---
kind: "section"
citation: "38 C.F.R. § 4.100"
title: "38"
number: "4.100"
heading: "Application of the general rating formula for diseases of the heart."
url: "https://uscodex.org/cfr/38/4.100"
---

# §4.100. Application of the general rating formula for diseases of the heart.

- (a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases.
- (b) Even if the requirement for a 10% (based on the need for continuous medication) or 30% (based on the presence of cardiac hypertrophy or dilatation) evaluation is met, METs testing is required in all cases except:
  - (1) **When there is a medical contraindication.**
  - (2) **When a 100% evaluation can be assigned on another basis.**

## Notes

### Amendments

[71 FR 52460, Sept. 6, 2006, as amended at 86 FR 54093, Sept. 30, 2021; 86 FR 67654, Nov. 29, 2021]

### Authority

Authority: 38 U.S.C. 1155, unless otherwise noted.

### Source

Source: 29 FR 6718, May 22, 1964, unless otherwise noted.

### Amendments

[71 FR 52460, Sept. 6, 2006, as amended at 86 FR 54093, Sept. 30, 2021; 86 FR 67654, Nov. 29, 2021]