The Board has decided that the effective date for service connection of coronary artery disease should be earlier than November 18, 2010 and remanded to obtain a medical opinion regarding when the Veteran's ischemic heart disease was first manifest.
The deciding factor: Special rules apply in determining the effective date for service connection for IHD due to the Veteran’s exposure to herbicide agents while serving in the Republic of Vietnam.
- Claimed conditions
- coronary artery disease (CAD), ischemic heart disease
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Burn pits / airborne hazards
- Rating assigned
- None in this decision
- Decision date
- October 16, 2019
- Citation
- 19179055
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.
- Denied
The Board denied the veteran's claims for increased ratings for left foot bursitis and coronary artery disease, as well as special monthly compensation based on housebound status.
- 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.
- Partly granted
The Board granted restoration of a 60 percent rating for coronary artery disease (CAD) effective June 1, 2021, and increased ratings for mid-sternum scar, left lower extremity (LLE) scar, and migraines to 10%, 20%, and 50% respectively, all effective October 26, 2020.
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