The Board denied service connection for residuals of rheumatic fever, finding no evidence of current disability related to service. The claim was reopened and the Veteran's ischemic heart disease claim is remanded due to insufficient medical opinion regarding potential jet fuel exposure.,Service connection for ischemic heart disease remains pending as a new theory of causation (jet fuel exposure) requires further examination.
The deciding factor: The evidence does not provide sufficient competent medical opinion on the etiology of the Veteran's ischemic heart disease, particularly in relation to potential jet fuel exposure.
- Claimed conditions
- residuals of rheumatic fever, ischemic heart disease
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 18, 2019
- Citation
- 19129901
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Partly granted
The Board grants service connection for tinnitus, finding that the Veteran's tinnitus began during his period of active duty service. The claims for ischemic heart disease, aortic valve replacement, status post aortic stenosis, and peripheral vascular disease with popliteal aneurysm are remanded.
- Remanded (sent back)
The Board remands the case to obtain a new medical opinion regarding the Veteran's ischemic heart disease, as the previous opinions were found inadequate.
- Remanded (sent back)
The Board remands the claim for service connection of a heart condition, to include ischemic heart disease and/or cardiomyopathy due to cardiac amyloidosis, for further development.
- Partly granted
The Board granted an initial 30 percent rating for the Veteran's service-connected cardiovascular disability, but denied a higher rating from December 15, 2022, through September 14, 2025.
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