Document ID: chunk:federal_register_of_legislation:F2025L00149:front:0:p1
Version: federal_register_of_legislation:F2025L00149
Segment Type: other
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Character Range: 0–3411

Statement of Principles
concerning
ISCHAEMIC HEART DISEASE
(Reasonable Hypothesis)
(No. 27 of 2025)
The Repatriation Medical Authority determines the following Statement of Principles under subsection 196B(2) of the Veterans' Entitlements Act 1986.

Dated     18 February 2025.

Professor Terence Campbell AM
Chairperson
by and on behalf of
The Repatriation Medical Authority

Contents
1 Name
2 Commencement
3 Authority
4 Repeal
5 Application
6 Definitions
7 Kind of injury, disease or death to which this Statement of Principles relates
8 Basis for determining the factors
9 Factors that must exist
10 Relationship to service
11 Factors referring to an injury or disease covered by another Statement of Principles
Schedule 1 - Dictionary
1 Definitions

 1.                Name
This is the Statement of Principles concerning ischaemic heart disease (Reasonable Hypothesis) (No. 27 of 2025).
 1.                Commencement
              This instrument commences on 25 March 2025.
 1.                Authority
This instrument is made under subsection 196B(2) of the Veterans' Entitlements Act 1986.
 1.                Repeal
The Statement of Principles concerning ischaemic heart disease No. 1 of 2016 (Federal Register of Legislation No. F2016L00001) made under subsections 196B(2) and (8) of the VEA is repealed.
 1.                Application
This instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act 2004 applies.
 1.                Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
 1.                Kind of injury, disease or death to which this Statement of Principles relates
         1.           This Statement of Principles is about ischaemic heart disease and death from ischaemic heart disease.
Meaning of ischaemic heart disease
 1.           For the purposes of this Statement of Principles, ischaemic heart disease:
         1.           means a cardiac disease in which inadequate coronary blood supply to part of the heart leads to infarction or periodic ischaemia;
         2.           includes:
                 1.             myocardial infarction (ST elevation myocardial infarction (STEMI), and non-ST elevation myocardial infarction NSTEMI));
                 2.          angina pectoris (including unstable angina and Prinzmetal angina);
                 3.        ischaemic cardiomyopathy; and
                 4.         acute coronary syndrome (including STEMI, NSTEMI, and unstable angina); and
         3.           excludes:
                 1.             coronary artery disease without ischaemia;
                 2.          myocardial infarction due to generalised hypoxia, vascular shock, or cardiac arrest;
Note: The inadequate coronary blood supply can be associated with coronary thrombosis, atherosclerosis, coronary vasospasm, or coronary vascular disease.
 1.           While ischaemic heart disease attracts ICD‑10‑AM codes I20, I21, I22, I23, I24 and I25, in applying this Statement of Principles the meaning of ischaemic heart disease is that given in subsection (2).
 2.           For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth