Diagnostic Code 7004 · 38 CFR §4.104
Syphilitic heart disease is cardiovascular damage caused by late-stage (tertiary) syphilis infection. The syphilis bacteria can damage the aorta and aortic valve over many years, sometimes decades after the original infection. This can lead to aortic regurgitation, aortic aneurysm, and narrowing of the coronary artery openings. Veterans who contracted syphilis during military service and later developed heart complications may be eligible for service-connected disability compensation.
| Rating | Criteria |
|---|---|
| 100% | |
| 60% | |
| 30% | |
| 10% |
Service medical records showing syphilis diagnosis or treatment during active duty, Cardiology records documenting aortic valve disease or aortic damage attributed to syphilis, Echocardiogram results showing valve function and ejection fraction measurements, Exercise stress test or METs estimation results, Serology records confirming syphilis history (RPR, VDRL, or FTA-ABS tests), Medical opinion linking current heart disease to the prior syphilis infection