The Veteran's cause of death is listed as 'natural causes' on his death certificate, but the Board notes that this may not be a proper cause of death. The appellant contends that the emergency department records indicate the Veteran died from a heart attack and therefore should be presumptively service connected due to exposure to Agent Orange in service.
The deciding factor: The Board requires an addendum medical opinion regarding the cause of the Veteran's death, specifically whether 'cardiopulmonary arrest' reflects ischemic heart disease (to include acute, subacute, and old myocardial infarction; atherosclerotic cardiovascular disease including coronary artery disease (including coronary spasm) and coronary bypass surgery; and stable, unstable and Prinzmetal’s angina).
- Claimed conditions
- Ischemic heart disease
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 10, 2019
- Citation
- 19170008
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. Look up the original decision on VA.gov (opens in a new tab) using citation 19170008.
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.
- Remanded (sent back)
The Veteran's claim for an initial rating of 30 percent prior to July 18, 2014, and a higher than 60 percent rating thereafter for ischemic heart disease is being remanded due to incomplete evidence. The examiner needs to provide more detailed information about the severity of his service-connected condition.
- Remanded (sent back)
The Board has remanded the Veteran's claims for an earlier effective date and increased rating for ischemic heart disease due to a failure by the AOJ to request SSA records, which were not available.
- Granted
The Board has granted service connection for ischemic heart disease and myocardial infarction, status post stent placement, as well as obstructive sleep apnea, finding that the Veteran's current conditions are related to his military service.
- Denied
The Board denied service connection for ischemic heart disease as there was no evidence of herbicide exposure and the Veteran's condition is not related to his military service.
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