{"data":{"id":"us/38-cfr-4.100","jurisdiction":"us","citation":"38 CFR 4.100","heading":"Application of the general rating formula for diseases of the heart.","body":"(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.\n(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:\n(1) When there is a medical contraindication.\n(2) When a 100% evaluation can be assigned on another basis.","path":["Title 38—Pensions, Bonuses, and Veterans' Relief","CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS","PART 4—SCHEDULE FOR RATING DISABILITIES","Subpart B—Disability Ratings"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-38.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:25:50Z","sha256":"338e1d970fa950ef04c2706d2ca4d6bb7aaed619e6e17fc32a80234e67e1f53d","source_id":"us-cfr","stale":true,"prev":"us/38-cfr-4.97","next":"us/38-cfr-4.101-4.103"},"notice":"GroundRules: Original legal text. Not legal advice."}