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7010
§ 4.104 Schedule of ratings—cardiovascular system.

Supraventricular tachycardia (rapid upper heart rhythm)

An abnormally fast heart rhythm originating in the upper chambers of the heart.

What the rating means

Supraventricular tachycardia (SVT) is rated under diagnostic code 7010 in VA's schedule of ratings for the cardiovascular system. The regulation requires that the condition be confirmed by an electrocardiogram (ECG) before any rating can apply. Two ratings are possible: 30% and 10%.

A 30% rating applies when you have five or more treatment interventions in a year. A 10% rating applies when you have one to four treatment interventions in a year, or when you continuously use oral medications to control the condition, or when you use vagal maneuvers to control it. For rating purposes, a treatment intervention is defined as an episode where a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, or ablation for symptom relief. The regulation lists examples of SVT that fall under this code, including atrial fibrillation, atrial flutter, sinus tachycardia, atrioventricular nodal reentrant tachycardia, and several others.

Evidence that helps

Because an ECG confirmation is required at every rating level, the most critical piece of evidence is a medical record showing an ECG that captured the arrhythmia. Records from a cardiologist, emergency department, or other treating provider that document the diagnosis and the specific type of SVT are important at any level.

For a 30% rating, medical records need to show five or more treatment interventions in a year. Each intervention should be documented, showing that you were symptomatic and received intravenous medication, cardioversion, or ablation. For a 10% rating based on intervention frequency, records should show one to four such interventions per year. For a 10% rating based on medication or vagal maneuvers, prescription records showing continuous oral medication use, or provider notes describing ongoing vagal maneuver use, would support that criterion.

Statements from you or others who know you describing how episodes affect your work or daily life can help show the ongoing nature and impact of your symptoms.

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.