Document ID: chunk:federal_register_of_legislation:F2023L00016:reg:9:p1
Version: federal_register_of_legislation:F2023L00016
Segment Type: reg
Provision Reference: reg 9 (pt 1/8)
Character Range: 5308–8316

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting atrial fibrillation and atrial flutter or death from atrial fibrillation and atrial flutter with the circumstances of a person's relevant service:
(1)          having valvular heart disease at the time of the clinical onset of atrial fibrillation or atrial flutter;
Note: valvular heart disease is defined in the schedule 1 Dictionary.
(2)          having ischaemic heart disease at the time of the clinical onset of atrial fibrillation or atrial flutter;
(3)          having non-infectious myocarditis at the time of the clinical onset of atrial fibrillation or atrial flutter;
Note 1: Non-infectious myocarditis can be acute or chronic.
Note 2: Non-infectious myocarditis can be of autoimmune, infiltrative or immunological origin. Examples of causes of non-infectious myocarditis include immune checkpoint inhibitor therapy and giant cell myocarditis.
(4)          having viral myocarditis at the time of the clinical onset of atrial fibrillation or atrial flutter;
Note 1: Viral myocarditis can be acute or chronic.
Note 2: Examples of viral causes of myocarditis include severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and dengue virus.
(5)          having a non-viral infection of the myocardium at the time of the clinical onset of atrial fibrillation or atrial flutter;
Note: Examples of causes of non-viral infection of the myocardium include Borrelia burgdorferi and leptospirosis.
(6)          having pericarditis at the time of the clinical onset of atrial fibrillation or atrial flutter;
(7)          having cardiomyopathy at the time of the clinical onset of atrial fibrillation or atrial flutter;
(8)          having heart failure at the time of the clinical onset of atrial fibrillation or atrial flutter;
(9)          having hypertension before the clinical onset of atrial fibrillation or atrial flutter;
(10)      having pulmonary thromboembolism within the 30 days before the clinical onset of atrial fibrillation or atrial flutter;
(11)      having a thyroid condition from the specified list of thyroid conditions at the time of the clinical onset of atrial fibrillation or atrial flutter;
Note: specified list of thyroid conditions is defined in the Schedule 1 – Dictionary.
(12)      consuming an average of at least 100 grams of alcohol per week for a continuous period of at least the 5 years before the clinical onset of atrial fibrillation or atrial flutter;
Note: Alcohol consumption is calculated utilising the Australian Standard of 10 grams of alcohol per standard alcoholic drink.
(13)      binge drinking within the 2 days before the clinical onset of atrial fibrillation or atrial flutter;
Note: binge drinking is defined in the Schedule 1 – Dictionary.
(14)      having a thoracic surgical procedure or an invasive cardiac procedure within the 1 year before the clinical onset of