The Veteran's initial and increased ratings for coronary artery disease (CAD) are denied as the evidence does not show more than one episode of acute congestive heart failure, a workload greater than 3 METs but not greater than 5 METs resulting in dyspnea, fatigue, angina, dizziness, or syncope, or left ventricular dysfunction with an ejection fraction of 30 to 50 percent.,The Veteran's increased rating for CAD beginning March 30, 2011 is denied as the evidence does not show chronic congestive heart failure, a workload of less than 3 METs resulting in dyspnea, fatigue, angina, dizziness, or syncope, or left ventricular dysfunction with an ejection fraction of less than 30 percent.,The Veteran's initial and increased ratings for diabetes mellitus type II are denied as the evidence does not show regulation of activities, required daily insulin use, or hospitalizations during the period at issue.,The Veteran's initial and increased ratings for peripheral neuropathy in the right lower extremity are denied as the evidence does not show moderate, incomplete paralysis.,The Veteran's initial and increased ratings for peripheral neuropathy in the left lower extremity are denied as the evidence does not show moderate, incomplete paralysis.
The deciding factor: The preponderance of the evidence shows that the Veteran’s heart disability did not meet the criteria for a higher rating prior to March 30, 2011 and from March 30, 2011 onwards, his workload performance was consistently above 5 METs without experiencing relevant symptoms such as fatigue or dyspnea.
- Claimed conditions
- coronary artery disease, diabetes mellitus, type II, peripheral neuropathy in the right lower extremity, peripheral neuropathy in the left lower extremity
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- October 5, 2018
- Citation
- 18140673
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 18140673.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Denied
The Board denied the Veteran's claim for an initial evaluation in excess of 10 percent for his service-connected coronary artery disease, finding that the evidence did not support a higher rating based on the severity of his condition.
- Whole decision: Dismissed
The Veteran withdrew his appeal regarding the claims for sleep apnea and an increased disability rating for diabetes mellitus, type II.
- Whole decision: Remanded (sent back)
The Veteran's claim for an increased rating for coronary artery disease is being remanded due to the inadequacy of a previous VA examination.
- Whole decision: Granted
The Board has granted service connection for diabetes mellitus, type II, as secondary to the Veteran's service-connected PTSD. The decision finds that the Veteran's diabetes mellitus, type II is proximately due to his service-connected PTSD.
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