How to get a disability with coronary artery disease

Disability in IHD is established through a medical and social examination - it is carried out immediately after myocardial revascularization, as part of rehabilitation. Sometimes it is prescribed to patients who have had a myocardial infarction, and to those who have pronounced signs of coronary heart disease. Its main consequences are the restriction of labor activity, movement and even social interaction.

Indications for disability

Many clinicians often talk to patients about this possibility themselves—moreover, the group setting ensures the effectiveness of the treatment.

• unstable course of angina pectoris;
• complications after myocardial infarction, including serious disorders in the work of the heart;
• absolute inability of the heart to work without the inclusion of a pacemaker;
• the patient's employment in contraindicated activities.

After the commission makes a decision on the patient, the attending physician can decide what to do next.

As a rule, an individual rehabilitation program is established and, depending on age, the duration of the group. Even if the heart has been operated on, regardless of what method (resection, plastic aneurysm that developed after a heart attack, restenosis of the shunt that appeared due to heart failure), it is still possible to get disability with coronary artery disease.

Features of obtaining

Even having received a disability, one should not think that the patient will remain disabled. No - he will be prescribed medical therapy, as a result of which the question of removing this medical category from the patient may arise. As a rule, after receiving a certificate, it is necessary to pass the commission again 1-2 times a year, although in some cases the interval between the first and second examination can be 2 years.

• the effectiveness of the prescribed treatment;
• general health indicators;
• the nature of the course of the disease;
• frequency of crises;
• the presence of complications and the degree of their development;
• performance.

With coronary heart disease, disability may change if rehabilitation is successful. Indefinitely, it is prescribed only for the elderly and patients with irreversible anatomical defects.

Tests required for submitting an application

The minimum tests required to apply to the commission are as follows:

• clinical and biochemical blood tests (hemoglobin, prothrombin, fabrinogen, creatinine, cholesterol and sugar are determined);
• electrocardiogram of the heart (if necessary - daily);
• echocardiogram;
• bicycle ergometry, which reveals the degree of working capacity;
• electrophysiological study of the heart.

What do they pay attention to

There is no exact list of criteria for determining disability in patients with coronary artery disease - much depends on the individual experience of the patient.

• the severity of functional disorders of the cardiovascular system;
• the nature of the transferred myocardial infarction;
• stage of the disease;
• flow stability;
• the presence of complications (after surgery or treatment) and their severity;
• the effectiveness of various treatment options, both medical and surgical.

Disability is also affected by the extent to which the disease interferes with the patient's life and whether it significantly limits activity. As a rule, if a person is able to serve himself, there are no significant restrictions, therefore, it is not necessary to give, for example, the first group.

It is important to take into account that even the presence of one sign does not provide a positive response from the commission. Be sure to match several indicators.

If, in addition to the underlying disease, a concomitant develops, the likelihood of getting a disability increases. Postoperative rehabilitation requires separate measures, many of which are temporary, and in no way affect disability.

What makes disability

The patient is informed about the decision of the commission with the help of a certificate, which indicates both the group and the disease that led to disability. Most often they write "general disease", but, if there are appropriate studies and a documented diagnosis, the explanation can be supplemented.

• independent movement;
• performance;
• self-service.

If a pacemaker has been installed, there are almost no real restrictions, especially if the person himself is motivated to continue working. Only cardiophobic reactions and the presence of coronary / heart failure can become criteria for its limitation. There is only a slight decrease in functionality, which manifests itself in small daytime activities and an unpleasant reaction to sudden weather changes.

Health definition

With IHD, work is prohibited, including:

• high physical activity - regular or episodic (energy expenditure - no more than 4-5 kcal / min);
• nervous and mental stress;
• interaction with electromechanical installations, active charges and magnetic radiation;
• interaction with toxic substances, poisons (vascular and neurotropic), the inhalation of which can cause complications;
• interaction with stoves, radiators and other devices that have strong radiation;
• uncomfortable body position due to the pace of work;
• responsibility for the lives of other people (in the event that the patient seizes an attack, and his inability to perform any functions will endanger other people);
• extreme conditions, including critical altitude and inclement weather.

There is also temporary disability - it is prescribed after a heart attack. Its type is important: for example, if it had a small focus, the patient will not be able to work for 2-3 months, a large one, but without complications - 3-4 months, transmural with complications - 5-6 months.

If the patient works in one of the listed categories, but the ability to work is not completely limited, it is recommended that he change his activity to one that is safer for health. If the disability is temporary, and after that a disability group is not awarded, nothing prevents the patient from continuing to work at the same place.

Disability 3 groups

To obtain group 3, the following indicators are required:

• effective myocardial revascularization;
• stable ECG dynamics, or moderate deviations during daily activity;
• minor violations of the functionality of the cardiovascular system;
• the average increase in cardiac cavities in systole and diastole;
• heart attack of a large or small focus without serious complications;
• average exercise tolerance (about 75 W/min);
• stable angina;
• completed rehabilitation, which brought positive results.

Disability 2 groups

To obtain group 2, the following indicators are required:

• serious violations of the functionality of the heart muscle;
• progression of pathology;
• increased seizures;
• the dynamics of the ECG is slowed down, the deviations in the process of daily activities are very serious;
• a large increase in cardiac cavities;
• heart attack with a large focus, followed by complications;
• moderate angina;
• during implantation of the pacemaker - non-working state, strong dependence with subsequent psychological manifestations;
• low tolerance to physical activity (about 50 W / min).

The working capacity and functionality of disabled people of the 2nd group is also partially limited. Patients walk slowly, experience shortness of breath, stop while climbing stairs, and do not leave the house in cold and damp weather. Interaction with household chores also decreases, in some cases the help of other people is needed.

Disability 1 group

To obtain group 3, the characteristics are required:

• transmural infarction followed by complications;
• unstable angina;
• circulatory failure in stage 5.

Upon receipt of the 3rd disability group, working capacity is lost altogether. The patient needs regular care, because he cannot take care of himself.

In what cases the disability group is removed

A person receives a certificate of disability and a label in the outpatient card if his ability to work is restored.

• stable angina;
• with a heart attack - a small focus, no complications and an acute stage;
• normalization of the heart rate, the course of angina pectoris and other consequences of a heart attack during the year;
• positive results in exercise tolerance tests;
• psychological readaptation;
• completed rehabilitation, divided into stages.

The main goal of rehabilitation is to get rid of risk factors and stop the pathological mechanisms due to which IHD and concomitant diseases progress. It includes both drug treatment, regular examination by a doctor, and individual psychological work, in which the patient is preparing to resume his social activities and acquire a profession that is not contraindicated.

Of course, this list is inaccurate, and disability can be canceled if there are other signs. It all depends on the patient, the medical history, the effectiveness of the chosen treatment method and age.

Required documents

First of all, in order to find out if IHD gives disability in a particular case, it is necessary to tell the attending physician about the intention to receive disability. A disabled person is a person who is unable to lead a full life due to some persistent disease (in this case due to coronary heart disease) and is forced to ask other people for help. To determine whether a person belongs to this group or not, only a cardiologist can do it after conducting special tests, after which papers for disability are submitted to the SME.

• disability application;
• referral from the attending physician;
• original passport and a copy of the main spread;
• a notarized copy of the main pages of the work book;
• characteristics from employers from the last workplace, or from an educational institution;
• pages of the outpatient card, on which the medical history is recorded;
• originals and copies of documents confirming that the applicant was treated in different institutions;
• if the disease was caused by an industrial injury, a completed act in the form H-1.

If the patient is dissatisfied with the results of the examination (for example, if a refusal was received), he has the right to appeal. Having testified your disagreement, you need to reapply and wait another month, after which the patient will receive a new result. You can also order an examination in a special independent agency - in some cases it will be more expensive, but faster. If the desired result is not achieved, it remains only to go to court, the verdict of which can no longer be appealed.

After the application is considered, the patient is issued a certificate of disability and an individual course of treatment is prescribed. If it includes the use of special drugs and medicines, the patient receives them. Benefits are set by the Social Security Administration, the amount of the pension is set by the Pension Fund. The established disability group affects both indicators.