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Class 4 Impairment of the Whole Person, 55—95% The patient is symptomatic during ordinary daily activities despite the appropriate use of dietary adjustment and drugs, and there is evidence of abnormal ventricular function from physical examination or laboratory studies; or There are persistent signs of congestive heart failure despite the use of dietary adjustment and drugs; or The patient has recovered from surgery for the treatment of hypertrophic cardiomyopathy and meets the above criteria.

PERICARDIAL HEART DISEASE It is important to allow adequate time for resolution of an acute illness, and for medical or surgical therapy to be effective before assessing permanent impairment.

Impairment Classification for Pericardial Disease

Class 1-lmpairment of the Whole Person, 0—14%The patient has no symptoms in the performance of ordinary daily activities or moderately heavy physical exertion but does have evidence from either physical examination or laboratory studies of pericardial heart disease; and

Continuous treatment is not required, and there are no signs of cardiac enlargement or of congestion of lungs or other organs; or In the patient who has had surgical removal of the pencardium, there are no adverse consequences of the surgical removal and the patient meets the criteria above.

Class 2 Impairment of the Whole Person, 15—29% The patient has no symptoms in the performance of ordinary daily activities but does have evidence from either physical examination or laboratory studies of pencardial heart disease; but Moderate dietary adjustment or drugs are required to keep the patient free from symptoms and signs of congestive heart failure; or The patient has signs or laboratory evidence of cardiac chamber hypertrophy or dilation; or

The patient has recovered from surgery to remove the pericardium and meets the criteria above.

 
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