Is a METS test required to receive benefits for ischemic heart disease?

Many veterans suffer from service-related ischemic heart disease. Some civilians may also struggle with this condition. Symptoms that include recurring chest pain, tightness and pressure in the chest, and shortness of breath may be so severe that a person can no longer function in the way he’s used to; make it difficult to live a normal life; or are debilitating enough to make it impossible for someone to work.

Financial assistance may be available through the United States Department of Veterans Affairs (VA) or the Social Security Administration (SSA). The VA and the SSA recognize ischemic heart disease, also called coronary heart disease and coronary artery disease, in their disability listings. If you’re a veteran and can prove that your heart problems are related to the work you did in the military, you may qualify for VA benefits. If you’re a civilian and your symptoms meet the Blue Book requirements, you may be eligible for Social Security (SS) disability. However, unless you meet certain requirements, you first need a metabolic equivalents of task, or METS test, to determine the nature of your condition.

The process to file for disability can be lengthy and complicated, and the METS test results are critical to your report. It’s helpful to have an experienced disability attorney working with you on your claim. man doing METS test

What Is a METS Test?

The METS evaluation is also called a stress test. During this test, a patient exercises—often on a treadmill or an exercise bike—and medical professionals determine if the coronary arteries that move blood to and from the heart are blocked by plaques or fatty deposits. Doctors look for 70 percent or more blockage. The METS test also assesses how well your heart is functioning and getting oxygen. If you become tired or dizzy while performing this exercise, the VA will likely give you a higher rating. Generally, it takes additional testing to confirm that you have ischemic heart disease and to determine the severity of the condition.

Why People Need a METS Test to Receive Disability

Typically, both veterans and civilians are required to take a METS test as a way of providing medical evidence of their condition. Here is a brief look at the requirements for each:

Disability for Veterans

On the VA ischemic heart disease disability benefits questionnaire, there's a specific section for the doctor to provide the results of a METS test. If, under certain circumstances, this test is not performed, the doctor must still provide information that shows your level of activity as it relates to this test. For example, you’ll tell your doctor if you experience dizziness, fatigue, angina, labored breathing, or syncope while performing certain activities. Then, your doctor checks the METS box that indicates a level consistent with your abilities. If he checks the 1–3 METS box, this shows that you may show symptoms while eating, dressing, showering, or taking a slow walk.

It’s important that your doctor schedule a METS test if you have any type of heart condition, including ischemic heart disease. Because this test checks for how much oxygen the body uses as exercise tasks increase in difficulty, it’s used as an indicator of how well your heart is working. There are only special cases when a METS test is not required; thus, it’s essential that your doctor order this test for your VA disability claim.

Social Security Disability for Civilians

To qualify for SS disability if you have ischemic heart disease, you must meet the requirements defined by the SSA or prove that your heart condition has negatively impacted your ability to work or perform activities that require you to exert yourself. One of the SS requirements is that your stress test show abnormal results, approximately 5 METS or less.

We Can Help

If you’re a veteran diagnosed with ischemic heart disease and want to apply for VA disability, or you’re a civilian who needs SS disability, contact Cuddigan Law at 402-933-5405. We’ll schedule an appointment to discuss your eligibility for benefits and how to ensure that your doctor provides the necessary data from your METS test.