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7002
§ 4.104 Schedule of ratings—cardiovascular system.

Pericarditis (heart sac inflammation)

Inflammation of the protective sac surrounding the heart that may cause chest pain.

What the rating means

Pericarditis is rated under Diagnostic Code 7002. During the period of active infection with cardiac involvement, and for three months after treatment ends, VA assigns a 100% rating. After that period, the rating continues only if your diagnosis is confirmed by findings on physical examination together with an echocardiogram, Doppler echocardiogram, or cardiac catheterization. Once that confirmation requirement is met, VA rates pericarditis using the General Rating Formula for Diseases of the Heart.

Under that formula, the rating depends on the workload level, measured in METs, at which heart failure symptoms appear. Symptoms at or below 3.0 METs result in a 100% rating. Symptoms at 3.1 to 5.0 METs result in a 60% rating. Symptoms at 5.1 to 7.0 METs, or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent imaging, result in a 30% rating. Symptoms at 7.1 to 10.0 METs, or a need for continuous medication to control the condition, result in a 10% rating. Heart failure symptoms under this formula include breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, and syncope, among others.

Evidence that helps

During the active-infection phase, medical records documenting the active pericarditis infection and cardiac involvement — such as hospital or clinic notes, lab results, and treatment records — support the 100% rating. Records showing the date treatment ended help establish the three-month post-treatment window.

After that window closes, physical examination findings combined with an echocardiogram, Doppler echocardiogram, or cardiac catheterization report are needed to confirm the diagnosis and keep the rating active. Exercise stress test results that report the MET level at which breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope appear are central to placing you in the correct rating tier. If exercise testing cannot be done for medical reasons, a medical examiner can estimate your MET level based on specific activities you can and cannot perform.

For the 30% level, imaging such as an echocardiogram, multigated acquisition scan, or MRI showing cardiac hypertrophy or dilatation can independently support that rating even without a MET finding. For the 10% level, prescription records and physician notes confirming that continuous medication is required to control your condition are relevant. Statements from you or people who know you describing how symptoms limit your physical activity at work and at home can also help show where your functional limits fall.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.