Document ID: chunk:federal_register_of_legislation:F2023L01428:reg:8:p1
Version: federal_register_of_legislation:F2023L01428
Segment Type: reg
Provision Reference: reg 8 (pt 1/3)
Character Range: 3541–6948

8               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, pericarditis or death from pericarditis is connected with the circumstances of a person's relevant service:
(1)          having open heart surgery within the 20 years before the clinical onset or clinical worsening of pericarditis;
(2)           having a pacemaker, or defibrillator lead insertion within the 20 years before the clinical onset or clinical worsening of pericarditis;
(3)          having a cardiac ablation procedure to treat cardiac dysrhythmia within the 4 weeks before the clinical onset or clinical worsening of pericarditis;
(4)          having sclerosants such as talc, and tetracyclines directly introduced into the pericardial sac before the clinical onset or clinical worsening of pericarditis;
(5)          having penetrating or blunt trauma to the heart within the 20 years before the clinical onset or clinical worsening of pericarditis;
(6)          having electrical injury affecting the heart within the 20 years before the clinical onset or clinical worsening of pericarditis;
(7)          having a peptic ulcer that erodes the pericardium at the time of the clinical onset or clinical worsening of pericarditis;
(8)          undergoing a course of therapeutic radiation for cancer, where the heart was in the field of radiation, within the 20 years before the clinical onset or clinical worsening of pericarditis;
(9)          having a pericardial infection at the time of the clinical onset or clinical worsening of pericarditis;
(10)      having a systemic viral infection within the 4 weeks before the clinical onset or clinical worsening of pericarditis;
(11)      having tuberculosis before the clinical onset or clinical worsening of pericarditis;
(12)      having an infection of the structures contiguous with the pericardium at the time of the clinical onset or clinical worsening of pericarditis;
Note: Infections reported to spread to the pericardium from anatomical sites contiguous with the pericardium include empyema, and amoebic liver abscess.
(13)      having myocarditis at the time of the clinical onset or clinical worsening of pericarditis;
(14)      having acute rheumatic fever at the time of the clinical onset or clinical worsening of pericarditis;
(15)      having one of the following vasculitides:
(a)          Behcet's disease;
(b)          eosinophilic granulomatosis with polyangiitis (Churg Straus syndrome);
(c)          giant cell (temporal) arteritis;
(d)          granulomatosis with polyangiitis (Wegener's granulomatosis);
(e)          microscopic polyangiitis;
(f)           polyarteritis nodosa; or
(g)          Takayasu's arteritis;
at the time of the clinical onset or clinical worsening of pericarditis;
(16)      having one of the following systemic inflammatory diseases:
(a)          Addison disease with type 2 autoimmune polyglandular syndrome;
(b)          ankylosing spondylitis and seronegative spondyloarthropathies;
(c)          dermatomyositis;
(d)          IgG4-related disease;
(e)          inflammatory bowel disease;
(f)           mixed connective tissue disease;
(g)          polymyositis;
(h)          rheumatoid arthritis;
(i)            scleroderma (progressive systemic sclerosis);
(j)            Sjögren's syndrome; or
(k)          systemic lupus erythematosus;