Heart and blood pressure

Ischemic heart disease

Arteriosclerotic heart disease (coronary artery disease). Diagnostic Code 7005.

Veticare EducationUpdated October 2026Source: 38 CFR 4.104

Overview

Ischemic heart disease means reduced blood flow to the heart, most often from coronary artery disease. VA rates most heart conditions with one general formula based on workload (METs) and test findings.

How VA rates it

Diagnostic Code 7005 · 38 CFR 4.104

Here is a plain language summary of the rating levels in the regulation. Read the official text for the exact wording.

RatingSummary of the criteria
100%Heart failure symptoms at a workload of 3.0 METs or less.
60%Heart failure symptoms at 3.1 to 5.0 METs.
30%Heart failure symptoms at 5.1 to 7.0 METs, or evidence of cardiac hypertrophy or dilatation on imaging.
10%Heart failure symptoms at 7.1 to 10.0 METs, or continuous medication required for control.

Separate rules apply during and after a heart attack (DC 7006) and certain procedures.

Common secondary connections

These are conditions often discussed in connection with Ischemic heart disease. A secondary claim generally needs medical evidence that one condition caused or worsened another. This list is general education, not a suggestion about any claim.

  • Hypertension
  • Depression

Presumptive notes

VA lists ischemic heart disease as an Agent Orange presumptive condition. Read the full eligibility rules on VA.gov.

Evidence veterans generally gather

VA describes evidence types in its evidence guide. For this condition, veterans often collect:

  • Stress test or METs estimate
  • Echocardiogram results
  • Cardiology records
  • A current diagnosis from a medical provider
  • Service treatment records and personnel records
  • VA and private treatment records
  • Statements from you, family, or fellow service members (lay statements)
  • A Disability Benefits Questionnaire (DBQ) completed by a provider, if available

Official source

Rating levels: 38 CFR 4.104 on eCFR. Rules change; always confirm the current text.

Back to the conditions library

Education only. This page explains how VA publishes its rating rules in plain language. It is not advice about your claim, and it does not predict or promise any rating or outcome. Only VA decides ratings. Veticare is not a VA accredited representative and has no referral partnerships. For help with a claim, find free accredited help at the VA accreditation search.
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