|
5) Cardiopathie congénitale mal tolérée , insuffisance cardiaque grave et valvulopathie grave
Congenital Heart Disease, Severe Cardiac Insufficiency or Heart Failure, Severe Heart Valve defects
1) Congenital Heart Disease - Structural defects of the heart and heart related blood vessels ( aorta, pulmonary artery) causing a malfunction of the heart. There are those that cause "cyanosis" i.e "blue" colour because the defect allows deoxygenated blood to pass round the body. They are diagnosed in infancy and are all exempt.
*"Hole in the heart" all ventricular defects are exempt.
*Some mild atrial defects either surgically corrected or not, as long as no residual problems exist are NOT exempt.
*Mild Pulmonary stenoses are NOT exempt
It seems in general if the defect causes symptoms it will be exempt
2) Severe Cardiac Insufficiency - Heart failure - The "severity" of the condition relies on a classification by the New York Heart Association, taking into account response to physical exercise,breathlessness,palpitations and this decides whether there is exemption or not. If the signs of heart failure diminish no longer requiring medication or strict surveillance then it is no longer exempt.
3) Severe Heart Valve Defects - All heart valve defects carry an exemption - UNLESS in the mild cases where physical exertion does not provoke tiredness, palpitations or dyspnoea ( problems with breathing) this type of lesion may be seen on an ultrasound examination.
All patients having surgical treatment of their heart valves are exempt, including any treatment for prophylaxis against infection and any anticoagulant therapy.
It's not dark yet ......but it's getting there.
|