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Impairment Classification for Coronary Heart Diesase (Cont.)
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or The patient has recovered from coronary artery surgery or angioplasty, continues to require treatment, and has the symptoms described above.
Class 4—Impairment of the Whole Person, 55—95%The patient has history of a myocardial infarction that is documented by appropriatelaboratory studies, or angina pectoris that has been documented by changes on a restingECG or radioisotope study that is highly suggestive of myocardial ischemia;orThe patient has either fixed or dynamic focal obstruction of at least 50% of one or more coronary arteries, demonstrated by angiography;andModerate dietary adjustments or drugs are required to prevent angina or to remain free of symptoms and signs of congestive heart failure, but the patient continues to develop symptoms of angina pectoris or congestive heart failure during ordinary daily activities (functional class 3 or 4), or there are signs or laboratory evidence of cardiac enlargement and abnormal ventricular function;orThe patient has recovered from coronary artery bypass surgery or angioplasty and continues to require treatment and have symptoms as described above.
CONGENITAL HEART DISEASE Impairment Classification for Congenital Heart Disease
Class 1-Impairment of the Whole Person, 0—14%The patient has evidence by physical examination or laboratory studies of congenital heart disease and has no symptoms in the performance of ordinary daily activities, or even upon moderately heavy physical exertion;andContinuous treatment is not required, although prophylactic antibiotics may the recommended after surgical procedures to reduce the risk of bacterial endocarditis; and the patient remains free of signs of congestive heart failure and cyanosis;andThere are no signs of cardiac chamber hypertrophy or dilation; the evidence of residual valvular stenosis or regurgitation is estimated to be mild; there is no evidence of left-to-right or right-to-left shunt; and the pulmonary vascular resistance is estimated to be normal;orIn the patient who has recovered from corrective heart surgery, all of the above criteria are met.
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