Prolapse is understood as an abnormal type of placement of an organ, when a process of prolapse or protrusion occurs through the openings of the natural structure. Of all the valves in humans, the mitral valve is most susceptible to this condition. Therefore, there are relatively many conscripts suffering from this pathology.

Features of the manifestation of the disease

By regulating the movement of blood, valves create barriers to its reverse flow. When the valve opens, blood flows towards the ventricle, and after closing, it flows into the aorta due to contraction of the ventricle. Deviation in the condition of the mitral valve provokes sagging of its valves in the area of ​​the left atrium during contraction of the ventricle. Therefore, the blood partially returns to the atrium. Considering the degree of regurgitation, the disease is divided into 3 groups:

• PMK 1 with sashes deflection up to 6 mm and insignificant reverse current. Symptoms are not active.
• PMK 2 - deflection 6-9 mm. Symptoms such as shortness of breath, rapid heartbeat, heart pain, dizziness and fainting are observed.
• PMK 3 with a deflection of more than 9 mm. Due to active reverse blood flow, the symptoms become pronounced, which requires surgical intervention.

What is taken into account during the examination

Members of the IHC, when assigning a fitness category, are guided by three main criteria:

• severity of deviations in heart rhythm;
• the presence of a condition that differs from the norms of blood conductivity;
• diagnosed heart failure.

The last factor is quite significant. Experts focus on the gradation of functional classes:

• FC I - conscript due to his condition does not require restrictions on physical activity, since signs of deviations are not present at its usual level;
• FC II - increased heart rate, weakness and shortness of breath occur during standard exercise, but are no longer present at rest;
• FC III - symptoms are provoked by even a weak level of physical activity;
• FC IV - signs of the disease are present even at rest.

When will they be drafted into the army?

When mitral valve prolapse is diagnosed in the 1st degree, a man will be taken into the army, since his condition is close to normal, and there are no symptoms, the person leads a normal type of life activity. At the same time, there are no restrictions on physical activity, although periodic examinations by a cardiologist are necessary. If a conscript is diagnosed with this anomaly of the mitral valve, when the level of heart failure is not higher than FC I, he will be drafted into the army with category “B-4”. Guys with a disease without symptoms, when there is no discomfort and no treatment is needed, will serve in the same way. The presence of 2nd degree prolapse will be the basis for referral to the Air Force with a number of restrictions.

Liberation from the army

As the level of mitral regurgitation increases, the risk of complications is very high. The development of mitral insufficiency is likely. It is possible that arrhythmia or infective endocarditis will occur. Therefore, conscripts with persistent heart rhythm disturbances, decreased conductivity with the presence of FC II deficiency have every reason to qualify for exemption from service. Art. tells us this. 42, according to the rules of which the young man receives category “B”. The disease in the 3rd stage has more pronounced symptoms. Due to the increased deflection, the outflow increases, and then regurgitation provokes a disorder of the circulatory system, worsens the heart rhythm and increases heart failure. In this case, the conscript is released from the army.

Answer from I’m_ok[guru] questions are decided by your doctor. and the disability group (now there is no concept of group - now there is a “degree” of disability) is established by a medical expert commission. If you want, write me an e-mail with a question, I can answer in more detail. Answer from DED[novice] if in turn no answer Answer from LP[novice] is disability given after surgery for a compression fracture of a vertebra? Answer from Anna Kodilenko[newbie]I had mitral valve replacement surgery (replacement with a mechanical prosthesis) and coronary artery bypass grafting. At the ITU, I was given disability group 3 for 1 year. Answer from Yamar Trifonov [newbie] I had a second group on hypertension and heart. They did it for me, replaced the Aortic valve with a prosthesis and made 3 shunts (vessels were taken from my legs) and in the first year, after the operation, they removed 2 grams and gave me 3 grams. And the symptoms increased even more after the operation.

Medical and social examination

List of documents that must be prepared to obtain disability:

• referral from the attending physician to medical examination;
• original and copy of passport;
• a notarized copy of the work book;
• outpatient card of the patient with a complete medical history;
• extracts from the hospital where the patient was treated;
• an application on behalf of a person claiming disability for examination;
• characteristics of the patient from the place of work or study.

After the commission makes a decision to assign a disability group to the patient, the person receives a certificate of disability and a personal rehabilitation program. Based on the documents received, pensions and benefits are issued, and the necessary rehabilitation or other medical devices, for example, blood pressure monitors, are issued.

Heart diseases that cause disability

Assignment of disability for heart disease According to medical examinations and legislation for 2017, in Russia there is a list of diseases for which disability can be assigned. These include diseases, the course of which may be accompanied by irreversible processes of damage to important human organs. For the following heart diseases, people can contact the appropriate authorities to register disability and receive help: 1.

Myocardial infarction. This disease occurs together with coronary insufficiency, which leads to circulatory disorders and significant changes in the functions of the heart muscles. Complete absence or insufficient blood supply to a number of areas of the heart can lead to necrosis of these areas. As a result, this leads to the inability of the organ to ensure full functioning.

Is disability allowed after heart surgery?

Important

Disability due to heart disease A medical and social expert commission can assign a patient disability due to heart disease, but taking into account the presence of a complex of factors. Among such factors may be professional activity that was affected by the disease. Therefore, when contacting ITU, it is also necessary to mention this fact.

You may have to think about looking for another job. Congenital heart defects are abnormalities in the development of the heart, which are manifested by a violation of the formation of normal hemodynamics. If you have heart defects, you need to be examined by a doctor. Disability group I can be assigned to patients with grade III pulmonary hypertension with severe conduction and rhythm disturbances.

Restrictions on self-service, work activity and self-service of the third degree are taken into account.

Do heart defects give you disability and how to apply for it?

Other reasons that result in the development of acquired heart defects include:

• blood poisoning;
• chest injuries;
• atherosclerotic processes in a progressive form;
• organic heart disease of syphilitic origin.

Hidden heart defects are called compensated. With decompensated defects, patients experience symptoms such as shortness of breath, increased fatigue, severe palpitations, and possible fainting. The number of heart diseases is increasing every year. We must not forget that the functioning of the cardiovascular system is negatively affected by various stresses, poor environment, poor lifestyle, bad habits, and poor nutrition. Timely measures can help avoid serious health consequences.

Disability after heart surgery

What disability group is assigned after the installation of a pacemaker? The disability group is determined by the ITU based on how much the body’s functions are impaired due to the disease and what the work prognosis is (the ability to continue working in the main profession). The severity of heart rhythm disturbances before and after implantation of the stimulator, the frequency and severity of attacks of concomitant diseases will be assessed. If you have a pacemaker, you may be given the following disability groups: 3 temporary, 3 permanent, 2 temporary, 2 permanent.

Only a medical commission can give an exact answer as to what disability group is assigned if an ECS is installed. Group 3, 0th and 1st degrees are workers, 2nd and 3rd degrees are not workers, but without a ban on work (the employee has the right to continue working).

Attention

To assign a disability group for congenital heart disease in adulthood, it is necessary to undergo a complete clinical examination. This is done in order to determine to what extent the existing pathologies of the organ interfere with the normal existence of the patient, and how negatively the disease affects the general health of the person. Depending on the severity of the disease, the patient is assigned disability groups 1, 2 or 3.

Group 1 is given to the heaviest patients, Group 3 - to patients with minor limitations in their ability to live. Acquired heart defects Acquired heart defects are diseases characterized by disruption of the heart due to changes in one or more heart valves. Emerging defects are the result of past diseases. Most common cause, due to which pathological defects of the valves occur, is called rheumatism.

What is the law for disability when replacing a heart valve?

Why is a pacemaker disabled? Disability with a pacemaker is granted only if the functions of the body are severely impaired and there is an unfavorable work prognosis (the possibility of continuing professional activity - that is, after the operation the patient has restrictions on working with a pacemaker that did not exist before). If there are no such violations and forecasts, then disability will not be assigned. To obtain a disability group when installing a pacemaker, you should contact the medical and social examination committee (MSE, previously called the medical and labor expert commission, VTEC).
When deciding whether disability is appropriate, the commission must be guided by data on the degree of dependence of the patient on the operation of the device. If the postoperative epicrisis says: “discharged with improvement...” (and this is usually the case), then assignment to a group will be denied.
After the operation, will they give us a group? read answers (1) Topic: Disability 3 groups My disability is removed, a year after heart surgery to replace a valve, my health is not very good, but they say that they will remove it, and the attending physician cannot do anything. read answers (1) Topic: Disability of a child Is a child 7 months disabled after heart surgery secondary to ASD? read answers (1) Topic: Heart surgery My daughter underwent heart surgery, a congenital defect, in the first month of life, can I receive any or cash, for how long? read answers (3) Topic: Heart surgery My child had heart surgery in the first month of life, a defect, now we are 4 months old, can I get any cash payments? read answers (1 ) Subject: Do I qualify for a disability group? I have an aortic artificial heart valve. I take warfarin for life.
Disability with a cardiac pacemaker is assigned only if there is absolute dependence on the work of the pacemaker and only in the presence of concomitant diseases. For a young person, the answer to the question of whether a stimulant will cause disability for him or not is, most likely, no. IVR is precisely installed so that the patient can continue to lead a normal, familiar lifestyle.

Moreover, it is even possible to play sports with a pacemaker. Is there a disability requirement for a pacemaker? A patient with an installed pacemaker is legally entitled to disability only if the dependence on the operation of the device is 100% or close to such. In practice, obtaining a disability group turns into going through numerous authorities and proving that you are “not a camel.”
N 247 disability group for persons suffering from cardiovascular diseases is assigned in cases of coronary heart disease with coronary insufficiency of functional class III - IV, angina pectoris and persistent circulatory disorders. Is disability given after the installation of a pacemaker? Disability after the installation of a pacemaker is not given “by default” (at least, it will not be offered for sure). Does a pacemaker provide disability on demand? Theoretically, yes, but in practice, only the degree of circulatory failure matters. Even if the dependence on the operation of the device is close to 100%, and even with absolute dependence, it is not always possible to obtain a disability group. Is a pacemaker a disability or not? The installation of a pacemaker is considered heart surgery, but disability is currently not usually assigned after it.

However, during the examination, ITU experts must assess the severity of the disease and the degree of dependence of the patient on the work of the pacemaker. Based on the data obtained, the degree of restrictions for the patient is assessed. This is ideal. In practice, upon discharge, the attending physician will most likely tell you that a disability group will not be assigned (in practice, only 15% of patients are absolutely dependent on the work of the pacemaker, and another 13% are partially dependent).

And at the ITU they will quickly familiarize themselves with the documents, just as quickly listen to the heart and measure the pulse (heart rate) and assess the patient’s condition according to appearance. It is believed that the presence of an implanted pacemaker with in good condition health, if not required additional treatment(including outpatient) does not serve as a basis for assigning a disability group.

Disability due to a pacemaker for pensioners, if we are talking only about pacemaker implantation, is also assigned in rare cases. ITU experts can legally refuse to assign a disability if they find that a person’s life is not absolutely dependent on the work of the ECS (the act states that there are minor restrictions). In any case, ITU experts never, on their own initiative, propose conducting an appropriate survey, and they do not have the necessary equipment.

Is a disability group given after heart surgery?

ITU Appeal the decision ITU decision My disability is being removed, a year after heart surgery to replace a valve, my health is not very good, but they say that they will remove it, and the attending physician cannot do anything. read answers (1) Tags: Heart surgery Replacement Procedure Is a 7 month old child entitled to disability after heart surgery, secondary ASD? read answers (1) Tags: Is there a disability? Heart surgery My daughter underwent heart surgery, a congenital defect, in the first month of life, can I receive any money, for how long? read answers (3) Tags: State pension provision Federal law Cash My child underwent heart surgery, in the first month of life, a defect, now we are 4 months old, can I receive any cash payments? read answers (1) Tags: Cash payment Payment I have an aortic artificial heart valve.

Medical and social examination

Why is a pacemaker disabled? Disability with a pacemaker is granted only if the functions of the body are severely impaired and there is an unfavorable work prognosis (the possibility of continuing professional activity - that is, after the operation the patient has restrictions on working with a pacemaker that did not exist before). If there are no such violations and forecasts, then disability will not be assigned.
To obtain a disability group when installing a pacemaker, you should contact the medical and social examination committee (MSE, previously called the medical and labor expert commission, VTEC). When deciding whether disability is appropriate, the commission must be guided by data on the degree of dependence of the patient on the operation of the device.
If the postoperative epicrisis says: “discharged with improvement...” (and this is usually the case), then assignment to a group will be denied.
The severity of heart rhythm disturbances before and after implantation of the stimulator, the frequency and severity of attacks of concomitant diseases will be assessed. If you have a pacemaker, you may be given the following disability groups: 3 temporary, 3 permanent, 2 temporary, 2 permanent.

Only a medical commission can give an exact answer as to what disability group is assigned if an ECS is installed. Group 3, 0th and 1st degrees are workers, 2nd and 3rd degrees are not workers, but without a ban on work (the employee has the right to continue working). An employer may request an Individual Rehabilitation Program for a disabled person, but the employee may not provide it - in this case, the employer is not responsible for restrictions in work functions.

This is especially true for readers of the next thread who are interested in whether it is possible to work as a driver with a pacemaker. The same applies to group 2.

Heart diseases that cause disability

Tags: Congenital heart defect Lawyer Disability Less than a month ago I underwent surgery to replace the mitral valve plus concomitant diseases, today I was at the doctors and they said that the commission to read the answers (1) Tags: Federal Law of the Russian Federation Social guarantees Establishing disability Is a child (10 months old) entitled to disability after radical surgery heart surgery, diagnosis of congenital heart disease Tetralogy of Fallot. read answers (1) Tags: Is the Ministry of Health of Russia entitled to disability Heart surgery Will a child be given disability after abdominal heart surgery if everything is fine after the operation? read answers (1) Tags: Resolution Government of the Russian Federation Establishing a disability group Registration of a disability group My child had open heart surgery (ASC), and was always given disability for a year after the operation. But the ITU refused me.

How to get group 3 disability: list of diseases and pension amount

Info

In case of persistent circulatory failure of the second degree, patients can work from home. Persons of mental work can sometimes perform work in much easier conditions.

When circulatory disorders reach stage III, patients cannot perform professional work, and sometimes require constant care. Criteria for determining the disability group. In the absence of significant morphological changes and circulatory disorders, the range of professions available to patients is very wide, and all of them can be employed either in their main profession without reducing their qualifications, or through retraining.

In the presence of significant morphological changes in the myocardium in combination with significant rhythm disturbances or sluggish rheumatism, the range of professions available to patients is limited, and most of them have limited ability to work (group III disabled people).

Rehabilitation after mitral valve replacement

Attention

How to get disability after pacemaker implantation?

1. Determine the degree to which your life and health depend on the operation of the pacemaker - this can be done by checking the operation of the IVR.
2. You must take a referral for an MSE from the cardiologist you are seeing (local specialist) (reporting symptoms: shortness of breath, dizziness, darkening of the eyes, etc.).
3. The certificate of absolute dependence must be copied - you keep the original and give a copy to the ITU.

There is no need to make a fuss or argue anywhere or with anyone. If they do not make contact voluntarily, then statements are written in two copies - one to the chief doctor, the second (with a note of acceptance) again to yourself.

Responsible people lose the desire to argue and swear if they see in front of them a more or less prepared citizen who is aware of his rights.

Mitral regurgitation

Telephone consultation 8 800 505-91-11 Free call Boy before heart surgery, i.e. until the age of 15 he received a disability pension, but after the operation it was decided to deprive him of his disability pension. read answers (1) Tags: Responsible person Heart surgery My daughter was given disability until she was 18 after open heart surgery (OHS), they are inviting me in a month for control examination.

Disability after heart surgery

For this purpose, the following have been proposed: determination of the titer of antistreptolysin and antihyaluronidase, the presence of C-reactive protein, fibrinogen, diphenylamine index, protein and lipoproteins by electrophoresis, as well as formol, cadmium and sublimate tests, etc. These tests are not specific for the rheumatic process, but in the aggregate help determine the presence of an active process.
The presence and degree of impaired blood circulation are established in detail clinical examination sick. Labor forecast, indicated and contraindicated conditions and types of work. The labor prognosis of patients with isolated insufficiency is generally favorable. This is explained by the fact that circulatory disturbances with this defect rarely occur, and if they occur, they progress slowly and have the character of right ventricular failure, which is easily amenable to therapeutic intervention.

For what heart diseases is a disability group given? This issue worries residents of Russia, since 30% of the population suffers from certain types of cardiovascular pathologies. Dysfunction of the circulatory system affects a person’s physical capabilities, including his ability to work.

Who is given disability?

Disability is due to pathologies that cause dysfunction of vital organs. The list of such heart diseases includes:

1. Myocardial infarction. Violations lead to insufficient blood supply to organs and tissues, which provokes functional disorders of the heart and death of its tissues. As a result of diseases, a person’s physical inability to perform work is formed. Smoking and coronary heart disease contribute to the progression of the disease.
2. Stage 3 hypertension. Accompanied by high blood pressure and crises, which affect the blood supply to the brain and lead to paralysis.
3. Severe heart disease and circulatory disorders of the last stage.

In addition, disability is granted to people who have suffered complex operations on the heart - bypass surgery, valve replacement, etc.

Disability groups

Disability is assigned based on the following characteristics that determine the general state of health:

• injuries and damage to the organs of the circulatory system, resulting in the inability to perform basic everyday activities;
• loss of a person’s ability to move independently;
• congenital defects in the structure of the heart, which led to the impossibility of working;
• identifying a person’s need for rehabilitation and special care.

There are 3 disability groups:

• Group 1 – patients need constant care from other people;
• Group 2 – people partially lose their physical abilities. Assigned for moderate heart disease. These patients are able to care for themselves if favorable conditions are created for them;
• Group 3 – people are able to take care of themselves, but have restrictions on working in their specialty.

Groups for IHD

In people with coronary disease there are contraindications for work:

associated with the maintenance of an electromechanical installation;

associated with an increased danger to the lives of other people (driver, train driver);

taking place in extreme conditions (miners, builders).

Disability groups for coronary artery disease are presented in the table

Degree of disability due to hypertension

People with hypertension also have the right to receive disability if we are talking about complicated forms of the pathology. Receiving benefits is indicated for stage 3 hypertension, accompanied by frequent crises, impaired cerebral blood supply, and damage to internal systems and organs.

For angina pectoris, temporary disability is usually prescribed:

• for FC 1 (functional class) – up to 10 days;
• for FC 2 - up to 3 weeks;
• for FC 3 – up to 5 weeks.

Groups for CHF (chronic heart failure)

Depending on the severity, chronic failure is classified into 4 functional classes.

There are 2 degrees of CHF. At 1st degree, the symptoms of the disease manifest themselves dimly and occur at the moment a person commits physical activity. The main signs of the disease: an increase in the size of the liver, attacks of suffocation and a displacement of the left border of the heart.

In case of stage 1 CHF, there are clear signs of circulatory disorders: weakness, rapid heartbeat, inability to remain in a supine position, expansion of the borders of the liver.

Disability in chronic heart failure is correlated as follows:

• CHF 1st degree FC 1,2,3 – disability is not established;
• CHF 1st degree FC 4 – 3rd group;
• CHF 2 degrees FC 1 – 3 group;
• CHF 2 degrees FC 2,3,4 – group 2.

Disability after heart surgery

Disability is issued after heart surgery. The group is determined depending on the complexity of the intervention and how the patient himself underwent the operation.

After bypass

After the intervention, patients are temporarily unable to work. A medical examination decides to assign a disability group to a person. Group 1 is prescribed to people who have suffered severe CHF and are in need of care. Group 2 is given to people who underwent rehabilitation after CABG with complications. Disability group 3 is assigned to people with an uncomplicated rehabilitation period who have 1-2 functional classes of heart failure and angina pectoris.

After valve replacement

Heart disease eventually causes heart failure. Replacing a valve cannot with 100% certainty solve all the problems a person has. The issue of assignment of disability is considered in each individual case based on the results of diagnostic measures: stress test, pharmacological tests, echocardiography and others. Based on the results of the examination, specialists identify the degree of “wear and tear” of the heart. The presence of symptoms of CHF is a reason for transferring a person to light work or establishing a disability group for him.

After ablation

Previously, after cardiac ablation, disability group 2 was assigned for up to 1 year. Modern intervention techniques have made RFA surgery and recovery easier.

Currently, the decision to assign disability after RFA is based on the degree of circulatory impairment. With a NC of 0.1 degree, disability is not issued. For NK of 2nd degree, disability group 2 is assigned, for NK of 3rd degree - 1st group.

Registration of disability

Registration of disability requires time and medical examination. To get a group, you need to visit a cardiologist and leave with him a statement of intention to obtain disability. The doctor performs an examination, enters data into the patient’s medical record and gives referrals to specialists of other profiles. A complete examination to make an accurate diagnosis is performed in an inpatient setting.

After full diagnostics You can collect a package of documents:

• referral to a commission;
• passport;
• a copy of the work book;
• medical card;
• an extract from the institution at the place of examination;
• statement.

Survey

In case of cardiovascular diseases, disability is issued for a temporary period. Patients regularly need to be examined once a year for groups 1 and 2 and once every 6 months for group 3. For disabled children, a second commission is assigned depending on the severity of the pathology.

A person may be refused to extend his disability. This decision must be appealed to the ITU Bureau within a month.

Advice! There is the possibility of an independent review that is not associated with ITU. If the results of the ITU and the independent examination do not correspond, they file a claim in court to resolve the controversial issue.

Amount of disability benefits

For cardiovascular diseases associated with dysfunction internal organs and loss of a person’s ability to work, disability is assigned. The disability group depends on the severity of the pathology and concomitant diseases. ITU gives a disability group after studying all necessary documents. A person needs to be examined regularly to renew benefits and allowances.