Hypertension and Veterans Disability

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Leah Bucholz
Leah Bucholz, PA-C, is an NCCPA board-certified physician assistant and the founder and CEO of Prestige Veteran Medical Consulting. She served 20 years in the U.S. Army as a medic and physician assistant, deployed to Iraq, and retired as a Major. From 2018 to 2019 she was a VA Compensation & Pension examiner in Boerne, Texas. She is lead author of the independent medical opinion chapter in the U.S. Army Physician Assistant Handbook (2nd ed., 2021) and hosts The Veterans Disability Nexus podcast. Her articles cite primary sources, including 38 CFR, VA.gov and the Federal Register.
Hypertension and Veterans Disability

At Prestige Veteran Medical Consulting, our blogs are written and reviewed by licensed medical professionals or military veterans with direct experience in the VA claims process. Our team has served as healthcare providers, combat veterans, and former VA examiners — giving us unique insight into both the medical and regulatory side of benefits. Every article is designed to provide accurate, trustworthy, and practical guidance so that veterans and their families can make informed decisions with confidence.

Leah Bucholz sheds light on the intricacies of high blood pressure or hypertension and veterans disability. She explains what hypertension is along with its potential connections to military service.


Understanding Hypertension

Hypertension occurs when blood pressure surpasses standard guidelines. The Joint National Committee (JNC) guidelines, provide benchmarks for pre-hypertension, stage one hypertension, and stage two. The numerical values correspond to systolic and diastolic blood pressure readings.

  • Systolic Hypertension: This occurs when the heart pumps blood under higher pressure, leading to an elevated top number.
  • Diastolic Hypertension: This is associated with the heart at rest, filling with blood, and the blood vessels being at rest, resulting in a lower bottom number.

Service Connection for Hypertension

Direct Service Connection

Developing hypertension during active duty, especially if diagnosed within a year to a compensable degree, can facilitate service connection. In 2023, Hypertension was added to the presumptive list for Vietnam veterans exposed to Agent Orange.

Secondary Service Connections

There are secondary service connections with conditions like sleep apnea, chronic kidney disease, obesity, orthopedic ailments, NSAID use, and stress that can be related to or aggravate hypertension. These connections create a multifactorial perspective, considering various factors contributing to hypertension.

Ratings for Hypertension

VA’s Schedule for Ratings

Leah directs Veterans to the VA’s Schedule for Ratings, specifically the Cardiovascular System section. Ratings are based on blood pressure readings, with different percentages allocated for varying levels of severity.

Disability Benefits Questionnaire (DBQ)

Leah introduces the Disability Benefits Questionnaire (DBQ), a crucial form filled out during a Compensation and Pension (C&P) exam. There are sections where information about diagnosis, related conditions, history, medications, blood pressure readings, complications, and impact on work is recorded. This form serves as a vital tool in establishing the service connection for hypertension.

Looking Beyond Hypertension

There are also other health issues that can stem from hypertension, such as erectile dysfunction and aortic aneurysms. Veterans should seek for assistance from experts like their treating clinicians or expert medical opinion companies like Prestige Veteran Medical Consulting.

Conclusion

Navigating the complexities of hypertension in the context of Veterans Disability requires a comprehensive understanding of the condition and its potential connections to military service. Leah Bucholz’s insights provide valuable insight for Veterans seeking service connection for hypertension, enabling them to make informed decisions during the disability claims process.

Also read: Presumptive Conditions and Veterans Disability

At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.

Our purpose is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.

Understanding the unique challenges veterans face, our commitment lies in delivering exceptional service and support.

Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.

Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.

Picture of Alan Bucholz, PA-C
Alan Bucholz, PA-C

Board-Certified Physician Assistant | U.S. Army Combat Veteran | Co-founder & CFO, Prestige Veteran Medical Consulting

This article was medically reviewed and fact checked by Alan Bucholz, PA-C, a board-certified Physician Assistant and retired U.S. Army combat veteran with experience in emergency medicine and two combat deployments (Iraq & Afghanistan). As Co-founder of Prestige Veteran Medical Consulting, Alan provides evidence-based medical opinions to support veterans’ VA disability claims with accuracy, compliance, and ethics.

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