What can I claim secondary to ischaemic heart disease?
4 conditions in the Repatriation Medical Authority's Statements of Principles list ischaemic heart disease as a factor. If DVA has accepted your ischaemic heart disease, each of these has a documented pathway to a further claim.
At a glance
- Accepted conditionIschaemic heart disease
- Conditions it may open4
- SourceRMA SoPs
- Chart Review$600 + GST
How a secondary claim works
Some Statement of Principles factors are not about service at all — they name another condition. Where DVA has already accepted your ischaemic heart disease, and another condition's SoP lists ischaemic heart disease as a factor, that part of the next claim is already established on your file. How a secondary claim works, in full →
Conditions that list ischaemic heart disease as a factor
Quoted from the instrument. A pathway existing is not the same as a claim succeeding — each factor carries thresholds your record has to satisfy.
Atrial fibrillation and atrial flutter
RH No. 1 of 2023 · BoP No. 2 of 2023
Reasonable Hypothesis — factor (2): “having ischaemic heart disease at the time of the clinical onset of atrial fibrillation or atrial flutter” [clinical onset] — factor (46): “having ischaemic heart disease at the time of the clinical worsening of atrial fibrillation or atrial flutter” [worsening]
Balance of Probabilities — factor (2): “having ischaemic heart disease at the time of the clinical onset of atrial fibrillation or atrial flutter” [clinical onset] — factor (39): “having ischaemic heart disease at the time of the clinical worsening of atrial fibrillation or atrial flutter” [worsening]
Heart block
RH No. 23 of 2022 · BoP No. 24 of 2022
Reasonable Hypothesis — factor (1): “having ischaemic heart disease at the time of the clinical onset of heart block” [clinical onset] — factor (34): “having ischaemic heart disease at the time of the clinical worsening of heart block” [worsening]
Balance of Probabilities — factor (1): “having ischaemic heart disease at the time of the clinical onset of heart block” [clinical onset] — factor (28): “having ischaemic heart disease at the time of the clinical worsening of heart block” [worsening]
Sick sinus syndrome
RH No. 66 of 2022 · BoP No. 67 of 2022
Reasonable Hypothesis — factor (3): “having ischaemic heart disease at the time of the clinical onset of sick sinus syndrome” [clinical onset] — factor (28): “having ischaemic heart disease at the time of the clinical worsening of sick sinus syndrome” [worsening]
Balance of Probabilities — factor (3): “having ischaemic heart disease at the time of the clinical onset of sick sinus syndrome” [clinical onset] — factor (21): “having ischaemic heart disease at the time of the clinical worsening of sick sinus syndrome” [worsening]
Vascular neurocognitive disorder
RH No. 9 of 2023 · BoP No. 10 of 2023
Reasonable Hypothesis — factor (7): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical onset of vascular neurocognitive disorder” [clinical onset] — factor (26): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical worsening of vascular neurocognitive disorder” [worsening]
Balance of Probabilities — factor (5): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical onset of vascular neurocognitive disorder” [clinical onset] — factor (18): “having carotid artery disease, ischaemic heart disease or heart failure before the clinical worsening of vascular neurocognitive disorder” [worsening]
Other accepted conditions that also open atrial fibrillation and atrial flutter
If any of these is also on your file, it reaches some of the same conditions ischaemic heart disease does.
What DVA means by ischaemic heart disease
A claim is tested against the definition first. If the diagnosis on your file does not meet this wording, the factors below never get reached — so it is worth checking that what your doctor wrote matches what the instrument requires.
Ischaemic heart disease, for the purposes of the Statement of Principles, for the purposes of this Statement of Principles, ischaemic heart disease: (a) means a cardiac disease in which inadequate coronary blood supply to part of the heart leads to infarction or periodic ischaemia; (b) includes: (i) myocardial infarction (ST elevation myocardial infarction (STEMI), and non-ST elevation myocardial infarction NSTEMI)); (ii) angina pectoris (including unstable angina and Prinzmetal angina); (iii) ischaemic cardiomyopathy; and (iv) acute coronary syndrome (including STEMI, NSTEMI, and unstable angina); and (c) excludes: (i) coronary artery disease without ischaemia; (ii) myocardial infarction due to generalised hypoxia, vascular shock, or cardiac arrest;
RH No. 27 of 2025 · BoP No. 28 of 2025 · 44 factors
What could support a claim for ischaemic heart disease?
The Statement of Principles for ischaemic heart disease names 11 other conditions among its own factors. If any of these is already accepted on your file, it may be the factor that carries a ischaemic heart disease claim — quoted here from the instrument.
Hypertension
Reasonable Hypothesis — factor (1): “having hypertension before clinical onset or clinical worsening” [onset and worsening]
Balance of Probabilities — factor (1): “having hypertension before clinical onset or clinical worsening” [onset and worsening]
Diabetes mellitus
Reasonable Hypothesis — factor (2): “having diabetes mellitus before clinical onset or clinical worsening” [onset and worsening]
Balance of Probabilities — factor (2): “having diabetes mellitus before clinical onset or clinical worsening” [onset and worsening]
Hypothyroidism
Reasonable Hypothesis — factor (15): “having hypothyroidism for at least 2 years within the 10 years before clinical onset or clinical worsening” [onset and worsening]
Hashimoto thyroiditis
Reasonable Hypothesis — factor (16): “having Hashimoto thyroiditis for at least 2 years within the 10 years before clinical onset or clinical worsening” [onset and worsening]
Balance of Probabilities — factor (11): “having Hashimoto thyroiditis for at least 2 years within the 10 years before clinical onset or clinical worsening” [onset and worsening]
Microscopic polyangiitis
Reasonable Hypothesis — factor (23): “having one of the following vasculitides at the time of clinical onset or clinical worsening: (a) antineutrophilic cytoplasmic antibody (ANCA) associated vasculitis; (b) Behcet disease; (c) eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome); (d) giant cell (temporal) arteritis; (e) granulomatosis with polyangiitis (Wegener granulomatosis); (f) IgA vasculitis (Henoch-Schönlein purpura); (g) microscopic polyangiitis; (h) mucocutaneous lymph node syndrome (Kawasaki disease); (i) non-specific autoimmune vasculitis; (j) polyarteritis nodosa; (k) Takayasu arteritis” [onset and worsening]
Balance of Probabilities — factor (16): “having one of the following vasculitides at the time of clinical onset or clinical worsening: (a) antineutrophilic cytoplasmic antibody (ANCA) associated vasculitis; (b) Behcet disease; (c) eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome); (d) giant cell (temporal) arteritis; (e) granulomatosis with polyangiitis (Wegener granulomatosis); (f) IgA vasculitis (Henoch-Schönlein purpura); (g) microscopic polyangiitis; (h) mucocutaneous lymph node syndrome (Kawasaki disease); (i) non-specific autoimmune vasculitis; (j) polyarteritis nodosa; (k) Takayasu arteritis” [onset and worsening]
Thromboangiitis obliterans
Reasonable Hypothesis — factor (24): “having thromboangiitis obliterans (Buerger disease) before the clinical onset of myocardial infarction” [clinical onset]
Systemic lupus erythematosus
Reasonable Hypothesis — factor (25): “having one of the following systemic inflammatory rheumatological diseases at the time of clinical onset or clinical worsening: (a) ankylosing spondylitis; (b) dermatomyositis; (c) inflammatory bowel disease; (d) polymyositis; (e) psoriasis; (f) psoriatic arthritis; (g) rheumatoid arthritis; (h) Sjögren syndrome; (i) systemic lupus erythematosus; (j) systemic sclerosis” [onset and worsening]
Balance of Probabilities — factor (17): “having one of the following systemic inflammatory rheumatological diseases at the time of clinical onset or clinical worsening: (a) dermatomyositis; (b) polymyositis; (c) psoriasis; (d) psoriatic arthritis; (e) rheumatoid arthritis; (f) Sjögren syndrome; (g) systemic lupus erythematosus; (h) systemic sclerosis” [onset and worsening]
Posttraumatic stress disorder
Reasonable Hypothesis — factor (27): “having one of following clinically significant disorders of mental health for at least the 5 years before clinical onset or clinical worsening; (a) adjustment disorder; (b) agoraphobia; (c) anxiety disorder; (d) depressive disorder; (e) panic disorder; (f) posttraumatic stress disorder; (g) schizophrenia; or (h) social anxiety disorder” [onset and worsening]
Balance of Probabilities — factor (19): “having one of following clinically significant disorders of mental health for at least the 5 years before clinical onset or clinical worsening; (a) adjustment disorder; (b) agoraphobia; (c) anxiety disorder; (d) depressive disorder; (e) panic disorder; (f) posttraumatic stress disorder; (g) schizophrenia; or (h) social anxiety disorder” [onset and worsening]
Sleep apnoea
Reasonable Hypothesis — factor (39): “having sleep apnoea for at least the 1 year before clinical onset or clinical worsening” [onset and worsening]
Periodontitis
Reasonable Hypothesis — factor (43): “having periodontitis for at least the 5 years before clinical onset or clinical worsening” [onset and worsening]
Influenza
Reasonable Hypothesis — factor (57): “having influenza or a lower respiratory tract infection within the 30 days before the clinical onset or the clinical worsening of acute coronary syndrome (including myocardial infarction) or sudden death from ischaemic heart disease” [onset and worsening]
Balance of Probabilities — factor (40): “having influenza or a lower respiratory tract infection within the 30 days before the clinical onset or the clinical worsening of acute coronary syndrome (including myocardial infarction) or sudden death from ischaemic heart disease” [onset and worsening]
Reviewed by Dr Thomas Perkins
Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →
Ischaemic heart disease accepted?
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