What secondary conditions are linked to Coronary Artery Disease?

Common secondary conditions for Coronary Artery Disease include Heart Failure, Myocardial Infarction, Cardiac Arrhythmias, Major Depressive Disorder, Anxiety Disorder. Secondary service connection is established under 38 C.F.R. 3.310 when a condition is caused or aggravated by an already service-connected disability.

What happens during a C&P exam for Coronary Artery Disease?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Coronary Artery Disease

Q: What are the VA rating percentages for Coronary Artery Disease?

Coronary Artery Disease (DC 7005) is rated at 10%, 30%, 60%, 100% under 38 CFR § 4.104, DC 7005. Workload of greater than 7 METs but not greater than 10 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous medication required.

Q: What rates 10% for Coronary Artery Disease under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 10% rating for Coronary Artery Disease requires: Workload of greater than 7 METs but not greater than 10 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous medication required.

Q: What rates 30% for Coronary Artery Disease under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 30% rating for Coronary Artery Disease requires: Workload of greater than 5 METs but not greater than 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of cardiac hypertrophy or dilatation on electrocardiogram, echocardiogram, or X-ray.

Q: What rates 60% for Coronary Artery Disease under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 60% rating for Coronary Artery Disease requires: More than one episode of acute congestive heart failure in the past year, or; workload of greater than 3 METs but not greater than 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of 30 to 50 percent.

Q: What rates 100% for Coronary Artery Disease under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 100% rating for Coronary Artery Disease requires: Chronic congestive heart failure, or; workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of less than 30 percent.

Q: What evidence do I need for a Coronary Artery Disease VA claim?

Key evidence for a Coronary Artery Disease claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 700538 C.F.R. § 4.104

Diagnostic Code

DC 7005

38 C.F.R. § 4.104

Rating Range

10–100%

4 severity tiers

Source

Verified

38 C.F.R. § 4.104

Coronary Artery Disease is rated by the U.S. Department of Veterans Affairs under DC 7005 of 38 CFR § 4.104, DC 7005 across 4 severity tiers (10% / 30% / 60% / 100%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303. This condition is frequently rated as secondary to Heart Failure or Myocardial Infarction under 38 C.F.R. § 3.310.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Narrowing or blockage of the coronary arteries due to atherosclerotic plaque, reducing blood flow to the heart muscle

Rating Criteria

10%

Workload of greater than 7 METs but not greater than 10 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous medication required.

30%

Workload of greater than 5 METs but not greater than 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of cardiac hypertrophy or dilatation on electrocardiogram, echocardiogram, or X-ray.

60%

More than one episode of acute congestive heart failure in the past year, or; workload of greater than 3 METs but not greater than 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of 30 to 50 percent.

100%

Chronic congestive heart failure, or; workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of less than 30 percent.

03Key Evidence

—Service treatment records showing injury or complaints

—Imaging (X-ray, MRI, CT)

—Range of motion measurements

—Flare-up documentation per Sharp v. Shulkin

—Buddy statements describing limitations

—Prescription history

—Physical therapy records

—Employment impact documentation

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

05Secondary Conditions

Heart FailureMODERATE

Reduced blood supply weakens heart muscle

Myocardial InfarctionMODERATE

Blocked coronary arteries cause heart attacks

Cardiac ArrhythmiasMODERATE

Ischemia disrupts heart electrical system

Major Depressive DisorderMODERATE

Cardiac disease commonly causes depression

Anxiety DisorderMODERATE

Fear of cardiac events causes chronic anxiety

Erectile DysfunctionMODERATE

Vascular disease affects blood flow; medications contribute

Chronic FatigueMODERATE

Reduced cardiac output causes persistent fatigue

ArrhythmiaMODERATE

Ischemia affects electrical conduction

DepressionMODERATE

Chronic illness and mortality awareness

AnxietyMODERATE

Fear of cardiac events

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.104 (Cardiovascular system). Source verified 2026-05-15 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.104 on eCFR →Cornell Law mirror →Editorial Standards →Suggest a correction →

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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