Hypertension Secondary to PTSD
The NASEM finding and VA's recognition
In 2020 the National Academies of Sciences, Engineering, and Medicine published 'Gulf War and Health, Volume 11: Generational Health Effects of Serving in the Gulf War' which, along with prior NASEM reports, found sufficient evidence of an association between PTSD and hypertension. Following that report, VA C&P examiners have generally been more receptive to this secondary theory, though each is decided on its own facts.
Evidence to include
- Blood pressure readings meeting VA's rating criteria (diastolic predominantly 100+, systolic predominantly 160+, or use of continuous medication with prior history).
- Existing for PTSD.
- A opinion from a cardiologist, internist, or primary-care provider citing the NASEM findings and connecting the hypertension to the PTSD in this 's case.
- Treatment records showing when hypertension developed relative to PTSD symptoms.
Rating under DC 7101
7101 assigns 10, 20, 40, or 60 percent based on diastolic and systolic pressure readings and history. 10 percent requires diastolic predominantly 100+ or systolic 160+, or a history requiring continuous medication for control. -only awards are possible under § 3.310(b) if hypertension predated PTSD .
Disclaimer
Educational and informational content only — not legal or medical advice. Oakridge Claims is a private, independent business and is not affiliated with the U.S. Department of Veterans Affairs. Representation is provided by a VA- in accordance with 38 C.F.R. § 14.636. Outcomes depend on individual facts; no specific result is guaranteed.
Where these claims break down
- ×Filing without documented blood pressure readings that meet or approach the § 4.104 thresholds.
- ×Submitting a nexus letter that only cites the NASEM report without applying it to this veteran's records.
- ×Not addressing aggravation when hypertension predated PTSD.
Frequently Asked Questions
Useful Tools & Topics
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Disclaimer: This page is for educational purposes only and does not constitute legal advice. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the U.S. Department of Veterans Affairs. No guarantees of outcomes are made. Each claim is decided on its individual facts.
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