation can be assigned on another basis.
(Authority: 38 U.S.C. 1155)