Document ID: chunk:federal_register_of_legislation:F2023L00011:reg:9:p1
Version: federal_register_of_legislation:F2023L00011
Segment Type: reg
Provision Reference: reg 9 (pt 1/7)
Character Range: 5263–8276

9               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, atrial fibrillation and atrial flutter or death from atrial fibrillation and atrial flutter is connected 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 1: 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 150 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 atrial fibrillation