The Board granted service connection for pacemaker implantation as secondary to the Veteran's service-connected coronary artery disease and awarded a 100 percent rating for coronary artery disease, rendering the issue of TDIU moot.
The deciding factor: The August 2025 medical opinion from the Veteran's treating physician established that the pacemaker implantation is proximately due to his service-connected coronary artery disease, meeting the criteria for secondary service connection. Additionally, the evidence showed a workload of 3.0 METs or less resulting in heart failure symptoms, warranting a 100 percent rating.
- Claimed conditions
- Pacemaker implantation, Coronary artery disease (ischemic heart disease)
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- November 21, 2025
- Citation
- A25101605
Veterans Law Judge
Decisions by this judge: 1,960 · Granted: 36% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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 A25101605.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board denied the Veteran's claims for service connection for bladder cancer, coronary artery disease (claimed as ischemic heart disease), and diabetes mellitus type II due to a lack of evidence linking these conditions to his military service or exposure to herbicide agents.
- Denied
The Veteran's service-connected heart disability, including aortic valvular stenosis and hypertension, was not rated higher than 30 percent. The appeal for hypertension was denied as it did not meet the criteria for service connection.
- Granted
The Veteran's cause of death is found to be related to his service-connected coronary artery disease, which was presumed due to herbicide exposure in Vietnam. Service connection for the cause of death is granted.
- Denied
The Board denied service connection for bradycardia with pacemaker implantation, finding no nexus to military service or service-connected conditions.
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