Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:2:p2
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 2 (pt 2/5)
Character Range: 67973–71468

conditions.

    If cardiac and respiratory conditions co-exist, and at least one is accepted and at least one is not accepted, it is necessary to determine the total cardiorespiratory functional  impairment  rating (as set out in the previous steps), and then to moderate that rating by applying Chapter 19 to determine the impairment due to the accepted condition.

    The result that is then derived is the "total accepted cardiorespiratory functional impairment rating".

    Step 8: Determine whether any ratings from the cardiorespiratory Other
Impairment tables apply.

    Cardiorespiratory Other Impairment tables

    Once the total accepted cardiorespiratory functional impairment rating has been determined, it must be compared with the relevant cardiorespiratory Other Impairment tables. For assessment purposes, four categories of cardiorespiratory condition are recognised. These categories are:

    + ischaemic heart disease;
+ valvular heart disease;
+ miscellaneous heart disease; and
+ lower respiratory tract conditions.

There are four cardiorespiratory Other Impairment tables - corresponding to each of the above categories. These tables are:

 Table 1.7 -    Cardiorespiratory Impairment: Ischaemic;
 Table 1.8 -    Cardiorespiratory Impairment: Valvular;
 Table 1.9 -    Cardiorespiratory Impairment: Miscellaneous; and
 Table 1.10 -   Cardiorespiratory Impairment: Respiratory.

Only one rating is to be selected from each of these cardiorespiratory Other Impairment tables (Tables 1.7, 1.8, 1.9, and 1.10) for any condition or combination of conditions.

  If accepted conditions belonging to more than one of the four categories of cardiorespiratory disease above are present, then the relative contribution of their effect on the total accepted cardiorespiratory functional impairment must be estimated by applying Chapter 20 (Apportionment). The rating for each condition will be the higher of the cardiorespiratory functional impairment rating attributed to it and its cardiorespiratory Other Impairment rating.

  The cardiorespiratory worksheet (at page 42) should also be consulted.

    Other Impairment Table 1.7

   CARDIORESPIRATORY IMPAIRMENT: ISCHAEMIC HEART DISEASE

        Impairment
        Ratings Criteria

                 NIL  No history of symptoms but evidence of transient ischaemia on exercise ECG testing.

   * Coronary artery disease, characterised by typical history of angina pectoris.
                    * Coronary artery disease, characterised by history of uncomplicated myocardial infarct, with no subsequent evidence of cardiac failure and infrequent or no angina.
                    * Coronary artery disease, with single vessel disease (other than left main coronary) demonstrated on angiogram.
                    * Coronary artery disease with successful coronary artery surgery, followed by no angina or only infrequent angina but no further infarcts or cardiac failure.

                 FIFTEEN Coronary artery disease with multi-vessel disease (not successfully corrected) demonstrated on angiogram.

   * Coronary artery disease characterised by a history of myocardial infarct followed, immediately or after a lapse of time, by continuing angina or further infarcts.
                    * Coronary artery disease characterised by left main coronary artery disease (not successfully corrected) demonstrated on angiogram.
                    * Coronary artery disease with successful coronary artery surgery,